Academic Journal
Mapping interrelated factors in Health in All Policies implementation in local governments: A complexity-informed review.
| Τίτλος: | Mapping interrelated factors in Health in All Policies implementation in local governments: A complexity-informed review. |
|---|---|
| Συγγραφείς: | Hernantes N; Nursing II Department, Faculty of Medicine and Nursing, UPV/EHU, Donostia, Spain. Electronic address: naia.hernantes@ehu.eus., Mujika A; Nursing II Department, Faculty of Medicine and Nursing, UPV/EHU, Donostia, Spain., Kopainsky B; System Dynamics Group, University of Bergen, P.O. Box 7802, Bergen, 5020, Norway., Øvergård KI; Department of Health, Social, and Welfare Studies, University of South-Eastern Norway, Pb 4, Borre, 3199, Norway. |
| Πηγή: | Social science & medicine (1982) [Soc Sci Med] 2026 Sep; Vol. 404, pp. 119523. Date of Electronic Publication: 2026 Jun 23. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Oxford ; New York : Pergamon, c1982- |
| Ιατρικοί όροι (MeSH): | Health Policy*/trends , Local Government*, Humans ; Policy Making |
| Περίληψη: | The implementation of Health in All Policies (HiAP) in local governments is particularly relevant given the influence of this level of governance on the social determinants of health and on advancing health equity at the municipal level. However, HiAP implementation remains challenging, especially as local government contexts can be understood as complex adaptive systems. Systems thinking offers an analytical approach that facilitates understanding the relationships among the multiple components influencing HiAP implementation and provides a set of tools that are useful for revealing the interconnections shaping complex policy problems. A complexity-informed scoping review was conducted to identify and organize key factors involved in the implementation of HiAP at the local level, as well as to explore and visualize the interrelationships among these factors. Nineteen factors were identified and classified into five categories: factors related to recognizing the need for change; organisational resources; planning, implementation, and evaluation processes; organisational commitment and support; and external factors supporting change. These factors were organised into a conceptual model. Their interrelationships were examined, and a diagram was developed to illustrate the underlying complexity of these interconnections. Political commitment emerged as a highly interconnected endogenous component within HiAP implementation processes. Future research should examine the extent to which the proposed conceptual model can be applied across different contexts and explore opportunities to further refine the diagram, including its potential development into causal loop diagrams and system dynamics simulation models. (Copyright © 2026 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| Competing Interests: | Declaration of competing interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Contributed Indexing: | Keywords: Complexity; Health in All Policies; Implementation; Literature review; Local government; Systems thinking |
| Entry Date(s): | Date Created: 20260624 Date Completed: 20260828 Latest Revision: 20260828 |
| Update Code: | 20260829 |
| DOI: | 10.1016/j.socscimed.2026.119523 |
| PMID: | 42341735 |
| Βάση Δεδομένων: | MEDLINE |
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