title: Framing health inequalities for local intervention: comparative case studies.
abstract: This article explores how health inequalities are constructed as an object for policy intervention by considering four framings: politics, audit, evidence and treatment. A thematic analysis of 197 interviews conducted with local managers in England, Scotland and Wales is used to explore how these framings emerge from local narratives. The three different national policy regimes create contrasting contexts, especially regarding the different degrees of emphasis in these regimes on audit and performance management. We find that politics dominates how health inequalities are framed for intervention, affecting their prioritisation in practice and how audit, evidence and treatment are described as deployed in local strategies.
authors.affiliation: Wolfson Research Institute, Durham University, Queen’s Campus, University Boulevard, Thornaby, Stockton-on-Tees, TS17 6BH. tim.blackman@durham.ac.uk
authors.forename: Tim
authors.initials: T
authors.lastname: Blackman
authors.forename: Barbara
authors.initials: B
authors.lastname: Harrington
authors.forename: Eva
authors.initials: E
authors.lastname: Elliott
authors.forename: Alex
authors.initials: A
authors.lastname: Greene
authors.forename: David J
authors.initials: DJ
authors.lastname: Hunter
authors.forename: Linda
authors.initials: L
authors.lastname: Marks
authors.forename: Lorna
authors.initials: L
authors.lastname: McKee
authors.forename: Gareth
authors.initials: G
authors.lastname: Williams
mesh_terms: D016022:Case-Control Studies; D006291:Health Policy; D006292:Health Priorities / Q000191:economics / Q000331:legislation & jurisprudence; D054624:Health Status Disparities; D006801:Humans; D009111:Local Government; D010043:Outcome and Process Assessment, Health Care; D011050:Policy Making; D011057:Politics; D011635:Public Health Administration / Q000191:economics / Q000379:methods; D012962:Sociology, Medical; D013222:State Medicine / Q000191:economics / Q000458:organization & administration*; D006113:United Kingdom