title: [Urban Health (StadtGesundheit): The Wider Perspective Exemplified by the City State of Hamburg].
abstract: Public health and city planning have common roots, and in many places they are now reuniting under the heading of urban health. To organize this field adequately requires a broad, integrative view of medical care, health promotion, and health in all urban policies. Given current crises and developments including climate change and globalization, such a wider perspective should also be useful for Germany. Using the City State of Hamburg as an example and combining historic and systematic approaches, we explore the preconditions for in-depth analyses. Our results show that health is a significant topic of Hamburg urban policy, featuring a broad range of structures, processes and actors, both within the health sector and far beyond. Health promotion over the last 30 years evolved notably from a niche topic into an established field with remarkable cooperative structures. The tradition of comprehensive reporting on urban health in Hamburg that was initiated more than 200 years ago is no longer alive today. However, local health reporting keeps integrating a wide range of diverse topics. Communication among the Hamburg health actors - beyond straightforward medical quality assurance - does not seem to focus on critical evaluations, e. g. concerning social and ecologic sustainability. A prerequisite for in-depth analyses including external comparisons is to secure permanent access to relevant sources. Robust approaches to this end, however, seem to be lacking.
authors.affiliation: Universität Bielefeld Fakultät für Gesundheitswissenschaften, Umwelt und Gesundheit, Bielefeld.
authors.forename: R
authors.initials: R
authors.lastname: Fehr
authors.affiliation: Behörde für Gesundheit und Verbraucherschutz, Fachabteilung Gesundheitsdaten und Gesundheitsförderung, Hamburg.
authors.forename: R
authors.initials: R
authors.lastname: Fertmann
authors.affiliation: Behörde für Gesundheit und Verbraucherschutz, Fachabteilung Gesundheitsdaten und Gesundheitsförderung, Hamburg.
authors.forename: K-P
authors.initials: KP
authors.lastname: Stender
authors.affiliation: c/o Behörde für Gesundheit und Verbraucherschutz Hamburg, Fachabteilung Gesundheitsdaten und Gesundheitsförderung, Hamburg.
authors.forename: N
authors.initials: N
authors.lastname: Lettau
authors.affiliation: Institut für Medizinische Soziologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
authors.forename: A
authors.initials: A
authors.lastname: Trojan
mesh_terms: D002947:Cities; D003695:Delivery of Health Care / Q000458:organization & administration*; D005858:Germany; D006292:Health Priorities / Q000458:organization & administration*; D017146:Models, Organizational; D011640:Public Policy; D014504:Urban Health; D019037:Urban Health Services / Q000458:organization & administration*; D014505:Urban Population