{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:36:09Z","timestamp":1793813769450,"version":"4.6.1"},"reference-count":91,"publisher":"Bristol University Press","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,10]]},"abstract":"<jats:sec id=\"as1\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In this article we explore how critical actors can be incentivised to take a systems approach to pursue preventative public health. More specifically, we focus on the link between urban environments and their effect on non-communicable diseases (NCDs), such as obesity, cancers, cardiovascular and respiratory disease. Improving urban environments as a route to preventative public health is well known but it is complicated and requires multi-actor decision-making. For example, reducing cardiovascular disease through better urban design will require global investment companies, central government, local planners, public health teams, private house builders and local residents to find ways to develop joint solutions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"as2\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We draw on 167 qualitative interviews with key actors from across the urban development system in England to explore how an innovative economic valuation tool \u2013 the Health Appraisal for Urban Systems (HAUS) tool \u2013 could support multi-actor decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"as3\">\n                    <jats:title>Analytic plan<\/jats:title>\n                    <jats:p>We analyse the data using a multi-stage, transdisciplinary thematic analysis. Coding involved a collaborative deductive and inductive process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings reveal that actors from state, market and civil society could see the value of this tool, which evidences the link between different features of the urban environment, health outcomes and their economic valuation. Indeed, actors confirmed that the tool offered something new to incentivise joint decision-making and there was an appetite for its use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"as5\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We conclude by arguing that the HAUS tool offers an important source of evidence to encourage cross-system collaboration for promoting preventative public health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1332\/17442648y2026d000000107","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T22:16:52Z","timestamp":1789078612000},"page":"1-25","source":"Crossref","is-referenced-by-count":0,"title":["How can critical actors be incentivised to take a systems approach to pursue preventative public health?"],"prefix":"10.1332","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7457-8687","authenticated-orcid":true,"given":"Andrew","family":"Barnfield","sequence":"first","affiliation":[{"name":"https:\/\/dx.doi.org\/https:\/\/ror.org\/057jrqr44University of East London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6932-2372","authenticated-orcid":true,"given":"Geoff","family":"Bates","sequence":"additional","affiliation":[{"name":"https:\/\/dx.doi.org\/https:\/\/ror.org\/002h8g185University of Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5791-6955","authenticated-orcid":true,"given":"Sarah","family":"Ayres","sequence":"additional","affiliation":[{"name":"https:\/\/dx.doi.org\/https:\/\/ror.org\/0524sp257University of Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3353-5349","authenticated-orcid":true,"given":"Nick","family":"Pearce","sequence":"additional","affiliation":[{"name":"https:\/\/dx.doi.org\/https:\/\/ror.org\/002h8g185University of Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1437-2289","authenticated-orcid":true,"given":"Alistair","family":"Hunt","sequence":"additional","affiliation":[{"name":"https:\/\/dx.doi.org\/https:\/\/ror.org\/002h8g185University of Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9586-1019","authenticated-orcid":true,"given":"Eleanor","family":"Eaton","sequence":"additional","affiliation":[{"name":"https:\/\/dx.doi.org\/https:\/\/ror.org\/002h8g185University of Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"165","reference":[{"key":"CIT0001","series-title":"British Medical Journal","first-page":"1726","article-title":"Health policy priorities for the next prime minister","volume":"378","author":"Alderwick, H.","year":"2022","unstructured":"Alderwick, H. 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