Urban Crisis: Public Health at the intersection of economic & social change

城市危机：经济与公共卫生交叉点

• 批准号: MR/V02468X/1
• 负责人: Cristina Temenos
• 金额: $ 118.24万
• 依托单位: University of Manchester
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FV02468X%2F1
• 关键词: Urban; Crisis; Public; Health; intersection

This research aims to rethink urban crisis by expanding conceptual and empirical understanding of how crises are governed across the interrelated spheres of health, social, and economic policy. As traditional forms of state service provision are disrupted through state-led restructuring under crisis, the pressure for innovative urban solutions and competition for resources increases. Using Athens, Manchester, and Santiago as case studies, this research will identify the economic, political and social stresses involved in providing spaces of care to the urban poor, who are disproportionately affected by crises, and the policies and politics involved in attempting to manage intersecting urban crises. Urban service innovation has been a key area of development for government, industry, and academia. For example, the UN Sustainable Development Goals 3 and 11, on health and urbanization respectively, have highlighted the importance of a wholistic understanding of the relationship between health, well-being, and sustainable urban environments. Urban health is one of eight key challenges set out by the European Commission's platform on the Future of Cities. Urban Health in Latin America and the Caribbean is a research priority for the International Science Council, and global consultancies such as ARUP have focused on health and care proximities as key in urban development and design. The findings of the research program will help solidify and expand the evidence base on the links between urban crises, governance, experimentation, and the politics and practices of health and social care. I will make two key contributions. First, the project will make a novel contribution to understanding the spread and effects of state-led restructuring of spaces of health and social care in cities during and after urban crisis, advancing an empirical and conceptual agenda that centres health in understanding the urban politics of crisis. Second it will identify how cities negotiate the difficult task of managing conflicting international, national and local agendas focusing on the tensions between financial stability on the one hand and social sustainability and public health interventions on the other. This research will compare how national and local governments address crisis in three interrelated spheres: health, social care, and the economy. It will examine the implications for urban politics, governance, and urban experimentation surrounding the policies and the siting of as well as access to public health facilities and spaces of care for low-income communities across the three cities. I will do so by investigating the relationship between urban politics, and the need for increasing local provision of public health services and social care in Athens, Manchester, and Santiago through a relational comparative approach. The research questions that will guide this work are: 1. What forms of urban crisis are manifest in each city? What are the processes of addressing these crises from a national and municipal perspective? 2. How have the practices, politics, and policies surrounding urban crisis and their on-going effects shaped spaces of urban public health and care in each city? 3. What forms of experimentation have emerged in the immediate wake of urban crisis and what are the ongoing effects of this experimentation on spaces of health and social care?4. How has state provision of urban public health and care changed over time in each city? What have been the main political debates in the cities affected? 5. What, if any, alternative forms of service provision have emerged to manage the effects of crisis and crisis policies on urban health services?

这项研究旨在通过扩大对如何在卫生、社会和经济政策等相互关联的领域管理危机的概念性和经验性理解来重新思考城市危机。随着传统的国家服务提供形式在危机下被国家主导的重组所颠覆，创新的城市解决方案和对资源的竞争的压力加大。以雅典、曼彻斯特和圣地亚哥为例，这项研究将确定为城市穷人提供照料空间所涉及的经济、政治和社会压力，他们受到危机的影响不成比例，以及试图管理交叉的城市危机所涉及的政策和政治。城市服务创新已成为政府、产业界和学术界发展的重点领域。例如，分别关于健康和城市化的联合国可持续发展目标3和11强调了从整体上理解健康、福祉和可持续城市环境之间关系的重要性。城市健康是欧盟委员会关于城市未来的平台提出的八项关键挑战之一。拉丁美洲和加勒比地区的城市健康是国际科学理事会的研究重点，ARUP等全球咨询公司将健康和护理附近作为城市发展和设计的关键。该研究项目的发现将有助于巩固和扩大关于城市危机、治理、实验以及卫生和社会保健的政治和实践之间的联系的证据基础。我将做出两个关键贡献。首先，该项目将对理解在城市危机期间和之后由国家主导的城市卫生和社会护理空间重组的传播和影响作出新的贡献，提出以卫生为中心的经验和概念议程，以理解城市危机政治。其次，它将确定城市如何协商管理相互冲突的国际、国家和地方议程的艰巨任务，重点是金融稳定与社会可持续性和公共卫生干预之间的紧张关系。这项研究将比较国家和地方政府如何处理三个相互关联的领域的危机：卫生、社会保健和经济。它将审查围绕这些政策的城市政治、治理和城市试验的影响，以及这三个城市低收入社区的公共卫生设施和护理空间的选址以及使用情况。为此，我将通过关系比较的方法，调查雅典、曼彻斯特和圣地亚哥的城市政治与增加公共卫生服务和社会护理的当地提供需求之间的关系。将指导这项工作的研究问题是：1。每个城市都表现出哪些形式的城市危机？从国家和城市的角度解决这些危机的过程是什么？2.围绕城市危机的做法、政治和政策及其持续的影响如何塑造每个城市的城市公共卫生和护理空间？3.城市危机发生后立即出现了哪些形式的试验，这种试验对卫生和社会保健空间的持续影响是什么？4.随着时间的推移，每个城市国家提供的城市公共卫生和保健是如何变化的？受影响城市的主要政治辩论是什么？5.出现了哪些替代形式的服务提供，以管理危机和危机政策对城市卫生服务的影响？

项目成果

Troubling Austerity Crisis Policy-Making and Revanchist Public Health Politics

令人不安的紧缩危机政策制定和复仇主义公共卫生政治

• 发表时间: 2022
• 期刊: An International Journal for Critical Geographies
• 作者: Cristina Temenos

Concise Encyclopedia of Human Geography

人文地理简明百科全书

• 发表时间: 2023
• 作者: Cristina Temenos