National Institute for Health Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, Bristol BS1 2NT, UK.
Centre for Academic Primary Care, University of Bristol, Bristol BS8 2PS, UK.
J Public Health (Oxf). 2023 Aug 28;45(3):654-662. doi: 10.1093/pubmed/fdad036.
Exposure to poor air quality is one of the most significant environmental public health challenges. In the UK, local authorities (LAs) are responsible for monitoring and managing air quality. This article explores the need and mechanisms for cross-departmental working in LAs to make decisions about air quality issues.
Semi-structured qualitative interviews with public health, environmental health and transport staff from LAs within the Southwest of UK. Interviews were conducted between April and August 2021 and analysed using a thematic approach.
In sum, 24 staff from 7 LAs participated. Local authority staff in public health, environmental health and transport teams recognized that managing air quality was a cross-departmental issue. To enable effective integrated working staff described four successful mechanisms: (i) policy commitments and political support; (ii) dedicated air quality steering groups; (iii) existing governance and oversight groups; and (iv) networking and relationships.
This study has identified mechanisms that LA staff have found support cross-departmental and integrated working on air quality issues. These are mechanisms that have helped environmental health staff work towards achieving compliance with pollution limits, and that have helped public health staff get air quality considerations recognized as a wider health issue.
暴露在空气质量差的环境中是最重大的环境公共卫生挑战之一。在英国,地方当局(LAs)负责监测和管理空气质量。本文探讨了跨部门合作的必要性和机制,以就空气质量问题做出决策。
对英国西南部地方当局的公共卫生、环境卫生和交通工作人员进行半结构式定性访谈。访谈于 2021 年 4 月至 8 月进行,并采用主题分析方法进行分析。
共有来自 7 个地方当局的 24 名工作人员参加。公共卫生、环境卫生和交通团队的地方当局工作人员认识到,管理空气质量是一个跨部门的问题。为了实现有效的综合工作,工作人员描述了四个成功的机制:(i)政策承诺和政治支持;(ii)专门的空气质量指导小组;(iii)现有的治理和监督小组;和(iv)网络和关系。
本研究确定了地方当局工作人员在空气质量问题上发现的支持跨部门和综合工作的机制。这些机制有助于环境卫生工作人员努力实现污染物限量的合规,也有助于公共卫生工作人员将空气质量问题视为更广泛的健康问题得到认可。