Public health and urban planning are tightly linked, yet their intersection is not always addressed in courses. Urban planning plays a critical role in determining a city’s environmental impact, transportation infrastructure, walkability, and so much more. Creating a class that explores the ways urban planning and public health connect for pre-med and public health students is important because their education shapes the type of health advocates they become. Ultimately, understanding urban planning provides future public health advocates and doctors with a new toolset to improve the public’s health and produce healthier cities. This creative project aims to address this issue by creating a class with 15 modules showing the various ways that urban planning and public health intersect.
This study identifies flexibility and accountability as two important characteristics of the Chinese governance context, and traces how they affect stakeholder behavior and coalition formation, which in turn impacts policy implementation performance. The case study methodology triangulates analysis of government policy documents, secondary data, and the results of semi-structured key informant interviews.
Findings include: (i) The Chinese government has a very strong implementation capability to pass directives down and scale up, enabling rapid accomplishment of massive goals. It also has the capability to decide how the market should come into play, and to shape public opinion and ignore opposition; (ii) Interventions from the authoritarian government, given China’s vast economy and market, and the efficient top-down tiered bureaucratic system, risk distorting the market and the real policy goals during the implementation process; (iii) There tends to be an absence of bottom-up participation and feedback mechanisms; (iv) An effective self-correction mechanism, associated with flexibility and adaptability by a myriad of stakeholders often enables effective policy adjustment.
Policy implications include: (i) Policy implementation concerns need to be integrated into policy design; (ii) More thorough discussion of options is required during policy design; (iii) Better communication channels and instruments are needed to provide feedback from the bottom-up; (iv) On complex policy issues such as air pollution, pilot projects should be carried out before massive adoption of a policy.