Differentiating the effect of social enterprise activities on health

• Published in: Social science & medicine (1982) Vol. 200; pp. 211 - 217
• Main Authors: Macaulay, Bobby, Mazzei, Micaela, Roy, Michael J., Teasdale, Simon, Donaldson, Cam
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-03-2018; Pergamon Press Inc; Pergamon
• Subjects: Case studies; Employment; Environmental conditions; Focus Groups; Health; Health intervention; Humans; Interest groups; Ownership; Public health; Qualitative Research; Scotland; Social Determinants of Health; Social enterprise; Social entrepreneurship; Social factors; Social Support; Stakeholders; Health intervention; Scotland; Social enterprise; Public health
• ISSN: 0277-9536; 1873-5347
• DOI: 10.1016/j.socscimed.2018.01.042

An emerging stream of literature has focused on the ways in which social enterprises might act on the social determinants of health. However, this previous work has not taken a sufficiently broad account of the wide range of stakeholders involved in social enterprises and has also tended to reduce and simplify a complex and heterogeneous set of organisations to a relatively homogenous social enterprise concept. In an attempt to address these gaps, we conducted an empirical investigation between August 2014 and October 2015 consisting of qualitative case studies involving in-depth semi-structured interviews and a focus group with a wide variety of stakeholders from three social enterprises in different regions of Scotland. We found that different forms of social enterprise impact on different dimensions of health in different ways, including through: engendering a feeling of ownership and control; improving environmental conditions (both physical and social); and providing or facilitating meaningful employment. In conclusion, we highlight areas for future research.
•Enhanced understanding of the effects of social enterprise activities on health.•Wider range of stakeholders consulted.•Social enterprise understood as a complex and heterogeneous set of organisations.•Unpacked how different types of social enterprise might vary in health impact.