From healthy cities to territories of wellbeing

Abstract

This paper presents a critique of city-centric approaches in health and wellbeing planning and offers a conceptual and operational shift towards a territorially grounded paradigm. It argues that focusing on individual cities limits the systemic and relational understanding of health and wellbeing and undermines effective planning responses. We identify three flaws in city-centric planning: spatial-scalar mismatches that obscure where challenges unfold and interventions are needed; urban biases that sideline small, rural, and peripheral places; and functional fragmentation that reinforces siloed, sectoral approaches. In response, we propose what we call ‘Territories of Wellbeing’, a conceptualization that operates across interdependent regional systems. Using the Rhine watershed as a paradigmatic case, we demonstrate how this ‘natural planning region’ offers a productive arena for testing such a framework due to its polycentric structure through its shared river geography, long-standing transboundary governance institutions, and socio-ecological interdependencies. By considering the difficulties in moving beyond city-centric models and the challenges of the territorial approach, we explore and introduce three corrective pathways for planning, Comparability and Transferability, Contextual Sensitivity and Satisfier Differentiation, and Adaptability and Participation. These are practical orientations to make planning frameworks responsive to spatial diversity, dynamic interdependencies, and participatory governance across complex territories.