Ostlin Piroska, Braveman Paula, Dachs Norberto
Karolinska Institutet, Sweden.
Bull World Health Organ. 2005 Dec;83(12):948-53. Epub 2006 Jan 30.
Despite impressive improvements in aggregate indicators of health globally over the past few decades, health inequities between and within countries have persisted, and in many regions and countries are widening. Our recommendations regarding research priorities for health equity are based on an assessment of what information is required to gain an understanding of how to make substantial reductions in health inequities. We recommend that highest priority be given to research in five general areas: (1) global factors and processes that affect health equity and/or constrain what countries can do to address health inequities within their own borders; (2) societal and political structures and relationships that differentially affect people's chances of being healthy within a given society; (3) interrelationships between factors at the individual level and within the social context that increase or decrease the likelihood of achieving and maintaining good health; (4) characteristics of the health care system that influence health equity and (5) effective policy interventions to reduce health inequity in the first four areas.
尽管在过去几十年里全球总体健康指标有了令人瞩目的改善,但国家之间和国家内部的健康不平等现象依然存在,而且在许多地区和国家还在扩大。我们关于健康公平研究重点的建议基于对获取理解如何大幅减少健康不平等所需信息的评估。我们建议将最高优先级给予五个一般领域的研究:(1)影响健康公平和/或限制各国在其境内解决健康不平等问题能力的全球因素和进程;(2)在特定社会中对人们健康机会产生不同影响的社会和政治结构及关系;(3)个体层面因素与社会背景中增加或降低实现和维持良好健康可能性的因素之间的相互关系;(4)影响健康公平的医疗保健系统特征;以及(5)在前四个领域减少健康不平等的有效政策干预措施。