Addressing social determinants of health inequities: what can the state and civil society do?

被引：105

作者：

Blas, Erik ^{[2
]}

Gilson, Lucy ^{[4
]}

Kelly, Michael P. ^{[1
]}

Labonte, Ronald ^{[5
]}

Lapitan, Jostacio ^{[3
]}

Muntaner, Carles ^{[6
]}

Ostlin, Piroska ^{[7
]}

Popay, Jennie ^{[8
]}

Ritu, Sadana ^{[2
]}

Sen, Gita ^{[9
]}

Schrecker, Ted ^{[5
]}

Vaghri, Ziba ^{[10
]}

机构：

[1] Natl Inst Hlth &, Clin Excellence NICE, London WC1V 6NA, England

[2] WHO, CH-1211 Geneva, Switzerland

[3] WHO, Ctr Hlth Dev, Kobe, Hyogo, Japan

[4] Univ Cape Town, Sch Publ Hlth & Family Med, Fac Hlth Sci, Observatory, South Africa

[5] Univ Ottawa, Inst Populat Hlth, Ottawa, ON, Canada

[6] Univ Toronto, Toronto, ON, Canada

[7] Karolinska Inst, Dept Publ Hlth Sci, Div Int Hlth, Stockholm, Sweden

[8] Univ Lancaster, Div Hlth Res, Lancaster, England

[9] Indian Inst Management, Ctr Publ Hlth Policy, Bangalore, Karnataka, India

[10] Univ British Columbia, Int Res Initiat Program, Human Early Learning Partnership, Vancouver, BC V5Z 1M9, Canada

来源：

LANCET | 2008年 / 372卷 / 9650期

关键词：

D O I：

10.1016/S0140-6736(08)61693-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In this Health Policy article, we selected and reviewed evidence synthesised by nine knowledge networks established by WHO to support the Commission on the Social Determinants of Health. We have indicated the part that national governments and civil society can play in reducing health inequity. Government action can take three forms: (1) as provider or guarantor of human rights and essential services; (2) as facilitator of policy frameworks that provide the basis for equitable health improvement; and (3) as gatherer and monitor of data about their populations in ways that generate health information about mortality and morbidity and data about health equity. We use examples from the knowledge networks to illustrate some of the options governments have in fulfilling this role. Civil society takes many forms: here, we have used examples of community groups and social movements. Governments and civil society can have important positive roles in addressing health inequity if political will exists.

引用

页码：1684 / 1689

页数：6

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