A conceptual framework for action on the social determinants of health.
A conceptual framework for action on the social determinants of health.
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DOI：
10.13016/17cr-aqb9
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发表时间：
2007-04
期刊：
影响因子：
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通讯作者：
O. Solar;A. Irwin
中科院分区：
文献类型：
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作者：
O. Solar;A. Irwin
世卫组织总干事李钟郁在宣布打算设立健康的社会决定因素委员会时指出，该委员会是本着社会公正的精神促进全球健康更公平的全面努力的一部分。因此，委员会的目标是促进卫生公平，推动采取行动减少社会群体之间、国家内部和国家之间的卫生差异。要实现这一使命，需要找到三个基本问题的答案：1.如果我们将社会群体之间的健康差异追溯到最深的根源，那么它们起源于哪里？2.从根本原因到在人口层面观察到的健康状况的显著差异，有哪些途径？3.根据对前两个问题的答案，我们应该在哪里以及如何进行干预，以减少健康不平等？这份文件试图明确对这些问题的共同理解，以指导持发大会的工作。
When he announced his intention to create the Commission on Social Determinants of Health (CSDH), WHO Director-General Lee Jong-wook identified the Commission as part of a comprehensive effort to promote greater equity in global health, in a spirit of social justice1. The Commission’s goal, then, is to advance health equity, driving action to reduce health differences among social groups, within and between countries. Getting to grips with this mission requires finding answers to three fundamental problems: 1. Where do health differences among social groups originate, if we trace them back to their deepest roots? 2. What pathways lead from root causes to the stark differences in health status observed at the population level? 3. In light of the answers to the first two questions, where and how should we intervene to reduce health inequities? This paper seeks to make explicit a shared understanding of these issues that can orient the work of the CSDH.