What kinds of policies to reduce health inequalities in the UK do researchers support?
What kinds of policies to reduce health inequalities in the UK do researchers support?
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DOI：
10.1093/pubmed/fdu057
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发表时间：
2015-03
期刊：
影响因子：
--
通讯作者：
Kandlik Eltanani M
中科院分区：
文献类型：
--
作者：
Smith KE;Kandlik Eltanani M
尽管有大量的研究和政策举措，但在解决联合王国的健康不平等方面取得的进展有限。本文探讨了研究人员是否对可能减少健康不平等的政策达成了共识。从多个来源确定了99项解决健康不平等问题的建议。41名研究人员参加了一项调查，根据三个标准评估他们认为每项提案将减少健康不平等的程度。在第二阶段，92名研究人员提出了他们认为对减少健康不平等影响最大的20项建议。研究人员对可能减少英国健康不平等的政策方法达成了一些共识：收入/财富的更渐进的分配，对贫困社区服务的更多投资，以及限制生活方式行为风险影响的监管政策。然而，研究人员对建议的支持程度取决于他们是否被要求表达他们的专家意见或评论现有证据的强度。在向研究人员咨询健康不平等问题时，决策者需要考虑他们是在寻求基于研究的专业知识还是对现有证据的评估;这些问题可能会产生不同的反应。
Despite a wealth of research and policy initiatives, progress in tackling the UK's health inequalities has been limited. This article explores whether there appears to be consensus among researchers about the kinds of policies likely to reduce health inequalities. Ninety-nine proposals for addressing health inequalities were identified from multiple sources. Forty-one researchers participated in a survey assessing the extent to which they believed each proposal would reduce health inequalities, based on three criteria. The 20 proposals generating most support were employed in a second stage, in which 92 researchers indicated which proposals they felt would have the greatest impact on reducing health inequalities. Some consensus exists among researchers about the policy approaches likely to reduce UK health inequalities: a more progressive distribution of income/wealth, greater investment in services for deprived communities, plus regulatory policies to limit the impact of lifestyle-behavioural risks. However, researchers' support for proposals varies depending whether they are asked to express their expert opinion or to comment on the strength of the available evidence. When consulting researchers about health inequalities, policymakers need to consider whether they are seeking research-informed expertise or assessments of the available evidence; these questions are likely to yield different responses.
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