Barriers to policy action on social determinants of health for people with disability in Australia
Barriers to policy action on social determinants of health for people with disability in Australia
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DOI：
10.1080/09687599.2020.1815523
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发表时间：
2020-09-18
影响因子：
2.4
通讯作者：
Joyce, Andrew
中科院分区：
文献类型：
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作者：
Green, Celia;Dickinson, Helen;Joyce, Andrew
众所周知，社会决定因素对健康结果至关重要。然而，社会决定因素如何促成残疾人健康不平等之间的联系往往没有得到承认。例如，澳大利亚的残疾政策很少关注健康的社会决定因素，尽管残疾人在一系列结果上表现得特别糟糕。本文确定了澳大利亚残疾人健康的社会决定因素政策行动的障碍。从与主要残疾政策利益攸关方的访谈中获得的数据，使用微观、中观和宏观层面的政策分析框架进行分析。我们的分析发现，“服务漂移”是政策行动的一个重要障碍，人们的注意力集中在获得医疗服务上，而不是住房、就业和教育等更广泛的社会决定因素上。我们还确定了残疾政策如何制定的问题，这些问题阻碍了对健康的社会决定因素采取行动。
It is well established that social determinants are crucial to health outcomes. However, the link between how social determinants contribute to health inequalities for people with disability has often failed to be acknowledged. For example, Australian disability policy has paid little attention to social determinants of health, despite people with disability faring particularly badly on a range of outcomes. This paper identifies barriers to policy action on the social determinants of health for people with disability in Australia. Data obtained from interviews with key disability policy stakeholders are analysed using a micro, meso, macro level policy analysis framework. Our analysis identifies a "services drift" acting as an important barrier to policy action, where attention is focused on health service access rather than broader social determinants such as housing, employment and education. We also identify issues in how disability policy is made that hinders action on social determinants of health.