Tackling socioeconomic inequalities in health: analysis of European experiences
Tackling socioeconomic inequalities in health: analysis of European experiences
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DOI：
10.1016/s0140-6736(03)14639-9
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发表时间：
2003-10-25
期刊：
影响因子：
168.9
通讯作者：
Bakker, MJ
中科院分区：
文献类型：
--
作者：
Mackenbach, JP;Bakker, MJ
必须制定有效的战略，减少卫生方面的社会经济不平等现象。大多数努力都是孤立进行的，只有英国的经验在国际出版的著作中得到了广泛的讨论。因此，我们分析了1990年至2001年期间不同欧洲国家在健康不平等方面的政策发展。我们注意到，各国对保健不平等问题的认识和采取行动的意愿处于大不相同的阶段。我们确定了五个主要领域的创新办法：政策指导机制;劳动力市场和工作条件;消费和与健康有关的行为;保健;以及地域办法。英国、荷兰和瑞典的国家咨询委员会提出了减少健康不平等的综合战略。这些包之间的差异表明，在这一领域的policyrnaking仍然在很大程度上是直观的，并将受益于更严格的循证方法的结合。在制定、执行和评价减少健康不平等的政策和干预措施方面进一步开展国际经验交流，有助于提高学习速度。
Effective strategies must be developed to reduce socioeconomic inequalities in health. Most efforts take place in isolation, and only the UK experience has been discussed widely in international published work. We therefore analysed policy developments on health inequalities in different European countries between 1990 and 2001. We noted that countries are in widely different phases of awareness of, and willingness to take action on, inequalities in health. We identified innovative approaches in five main areas: policy steering mechanisms; labour market and working conditions; consumption and health-related behaviour; health care; and territorial approaches. National advisory committees in the UK, the Netherlands, and Sweden have proposed comprehensive strategies to reduce health inequalities. Variations between these packages suggest that policyrnaking in this area still is largely intuitive and would benefit from incorporation of more rigorous evidence-based approaches. Further international exchanges of experiences with development, implementation, and evaluation of policies and interventions to reduce health inequalities can help to enhance learning speed.