Bounded Justice and the Limits of Health Equity.
Bounded Justice and the Limits of Health Equity.
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DOI：
10.1017/jme.2021.34
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Creary MS
中科院分区：
文献类型：
--
作者：
Creary MS
方案、政策和技术--特别是那些与卫生公平有关的方案、政策和技术--往往是以正义为最终目标而设计的。然而，这些政策或干预措施往往没有认识到受益者在历史上是如何体现边缘化的累积影响的，这破坏了预期司法的效力。这些试图伸张正义的善意努力受到更大的社会历史制约。有限正义表明，当基本的社会和物质基础设施被种族主义和其他历史上根深蒂固的主义侵蚀时，就不可能关注公平、权利和公平。本文以巴西黑人人口国家卫生政策为例，提出有界正义可以作为一个概念，为那些对卫生公平的政策、技术和规划干预措施的设计感兴趣的人提供一个多学科的概念框架和潜在的分析，从而为正义话语做出贡献。
Programs, policies, and technologies — particularly those concerned with health equity — are often designed with justice envisioned as the end goal. These policies or interventions, however, frequently fail to recognize how the beneficiaries have historically embodied the cumulative effects of marginalization, which undermines the effectiveness of the intended justice. These well-meaning attempts at justice are bounded by greater socio-historical constraints. Bounded justice suggests that it is impossible to attend to fairness, entitlement, and equity when the basic social and physical infrastructures underlying them have been eroded by racism and other historically entrenched isms. Using the case of Brazil’s National Health Policy for the Black Population, this paper proposes that bounded justice can contribute to justice discourses by serving as a concept, a proffering to a multi-disciplinary conceptual framework, and a potential analytic for those interested in the design of policy, technology, and programmatic interventions towards health equity.
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影响因子：
15.8
作者：
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