Evaluating Strategies For Reducing Health Disparities By Addressing The Social Determinants Of Health.
Evaluating Strategies For Reducing Health Disparities By Addressing The Social Determinants Of Health.
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DOI：
10.1377/hlthaff.2015.1357
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发表时间：
2016-08-01
期刊：
影响因子：
--
通讯作者：
Williams DR
中科院分区：
文献类型：
--
作者：
Thornton RL;Glover CM;Cené CW;Glik DC;Henderson JA;Williams DR
研究表明，在家庭、社区、学校和工作场所选择健康的机会对健康有决定性的影响。本文回顾了有希望的干预措施的科学证据，重点是健康的社会决定因素，并描述了他们可以改善人口健康和减少健康差距的方法。我们表明，有足够的证据支持针对教育和幼儿的政策干预;城市规划和社区发展;住房;收入增加和补充;就业。成本效益评价表明，这些干预措施可带来长期的社会节约;然而，需要对这些干预措施的成本因素给予更多的日常关注。我们还讨论了执行方面的挑战，包括需要长期融资，以便在地方，州或国家一级扩大有效的干预措施。尽管我们知道的情况足以采取行动，但如何以最佳方式扩大这些干预措施并使最弱势群体的利益最大化，仍然存在问题。
Research reveals that the opportunities for healthy choices in homes, neighborhoods, schools, and workplaces can have decisive impacts on health. This article reviews scientific evidence from promising interventions focused on the social determinants of health, and describes ways in which they can improve population health and reduce health disparities. We show that there is sufficient evidence to support policy interventions targeted at education and early childhood; urban planning and community development; housing; income enhancements and supplements; and employment. When available, cost-effectiveness evaluations show that these interventions lead to long-term societal savings; however, more routine attention to cost considerations is needed for these interventions. We also discuss challenges to implementation, including the need for long-term financing in order to scale-up effective interventions for implementation at the local, state, or national level. Although we know enough to act, questions remain about how to optimally scale-up these interventions and maximize their benefits for the most vulnerable populations.
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影响因子：
4
作者：
Campbell, Frances A.;Pungello, Elizabeth P.;Burchinal, Margaret;Kainz, Kirsten;Pan, Yi;Wasik, Barbara H.;Barbarin, Oscar A.;Sparling, Joseph J.;Ramey, Craig T.
通讯作者：
Ramey, Craig T.
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12.7
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影响因子：
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通讯作者：
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