Tackling the challenges to health equity in China.
Tackling the challenges to health equity in China.
复制标题
DOI：
10.1016/s0140-6736(08)61364-1
复制
发表时间：
2008-10-25
期刊：
影响因子：
--
通讯作者：
Whitehead M
中科院分区：
文献类型：
--
作者：
Tang S;Meng Q;Chen L;Bekedam H;Evans T;Whitehead M
在经济发展方面，中国被广泛誉为奇迹经济。然而，在经济快速增长的一段时间里，中国的健康声誉一直在下滑。上世纪70年代，中国是卫生发展的光辉典范，但现在不再是了。政府和公众对卫生公平的担忧有所增加。中国的健康公平挑战确实令人望而生畏，因为三个协同因素形成了恶性循环：健康的社会决定因素变得更加不公平；市场和政府角色的失衡已经发展；公众对健康公平的担忧增加。随着经济的蓬勃发展和政府收入的不断增长，中国与其他国家不同，他受到医疗不平等的挑战，能够负担得起必要的改革，以便经济发展与改善医疗公平齐头并进。改善卫生公平的改革将得到广大民众的支持、政府的承诺和全世界公共卫生界的兴趣。
In terms of economic development, China is widely acclaimed as a miracle economy. Over a period of rapid economic growth, however, China's reputation for health has been slipping. In the 1970s China was a shining example of health development, but no longer. Government and public concerns about health equity have grown. China's health-equity challenges are truly daunting because of a vicious cycle of three synergistic factors: the social determinants of health have become more inequitable; imbalances in the roles of the market and government have developed; and concerns among the public have grown about fairness in health. With economic boom and growing government revenues, China is unlike other countries challenged by health inequities and can afford the necessary reforms so that economic development goes hand-in-hand with improved health equity. Reforms to improve health equity will receive immense popular support, governmental commitment, and interest from the public-health community worldwide.