Desperately seeking reductions in health inequalities: perspectives of UK researchers on past, present and future directions in health inequalities research.
Desperately seeking reductions in health inequalities: perspectives of UK researchers on past, present and future directions in health inequalities research.
复制标题
拼命寻求健康不平等的减少：英国研究人员对健康不平等研究的过去，现在和未来方向的观点。
DOI：
10.1111/1467-9566.12374
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发表时间：
2016-03
影响因子：
2.9
通讯作者：
Pearce J
中科院分区：
文献类型：
--
作者：
Garthwaite K;Smith KE;Bambra C;Pearce J
在政府从1997年起承诺减少保健不平等之后，联合王国已被认为是保健不平等研究和政策方面的全球领导者。然而，从大多数措施来看，卫生不平等仍在继续扩大，这促使人们呼吁制定新的研究议程和宣传，以促进公众对证据表明需要的上游政策提供更大的支持。然而，对于新的研究可能涉及哪些内容，或者公共卫生平等主义者应该提倡哪些内容，目前还没有达成一致意见。本文对52名研究人员的讨论进行了分析，以考虑在英国可能出现的针对健康不平等的特定解决方案的研究知情倡导的可行性。数据表明，人们一致认为，应该从1997年后减少卫生不平等的努力中吸取更多教训，而且显然希望在未来提供更明确的政策指导。然而，关于研究人员现在应该把工作重点放在哪里以及研究人员应该与谁合作的讨论揭示了处理卫生不平等的三种不同方式，每种方式都有自己的认识论基础。这些差异意味着在减少卫生不平等问题上达成共识是不太可能实现的。相反，如果同时启用这三种方法，似乎最有可能取得进展。
Following government commitments to reducing health inequalities from 1997 onwards, the UK has been recognised as a global leader in health inequalities research and policy. Yet health inequalities have continued to widen by most measures, prompting calls for new research agendas and advocacy to facilitate greater public support for the upstream policies that evidence suggests are required. However, there is currently no agreement as to what new research might involve or precisely what public health egalitarians ought to be advocating. This article presents an analysis of discussions among 52 researchers to consider the feasibility that research‐informed advocacy around particular solutions to health inequalities may emerge in the UK. The data indicate there is a consensus that more should be been done to learn from post‐1997 efforts to reduce health inequalities, and an obvious desire to provide clearer policy guidance in future. However, discussions as to where researchers should now focus their efforts and with whom researchers ought to be engaging reveal three distinct ways of approaching health inequalities, each of which has its own epistemological foundations. Such differences imply that a consensus on reducing health inequalities is unlikely to materialise. Instead, progress seems most likely if all three approaches are simultaneously enabled.