'Health equity through action on the social determinants of health': taking up the challenge in nursing
'Health equity through action on the social determinants of health': taking up the challenge in nursing
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DOI：
10.1111/j.1440-1800.2010.00500.x
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发表时间：
2010-09-01
期刊：
影响因子：
2.3
通讯作者：
Kushner, Kaysi Eastlick
中科院分区：
文献类型：
--
作者：
Reutter, Linda;Kushner, Kaysi Eastlick
减少卫生不公平现象是加拿大和全世界的一个优先问题。在本文中，我们认为，护理有一个明确的任务，以确保获得健康和医疗保健提供敏感的赋权照顾那些经历不平等和努力改变潜在的社会条件，导致和延续健康不平等。我们确定了健康公平概念的关键维度，并确定了全球和加拿大主要文件中提出的减少不平等的建议。使用这些文件的背景下，我们提倡一种“关键的关怀方法”，这将有助于护士了解卫生不公平的社会，政治，经济和历史背景，并通过政策宣传来解决这些不公平。必须承认和解决护理行业内的许多社会障碍和限制。我们提供有关护理实践，教育和研究的建议，以推进通过对健康的社会决定因素采取行动减少健康不公平的议程。
Reducing health inequities is a priority issue in Canada and worldwide. In this paper, we argue that nursing has a clear mandate to ensure access to health and health-care by providing sensitive empowering care to those experiencing inequities and working to change underlying social conditions that result in and perpetuate health inequities. We identify key dimensions of the concept of health (in)equities and identify recommendations to reduce inequities advanced in key global and Canadian documents. Using these documents as context, we advocate a 'critical caring approach' that will assist nurses to understand the social, political, economic and historical context of health inequities and to tackle these inequities through policy advocacy. Numerous societal barriers as well as constraints within the nursing profession must be acknowledged and addressed. We offer recommendations related to nursing practice, education and research to move forward the agenda of reducing health inequities through action on the social determinants of health.