Leaving no one behind: health equity as a catalyst for the sustainable development goals
Leaving no one behind: health equity as a catalyst for the sustainable development goals
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DOI：
10.1093/eurpub/ckaa033
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发表时间：
2020-03-01
影响因子：
4.4
通讯作者：
Brown, Chris
中科院分区：
文献类型：
--
作者：
Buzeti, Tatjana;Lima, Joana Madureira;Brown, Chris
2019年是通过在可持续发展目标（SDG）目标方面取得同步进展，促进变革以改善世卫组织欧洲区域卫生公平性的里程碑式一年。世卫组织欧洲卫生公平状况报告倡议（HESRi）捕捉并分析了卫生不公平与所有人能够过上健康和繁荣生活所必需的条件之间的关系。这五个基本条件直接映射到一些可持续发展目标，其范围比关于健康的可持续发展目标3更广。它们分别是：㈠普遍获得负担得起的优质保健服务; ㈡基本收入保障和社会保障; ㈢安全和体面的生活条件; ㈣包容性的社会和人力资本建设机会; ㈤体面和非歧视性的就业和工作条件。在今后的道路上，特别是在提供精细和分类的数据方面，以及在监测和分析政策选择的质量方面，肯定还有改进的余地。然而，HESRi的工作表明，通过利用这些数据，有可能表明决策者目前可以采取哪些行动，以确保没有人掉队。这种公平框架允许衡量可持续发展目标的进展是否惠及所有人，包括最需要它们的人。
2019 has been a milestone year for catalyzing changes to improve health equity in the WHO European Region through concomitant progress in the sustainable development goal (SDG) targets. The WHO European Health Equity Status Report Initiative (HESRi) has captured and analyzed the relationships between inequities in health and the conditions that are essential for all to be able to live healthy and prosperous lives. The five essential conditions map directly onto a number of SDG targets, with a much broader span than SDG3 on health. They are: (i) Universal access to good-quality, affordable health services; (ii) Basic income security and social protection; (iii) Safe and decent living conditions; (iv) Inclusive social and human capital building opportunities; and (v) Decent and non-discriminatory employment and working conditions. There is certainly room for improvement in the way ahead, particularly in the availability of fine-grained and disaggregated data, and in the quality of monitoring and analysis of policy options that this would allow. However, the work of the HESRi shows that by harnessing such data it is possible to show what actions policymakers can take in the present to ensure that no one is left behind. This equity framing allows to measure whether the progress on SDGs benefits all, including those who need them most.