Strategies and governance to reduce health inequalities: evidences from a cross-European survey.
Strategies and governance to reduce health inequalities: evidences from a cross-European survey.
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DOI：
10.1186/s41256-017-0038-7
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发表时间：
2017
影响因子：
8.7
通讯作者：
Ménival S
中科院分区：
文献类型：
--
作者：
Barsanti S;Salmi LR;Bourgueil Y;Daponte A;Pinzal E;Ménival S
这份白皮书的主要目的是确定与减少欧洲地区健康不平等政策相关的治理体系。考虑到不平等的行动光谱和卫生公平治理的检查清单，我们在AIR项目--解决地区不平等干预--的框架内制定了一项调查，该项目是由健康和消费者执行机构资助的一个欧洲项目。开发了一份基于网络的定性问卷，收集了有关减少健康不平等的实际战略的信息。共有来自28个不同地区、涉及13个国家的28份问卷适合进行分析。法国、葡萄牙、波兰和德国等国在国家和区域一级的卫生公平战略方面取得了进展。另一方面，西班牙、意大利和比利时的情况因地区而异。然而，调查结果表明，卫生公平治理体系在承诺、资源和工具方面存在差异。这项调查突出了大多数国家在评价行动和减少不平等的干预措施的影响方面治理系统的弱点，以及在国家和区域两级之间有一个明确和综合的愿景方面的困难。本文的在线版本(doi：10.1186/s41256-0170038-7)包含补充材料，授权用户可以使用。
The main objective of the paper is to identify the governance system related to policies to reduce health inequalities in the European regions. Considering the Action Spectrum of inequalities and the check list of health equity governance, we developed a survey in the framework of the AIR Project - Addressing Inequalities Intervention in Regions - was an European project funded by the Executive Agency of Health and Consumers. A web-based qualitative questionnaire was developed that collected information about practiced strategies to reduce health inequalities. In total 28 questionnaires from 28 different regions, related to 13countries, were suitable for the analysis. Progress in health equity strategies at the national and regional levels has been made by countries such as France, Portugal, Poland, and Germany. On the other hand, Spain, Italy, and Belgium have a variable situation depending on the region. However, the results of the survey indicate that the governance system for health equity different in terms of commitment, resources and tools. The survey highlights a weakness of governance system for the majority of countries in terms of evaluation actions and of impact of interventions in reducing inequalities, and the difficulties in having a clear and integrated vision between the national and regional levels. The online version of this article (doi:10.1186/s41256-017-0038-7) contains supplementary material, which is available to authorized users.