Canada: A land of missed opportunity for addressing the social determinants of health
Canada: A land of missed opportunity for addressing the social determinants of health
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DOI：
10.1016/j.healthpol.2010.08.022
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发表时间：
2011-06-01
期刊：
影响因子：
3.3
通讯作者：
Labonte, Ronald
中科院分区：
文献类型：
--
作者：
Bryant, Toba;Raphael, Dennis;Labonte, Ronald
在加拿大实行全民公共健康保险的头25年里，与收入有关的健康不平等现象大大减少，这些不平等现象与最适合接受医疗的条件有关。虽然与保健覆盖面和获得机会有关的公平问题仍然很重要，但健康的社会决定因素是减少健康不平等的下一个前沿，世界卫生组织健康的社会决定因素委员会的工作加强了这一点。在这方面，加拿大最近的表现表明前景暗淡。自1980年代以来，加拿大在与健康的社会决定因素有关的五个方面的记录：（a）税收和转移支付政策的总体再分配影响;（B）减少家庭和儿童贫穷;（c）住房政策;（d）幼儿教育和照料;（e）城市/大都市保健政策，削弱了加拿大减少现有保健不平等的能力。原因是探讨和推进这一议程的手段概述。(C)2010爱思唯尔爱尔兰有限公司版权所有。
The first 25 years of universal public health insurance in Canada saw major reductions in income-related health inequalities related to conditions most amenable to medical treatment. While equity issues related to health care coverage and access remain important, the social determinants of health (SDH) represent the next frontier for reducing health inequalities, a point reinforced by the work of the World Health Organization's Commission on Social Determinants of Health. In this regard, Canada's recent performance suggests a bleak prognosis. Canada's track record since the 1980s in five respects related to social determinants of health: (a) the overall redistributive impact of tax and transfer policies; (b) reduction of family and child poverty; (c) housing policy; (d) early childhood education and care; and (e) urban/metropolitan health policy have reduced Canada's capacity to reduce existing health inequalities. Reasons for this are explored and means of advancing this agenda are outlined. (C) 2010 Elsevier Ireland Ltd. All rights reserved.