Towards health equity: a framework for the application of proportionate universalism.
Towards health equity: a framework for the application of proportionate universalism.
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DOI：
10.1186/s12939-015-0207-6
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发表时间：
2015-09-15
影响因子：
4.8
通讯作者：
De Leeuw E
中科院分区：
文献类型：
--
作者：
Carey G;Crammond B;De Leeuw E
关于健康存在社会梯度的发现引起了公共卫生界的极大兴趣。最近有影响力的作品描述健康不公平及其原因并不总是主张令人信服的政策框架，将推动最合适的解决方案差异化的社会梯度。本文旨在开发一个实践启发式的比例普遍主义。通过审查，建议的启发式整合证据福利国家和政策研究，文献上的普遍和有针对性的政策框架，和多层次的治理方法，采用辅助性原则。所提出的启发式提供了一个更细粒度的分析不同的政策方法，不可分割的可操作的比例普遍主义的概念。拟议的框架将使各级政府、社会政策制定者和官员、公共卫生专业人员和活动家能够考虑在普遍福利国家原则范围内，针对不同人口需求制定不同政策目标的适当性。
The finding that there is a social gradient in health has prompted considerable interest in public health circles. Recent influential works describing health inequities and their causes do not always argue cogently for a policy framework that would drive the most appropriate solutions differentially across the social gradient This paper aims to develop a practice heuristic for proportionate universalism. Through a review the proposed heuristic integrates evidence from welfare state and policy research, the literature on universal and targeted policy frameworks, and a multi-level governance approach that adopts the principle of subsidiarity. The proposed heuristic provides a more-grained analysis of different policy approaches, integral for operationalizing the concept of proportionate universalism. The proposed framework would allow governments at all levels, social policy developers and bureaucrats, public health professionals and activists to consider the appropriateness of distinctive policy objectives across distinctive population needs within universal welfare state principles.