Road traffic crashes: operationalizing equity in the context of health sector reform.
Road traffic crashes: operationalizing equity in the context of health sector reform.
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DOI：
10.1076/icsp.10.1.11.14117
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发表时间：
2003-03-01
期刊：
影响因子：
--
通讯作者：
Brown, Hilary
中科院分区：
文献类型：
--
作者：
Evans, Tim;Brown, Hilary
背景世界各国人口亚群的健康状况和医疗保健等级存在跨时间和空间的差异。在疾病风险、发病率和死亡率、健康不良的社会后果以及获得治疗的机会和所接受的护理质量方面仍然存在差异。在某些情况下，健康水平的差异不会引起公平问题，因此被认为是不平等的。然而，当规范判断认为这种差异从根本上是不公平的或可以避免的时，它们就被认为是不公平的。健康状况的差异可以在许多社会分层力量中看到，这些社会分层力量由缩写“PROGRESS”代表，代表居住地、宗教、职业、性别、种族/民族、教育、社会经济地位以及社交网络和资本。这份综合清单的目的是强调人口亚组之间健康分布的多维性，并指出衡量这些不同阶层的不同类型指标所涉及的一些方法学挑战。
BackgroundGradations in health status and health care among population subgroups exist across time and space in all countries of the world. Disparities persist in the risk of disease, morbidity and mortality rates, and social consequences of ill health, as well as access to treatment and quality of care received. In some circumstances, differential levels of health do not invoke questions of fairness and are thus considered unequal. However, when normative judgment deems such differences as fundamentally unfair or avoidable, they are considered inequitable. Variations in health can be seen across a number of socially stratifying forces captured by the acronym PROGRESS, standing for place of residence, religion, occupation, gender, race/ethnicity, education, socioeconomic status, and social networks and capital. The purpose of this comprehensive list is to highlight the multidimensionality of the distribution of health among population subgroups and to point to some of the methodological challenges involved in measuring different types of indicators across these various strata.