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Abordar los desafíos para la equidad en salud en China
Shenglan Tang1, Qingyue Meng, Lincoln Chen
1WHO, Beijing Office, China; Liverpool School of Tropical Medicine, Liverpool, UK.
Lancet (London, England)
|October 22, 2008
Resumen
China China China China también.
Área de la Ciencia:
- Salud Pública La salud pública.
- Economía de la salud Economía de la salud
- Sociología Sociología Sociología.
Sus antecedentes:
- El crecimiento económico de China ha coincidido con una disminución en su reputación de salud.
- Existen crecientes preocupaciones con respecto a la equidad en salud en China.
- La nación se enfrenta a importantes desafíos de equidad en salud debido a factores interconectados.
Objetivo del estudio:
- Analizar los factores que contribuyen a la disminución de la equidad en salud en China.
- Explorar la relación entre el desarrollo económico y la equidad en salud.
- Proponer reformas para mejorar la equidad en salud junto con el crecimiento económico.
Principales métodos:
- El estudio examina los factores sinérgicos que afectan a la equidad en salud.
- Analiza la interacción entre los determinantes sociales de la salud, los roles del mercado/gobierno y las preocupaciones públicas.
- Análisis cualitativo de las implicaciones políticas y del sentimiento público.
Principales resultados:
- Los determinantes sociales injustos de la salud, los desequilibrios entre el mercado y el gobierno y las preocupaciones públicas sobre la equidad crean un ciclo de disminución de la equidad en salud.
- A pesar de los desafíos, la capacidad económica de China permite reformas.
- Es probable que las reformas obtengan el apoyo público y gubernamental.
Conclusiones:
- El éxito económico de China no se ha traducido en resultados equitativos de salud.
- Abordar la equidad en salud requiere reformas dirigidas a los determinantes sociales, los roles del mercado / gobierno y las preocupaciones de equidad pública.
- Las reformas estratégicas pueden alinear el desarrollo económico con la mejora de la equidad en salud, beneficiándose de un fuerte respaldo público y gubernamental.
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