政治和健康的结果
Vicente Navarro1, Carles Muntaner, Carme Borrell
1Johns Hopkins University, USA. vnavarro@jhsph.edu
Lancet (London, England)
|September 19, 2006
概括
政治意识形态影响公共卫生结果. 平等政策,如福利和劳动力市场改革,减少婴儿死亡率,提高富裕国家的预期寿命.
科学领域:
- 政治科学 政治科学是指政治学.
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 了解政治制度和人口健康之间的相互作用对于基于证据的政策制定至关重要.
- 以前的研究表明,政治因素和健康差异之间存在联系,但经验证据仍在争论中.
研究的目的:
- 调查50年来政治传统,政策选择和公共卫生指标之间的联系.
- 确定不同的政治意识形态是否与人口健康结果的系统模式相关.
主要方法:
- 分析经济合作与发展组织 (OECD) 各国的政治,经济,社会和健康变量.
- 纵向研究设计检查了五十年来的趋势.
主要成果:
- 研究结果支持这样一个假设,即政治意识形态对人口健康指标产生影响.
- 在平等主义意识形态和实施再分配政策之间建立的实证联系.
- 减少社会不平等的政策对婴儿死亡率和预期寿命产生了积极影响.
结论:
- 通过政策实施,政治意识形态在很大程度上影响了公共卫生结果.
- 重新分配政策,特别是那些加强福利国家和劳动力市场的政策,与改善人口健康有关.
- 有证据支持政治选择在缓解健康不平等方面的作用.
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