多部门合作与社会民主,以解决健康的社会决定因素
1University of North Carolina at Chapel Hill School of Medicine.
The Milbank quarterly
|December 29, 2023
概括
多部门合作解决健康危害,但可能由于困难和缺乏社会转型而失败. 社会民主通过政策变革为改善人口健康和公平提供了更大的潜力.
科学领域:
- 公共卫生政策 公共卫生政策
- 健康 公平 研究 健康 公平 研究
- 健康的社会决定因素
背景情况:
- 不利的社会条件会对健康造成伤害.
- 多部门协作是一个常见的反应.
- 这种方法涉及医疗保险公司,系统和社会服务.
研究的目的:
- 将多部门合作与社会民主作为改善人口健康和健康公平的战略进行比较.
- 评估多部门合作的局限性.
- 突出社会民主的潜力.
主要方法:
- 政策方法的概念分析.政策方法的概念分析.
- 检查影响健康的制度因素.
- 缓解与转型战略的比较.
主要成果:
- 多部门合作在实施方面面临挑战,并没有解决健康危害的根本社会原因.
- 社会民主,虽然需要政治参与,但旨在重塑产生健康的机构 (民事,政治,经济).
- 社会民主在改善人口健康和实现健康公平方面表现出更大的潜力.
结论:
- 多部门合作可能不足以大幅改善健康和公平.
- 社会民主制为人口健康提供了更具变革性和潜在有效的政策框架.
- 政策干预应考虑结构性变化,以便对健康结果产生更大的影响.
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