重新构建健康不平等问题? 三个相互竞争的政策框架的兴起,起和衰落
1School of Social Work and Social Policy, University of Strathclyde, 141 St James Road, Glasgow G4 0LT, UK.
Journal of public health (Oxford, England)
|November 3, 2025
概括
对于健康不平等的理解在英国的不同政策参与者之间有所不同. 将健康问题视为医疗问题,而不是社会问题,将重点从预防转移到反应性医疗保健,扩大了健康差距.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 健康的社会决定因素
背景情况:
- 自从新工党的战略结束以来,英国的健康不平等程度已经扩大.
- 批评者认为,关于健康不平等的"国际共识"将社会问题医学化.
- 研究调查了权力下放的政策参与者对健康不平等的框架.
研究的目的:
- 探索英国下放区域的社会,经济和卫生政策参与者如何构建健康不平等的框架.
- 确定这些参与者是否共享"国际共识"政策框架.
主要方法:
- 苏格兰政府和大曼彻斯特联合管理局的案例研究.
- 采访了34位政策制定者.
- 对30个政策战略文本 (2017-2022) 的框架分析.
主要成果:
- "国际共识"的框架,强调社会不公正,是存在的.
- 越来越多的人支持将健康不平等与"与疾病相关的经济不活动"和"弱势群体的医疗保健"联系在一起的框架.
- 这些替代框架促进反应性医疗保健,而不是预防性的公共政策.
结论:
- 在权力下放的政策设置中",健康不平等"被理解为三种相互竞争的方式.
- 建议使用"社会健康不平等"和"医疗保健不平等"等替代术语.
- 澄清术语对于避免政策模两可,促进有效干预至关重要.
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