在地方层面的政策和计划中解决权力问题,以减少健康不平等 - - 一项系统性审查
Sally Schultz1, Anne Barrow1, Sharon Friel2
1Deakin University, Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Geelong, Australia.
概括
当地干预可以通过重新平衡权力动态来解决健康不平等问题. 加强社区知识,领导力和代理权是实现健康公平的关键策略.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 社区卫生干预措施 社区卫生干预
背景情况:
- 健康不平等源于资源和权力分配的不平等.
- 当地行为者可以通过卫生公平干预来解决权力不平衡.
- 当地卫生公平干预措施的实际策略仍然不清楚.
研究的目的:
- 系统地审查在当地卫生公平干预中如何处理权力.
- 检查这些干预措施的设计,实施和影响.
- 为公平的政策制定提供实际指导.
主要方法:
- 对五个数据库进行系统审查.
- 分析了38项国际研究,使用健康权益权力框架和四种权力表达式的类型学.
- 检查干预策略和报告的影响.
主要成果:
- 常见的干预措施包括社区组织,健康教育,宣传和资金.
- 加强社区的知识,联系和领导力增强了代理和重新平衡权力.
- 激活多种权力形式和空间导致了不公平结构的转变.
结论:
- 以权力为中心的框架和原则有助于重新平衡权力动态.
- 根深蒂固的结构和机构力量不平衡可能会抑制再平衡努力.
- 地方政府,机构和社区在解决权力不平衡方面发挥着至关重要的作用,以实现公平的政策制定.
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