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Policy to tackle the social determinants of health: using conceptual models to understand the policy process.

机译：解决健康的社会决定因素的政策：使用概念模型来理解政策过程。

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Like health equity, the social determinants of health (SDH) are becoming a key focus for policy-makers in many low and middle income countries. Yet despite accumulating evidence on the causes and manifestations of SDH, there is relatively little understanding about how public policy can address such complex and intractable issues. This paper aims to raise awareness of the ways in which the policy processes addressing SDH may be better described, understood and explained. It does so in three main sections. First, it summarizes the typical account of the policy-making process and then adapts this to the specific character of SDH. Second, it examines alternative models of the policy-making process, with a specific application of the 'policy streams' and 'networks' models to the SDH policy process. Third, methodological considerations of the preceding two sections are assessed with a view to informing future research strategies. The paper concludes that conceptual models can help policy-makers understand and intervene better, despite significant obstacles.
机译：与健康公平一样，健康的社会决定因素（SDH）成为许多中低收入国家决策者的重点关注点。尽管积累了关于SDH病因和表现的证据，但对公共政策如何解决此类复杂而棘手的问题的了解相对较少。本文旨在提高人们对可以更好地描述，理解和解释解决SDH的政策流程的认识。它在三个主要部分中这样做。首先，它概述了决策过程的典型说明，然后使其适应SDH的特定特征。其次，它研究了决策过程的替代模型，并将“政策流”和“网络”模型具体应用于SDH政策过程。第三，评估了前两节的方法论考虑，以期为将来的研究策略提供参考。本文的结论是，尽管存在重大障碍，概念模型仍可以帮助决策者更好地理解和干预。

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