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Policy Approaches to Advancing Health Equity

机译:促进卫生公平的政策途径

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摘要

Public health policy approaches have demonstrated measurable improvements in population health. Yet, "one-size-fits-all" approaches do not necessarily impact all populations equally and, in some cases, can widen existing disparities. It has been argued that interventions, including policy interventions, can have the greatest impact when they target the social determinants of health. The intent of this article was to describe how selected current policies and policy areas that have a health equity orientation are being used with the aim of reducing health disparities and to illustrate contemporary approaches that can be applied broadly to a variety of program areas to advance health equity. Applying a health equity lens to a Health in All Policies approach is described as a means to develop policies across sectors with the explicit goal of improving health for all while reducing health inequities. Health equity impact assessment is described as a tool that can be effective in prospectively building health equity into policy planning. The discussion suggests that eliminating health inequities will benefit from a deliberate focus on health equity by public health agencies working with other sectors that impact health outcomes.
机译:公共卫生政策方法已经证明了人口健康的可观改善。但是,“一刀切”的方法不一定能平等地影响所有人口,在某些情况下,可以扩大现有的差距。有人认为,当干预措施(包括政策干预措施)针对健康的社会决定因素时,其影响最大。本文旨在描述如何使用选定的当前政策和以健康公平为导向的政策领域,以减少健康差异,并说明可以广泛应用于各种计划领域以促进健康的当代方法公平。将健康平等视角应用于“全民健康”方法是一种跨部门制定政策的手段,其明确目标是改善所有人的健康,同时减少健康不平等。卫生公平影响评估被描述为一种可以有效地将卫生公平纳入政策规划的工具。讨论表明,公共卫生机构与影响健康结果的其他部门共同致力于健康公平将消除健康不平等。

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