UK Public Accounts Committee report on health inequalities.

Higgins M; Katikireddi SV; Conaglen P; Jones C; Douglas M

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UK Public Accounts Committee report on health inequalities.

机译：英国公共帐目委员会关于健康不平等的报告。

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Your Nov 13 Editorial (p 1617) on the Public Accounts Committee report into health inequalities in the UK states that the "reasons for this failure [to tackle health inequalities] have now been exposed". But, inequitable access to primary care and a failure to tackle smoking, cholesterol, and hypertension is not the reason why health inequalities have increased since the Acheson Inquiry of 1997. The Acheson Inquiry included 39 recommendations for tackling health inequalities, but only three of these focused solely on action by the National Health Service (NHS). That inquiry and subsequent reports focused on the wider determinants of health. Extensive published research supports Donald Acheson's basic premise that "Health inequalities are the outcome of causal chains which run back into and from the basic structure of society". These underlying determinants are noticeably absent from the Editorial.

机译：您在11月13日发表于公共帐目委员会的社论（p 1617）中有关英国健康不平等的报告指出，“这种[解决健康不平等]失败的原因已经暴露出来”。但是，自1997年Acheson调查以来，获得基本医疗服务的机会不平等以及无法解决吸烟，胆固醇和高血压的问题并不是健康不平等加剧的原因。Acheson调查包括39条解决健康不平等的建议，但其中只有三项仅关注国家卫生局（NHS）的行动。该询问和随后的报告集中于更广泛的健康决定因素。广泛发表的研究支持唐纳德·阿奇森（Donald Acheson）的基本前提，即“健康不平等是因果关系链的结果，这种因果关系贯穿社会的基本结构。”这些基本决定因素在《社论》中没有出现。

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《The Lancet》 |2011年第9761期|共2页
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Higgins M; Katikireddi SV; Conaglen P; Jones C; Douglas M;
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UK Public Accounts Committee report on health inequalities.

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