Disadvantage, inequality, and social policy

被引：123

作者：

Mechanic, D ^{[1
]}

机构：

[1] Rutgers State Univ, Inst Hlth Hlth Care Policy & Aging Res, Piscataway, NJ 08855 USA

来源：

HEALTH AFFAIRS | 2002年 / 21卷 / 02期

关键词：

D O I：

10.1377/hlthaff.21.2.48

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Eliminating disparities in health is a primary goal of the federal government and many states. Our overarching objective should be to improve population health for all groups to the maximum extent. Ironically, enhancing population health and even the health of the disadvantaged can conflict with efforts to reduce disparities. This paper presents data showing that interventions that offer some of the largest possible gains for the disadvantaged may also increase disparities, and it examines policies that offer the potential to decrease disparities while improving population health. Enhancement of educational attainment and access to health services and income support for those in greatest need appear to be particularly important pathways to improved population health.

引用

页码：48 / 59

页数：12

共 36 条

[11] Weak links in the chain: A diagnosis of health policy in poor countries [J].

Filmer, D ;

Hammer, JS ;

Pritchett, LH .

WORLD BANK RESEARCH OBSERVER, 2000, 15 (02) :199-224

[12]

Gravelle H, 1999, BRIT MED J, V319, P955

[13]

GRAVELLE H, SOC POPULATION HLTH, V1, P99

[14]

Hollingshead A.B., 1958, Social class and mental illness

[15] SOCIAL CONDITIONS AS FUNDAMENTAL CAUSES OF DISEASE [J].

LINK, BG ;

PHELAN, J .

JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1995, 35 :80-94

[16] Social epidemiology and the fundamental cause concept: On the structuring of effective cancer screens by socioeconomic status [J].

Link, BG ;

Northridge, ME ;

Phelan, JC ;

Ganz, ML .

MILBANK QUARTERLY, 1998, 76 (03) :375-+

[17] SURVIVAL AFTER THE AGE OF 80 IN THE UNITED-STATES, SWEDEN, FRANCE, ENGLAND, AND JAPAN [J].

MANTON, KG ;

VAUPEL, JW .

NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (18) :1232-1235

[18]

McAlpine DD, 2000, HEALTH SERV RES, V35, P277

[19]

MCDERMOTT, ABSENCE INDICATORS, P838

[20]

MCDERMOTT W, 1978, PERSPECT BIOL MED, V21, P167

← 1 2 3 4 →