In discussions about equity there is a tendency to focus on the inequalities in health status that appear to he the result of the material and immaterial consequences of a lower income, professional or social status in society.
If we look at publications such as the Black Report in the UK or Ongelijke gezondheid in The Netherlands e have to accept that despite our universal access to healthcare and the existence in many Western countries of social security measures that preclude'real'poverty, considerable differences in health continue to exist between socioeconomic groups.
This is corroborated for many other European countries in the research carried out by a concerted action led by Mackenbach.
These inequalities in health have been referred to in many countries as inequities, meaning that society finds them unjust and expects then to be'avoidable'or amenable to policy interventions.
However, the research on the causal networks underlying the occurrence and the avoidability of inequalities in health remains sparse and intervention studies seem to focus on policy measures that can be evaluated, but which will most likely have a limited impact on the inequalities measured at the population level.
Thus the research community leaves policymakers with very little evidence on which to build policy initiatives that are nevertheless requested by many governments.
The third element, which needs to be addressed in this context, is the ominous inequality in access to healthcare. (...)
Mots-clés Pascal : Santé, Inégalité, Equité, Service santé, Accessibilité, Priorité, Responsabilité publique, Analyse coût efficacité, Economie santé, Monde Ouest
Mots-clés Pascal anglais : Health, Inequality, Equity, Health service, Accessibility, Priority, Collective responsibility, Cost efficiency analysis, Health economy, Western countries
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0156215
Code Inist : 002B30A01C. Création : 16/11/1999.