Economic Inequality and Health Policy Implications经济不平等与健康政策含义.pptVIP

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Economic Inequality and Health Policy Implications经济不平等与健康政策含义.ppt

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Social Determinants of Health (September 30, 2002)Overview of Social Determinants of Health Dennis Raphael School of Health Policy and Management York University, Toronto, Canada Social Determinants of Health: Literary Perspectives We know what makes us ill. When we are ill we are told That it’s you who will heal us. When we come to you Our rags are torn off us And you listen all over our naked body. As to the cause of our illness One glance at our rags would Tell you more. It is the same cause that wears out Our bodies and our clothes. -- Bertolt Brecht, A Worker’s Speech to a Doctor, 1938. Social Determinants of Health: Academic Perspectives It is one of the greatest of contemporary social injustices that people who live in the most disadvantaged circumstances have more illnesses, more disability and shorter lives than those who are more affluent. -- Benzeval, Judge, Whitehead, 1995, p.xxi, Tackling Inequalities in Health: An Agenda for Action. Canadian Government Statements on Social Determinants of Health I All policies which have a direct bearing on health need to be coordinated. The list is long and includes, among others, income security, employment, education, housing, business, agriculture, transportation, justice and technology. -- Achieving Health For All: A Framework for Health Promotion, J. Epp. Ottawa: Health and Welfare Canada, 1986. Canadian Government Statements on Social Determinants of Health II There is strong evidence indicating that factors outside the health care system significantly affect health. These “determinants of health” include income and social status, social support networks, education, employment an