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dc.creatorStarfield, Barbaraen
dc.date.accessioned2016-01-09T00:00:25Zen
dc.date.available2016-01-09T00:00:25Zen
dc.date.created2004-05en
dc.date.issued2004-05en
dc.identifierdoi:10.1111/dewb.2004.4.issue-1en
dc.identifier.bibliographicCitationDeveloping World Bioethics 2004 May; 4(1): 76-95en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Promoting+equity+in+health+through+research+and+understanding&title=Developing+World+Bioethics+&volume=4&issue=1&spage=76-95&date=2004-05&au=Starfield,+Barbaraen
dc.identifier.urihttp://dx.doi.org/10.1111/dewb.2004.4.issue-1en
dc.identifier.urihttp://hdl.handle.net/10822/990914en
dc.description.abstractDeveloping strategies to reduce inequities in health requires an understanding of how inequities occur, determining the salient factors in their production, and deciding which ones are most amenable to change. The recognition of several principles regarding the manifestations and genesis of inequities can help to decide on strategies. In making decisions, it is important to consider whether the aim is to reduce disparities in the occurrence of ill health or to reduce disparities in the severity (including co- morbidity, disability, dysfunction and fatality) of ill health. Evidence shows that the major impact on equity of health services, particularly regarding their potential to reduce severity, is attributable to the strength of primary care resources and services in communities and countries. Virtually every influence on the genesis of inequities is determined by the political context in which policy is made. The issue of health services is not different in this regard from other types of strategies. There is no longer any doubt about the pervasive influence of social factors on health. Almost two centuries of descriptive research provides convincing evidence of associations between social structures and relationships and health status in all countries and in all societies; if there is anything new from more recent research, it is that the association is not limited to differences between the lowest social strata and other social strata. Rather, the association is noted throughout the social spectrum. That is, there is a social gradient in health such that, for many if not most manifestations of ill health, the lower the social stratum, the worse the health. The challenge for the future is to understand why this is the case, to create a consensus that these inequalities are unnecessary and unacceptable, and to devise strategies that are both effective and possible. This paper will focus on the first of these aims, in a context that facilitates attention to the second and third aims.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:272468en
dc.subjectConsensusen
dc.subjectDisabilityen
dc.subjectHealthen
dc.subjectHealth Servicesen
dc.subjectHealth Statusen
dc.subjectMorbidityen
dc.subjectResearchen
dc.subject.classificationConcept of Healthen
dc.subject.classificationAllocation of Health Care Resourcesen
dc.subject.classificationInternational and Political Dimensions of Biology and Medicineen
dc.titlePromoting Equity in Health Through Research and Understandingen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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