module 12 Flashcards
equality
sameness or equal distribution
equity
justice, rightness, fairness
debates around equity of who gets what, when, and how fall into three dimensions
- recipient
- item
- process
recipient based challenges
- membership - who gets to be a recipient
- merit - reward for individual accomplishment
- rank - differences between segments of larger group (ex: faculty)
- group based distribution - traits
item based challenges
- boundaries of the item (overall meal)
- value of the item to individual
process based challenges
- competition (opportunity as starting resources)
- lottery (opportunity as statistical chance)
- voting (opportunity as political participation
vertical equity
those who are different are treated differently
horizontal equity
those who are equal are treated equally
health inequalities
differences in health status or distribution of health determinants between groups
health inequtis
- subset of health inequalities deemed unfair or unjust…
health equity
absence of unfair and avoidable or remediable differences in health among population groups defined socially, economically, demographically, or geographically
indicator domains
- health outcomes
- daily living conditions
- structural drivers
structural drivers examples
- developmental vulnerability in early childhood
- food insecurity
- working poverty
- higher in all indigenous
daily living conditions examples
health behaviours
physical and social environments
health outcomes examples
- life expectancy
- self rated mental health
- hospitalization for mental illness
key principles to be adopted
- adopt a human rights approach to action on social determinants of health and health equity
- intervene across life course with evidence informed policies and culturally safe health and social services
- intervene on downstream and upstream determinants of health and health equity
- deploy both targeted interventions and universal policies/interventions
- address material contexts
- implement a health in all policies approach
- carry out ongoing monitoring and evaluation
