october 3rd Flashcards
what are health inequalities?
differences in health which are unnecessary and avoidable but, in addition, are considered unfair and unjust
avoidable differences in health
life expectancy at birth in canada 81.9 vs those with cystic fibrosis is 50 but people with CF in the USA is 40
two approaches for unjust differences in health
- ‘free-standing’ approach to defining health inequities: any and all health inequalities are unjust
-‘derivative’ approach to defining health inequalities: health inequalities are unjust if and only if they are caused by unjust socially controllable causes
action on the social determinants of health
-inequities in health are influenced by inequalities in the social determinants of health
-the social determinants of health are addressed via policies in non-health sectors
-the reduction of health inequities is dependent on interventions in non-health sectors
universalism
policy approach where eligibility and access to intended benefits are based simply on being part of a defined population without any further qualifiers such as income, education, class, race, place of origin, or employment status
targeted approach
policy approach where eligibility and access to intended benefits are determined by selection criteria, such as income, health status, employment status or neighbourhood
proportionate universal policy approaches
policy approach that encompasses both targeted and universal approaches to ensure the population as a whole is proportionately allocated benefits and services