Foster P
Department of Social Policy and Social Work, University of Manchester, UK.
J Health Serv Res Policy. 1996 Jul;1(3):179-82. doi: 10.1177/135581969600100313.
Health promotion activities are actively encouraged in most countries, including the UK. Meanwhile many health care providers and health experts are becoming increasingly concerned about the growing evidence of significant health inequalities between social groups in the UK, and in particular the strong association between relative deprivation and poor health. In 1995, a report for the British government entitled 'Variations in health: what can the Department of Health and the NHS do?', identified the need for the Department of Health and the NHS to play a key role in coordinating and implementing public health programmes intended to reduce inequalities in health. Examination of existing evidence on the effectiveness of health promotion and prevention programmes designed to improve the health status of the most vulnerable groups in society reveals very little evidence to support current enthusiasm for adopting public health strategies in order to reduce variations in health status between the affluent and the poor. Alternative and potentially more effective health care responses to inequalities in health status need to be considered.
包括英国在内的大多数国家都积极鼓励开展健康促进活动。与此同时，许多医疗保健提供者和健康专家越来越关注英国社会群体之间健康不平等现象日益明显的证据，尤其是相对贫困与健康状况不佳之间的紧密联系。1995年，一份提交给英国政府的题为《健康差异：卫生部和国民医疗服务体系能做什么？》的报告指出，卫生部和国民医疗服务体系需要在协调和实施旨在减少健康不平等的公共卫生项目中发挥关键作用。对旨在改善社会最弱势群体健康状况的健康促进和预防项目有效性的现有证据进行审查后发现，几乎没有证据支持当前为减少贫富之间健康状况差异而采用公共卫生战略的热情。需要考虑针对健康状况不平等的其他可能更有效的医疗保健应对措施。
