Filho Alberto Pellegrini
Coordinación de Investigaciones, División de Salud y Desarrollo Humano, Organización Panamericana de la Salud, Spain.
Rev Panam Salud Publica. 2002 May-Jun;11(5-6):409-12. doi: 10.1590/s1020-49892002000500015.
This piece presents evidence that inequities in information are an important determinant of health inequities and that eliminating these inequities in access to information, especially by using new information and communication technologies (ICTs), could represent a significant advance in terms of guaranteeing the right to health for all. The piece reviews the most important international scientific research findings on the determinants of the health of populations, emphasizing the role of socioeconomic inequities and of deteriorating social capital as factors that worsen health conditions. It is noteworthy that Latin America has both socioeconomic inequities and major sectors of the population living in poverty. Among the fundamental strategies for overcoming the inequalities and the poverty are greater participation by the poor in civic life and the strengthening of social capital. The contribution that the new ICTs could make to these strategies is analyzed, and the Virtual Health Library (VHL) is discussed. Coordinated by the Latin American and Caribbean Center on Health Sciences Information (BIREME), the VHL is a contribution by the Pan American Health Organization that takes advantage of the potential of ICTs to democratize information and knowledge and consequently promote equity in health. The "digital gap" is discussed as something that can produce inequity itself and also increase other inequities, including ones in health. Prospects are discussed for overcoming this gap, emphasizing the role that governments and international organizations should play in order to expand access to the global public good that information for social development is.
本文提供的证据表明,信息不平等是健康不平等的一个重要决定因素,消除信息获取方面的这些不平等,特别是通过使用新的信息和通信技术(ICT),在保障所有人的健康权方面可能是一个重大进步。本文回顾了关于人群健康决定因素的最重要的国际科学研究发现,强调社会经济不平等和社会资本恶化作为恶化健康状况因素的作用。值得注意的是,拉丁美洲既存在社会经济不平等,又有很大一部分人口生活在贫困中。克服不平等和贫困的基本战略包括穷人更多地参与公民生活以及加强社会资本。分析了新ICT对这些战略可能做出的贡献,并讨论了虚拟健康图书馆(VHL)。由拉丁美洲和加勒比健康科学信息中心(BIREME)协调的VHL是泛美卫生组织的一项贡献,它利用ICT的潜力使信息和知识民主化,从而促进健康公平。“数字鸿沟”被视为一种本身就能产生不平等并加剧其他不平等(包括健康方面的不平等)的因素。讨论了克服这一鸿沟的前景,强调了政府和国际组织为扩大获取作为社会发展信息的全球公益物的机会应发挥的作用。