Rifkin Susan B
London School of Economics, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
J Health Popul Nutr. 2003 Sep;21(3):168-80.
This paper presents a framework to explore the relationship between health equity and community empowerment. It traces the progression of the concept of participation to the present term of empowerment and the links among empowerment, equity, and health outcomes. It argues that the relationship can best be described by using the acronym CHOICE (Capacity-building, Human rights, Organizational sustainability, Institutional accountability, Contribution, and Enabling environment). Based on the concept of development as freedom put forward by Nobel Laureate Amartya Sen, the paper describes how each factor illustrates the relationship between equity and empowerment in positive health outcomes, giving appropriate examples. In conclusion, it is suggested that these factors might form the basis of a tool to assess the relationship between equity and empowerment and its impact on health outcomes.
本文提出了一个框架，用于探讨健康公平与社区赋权之间的关系。它追溯了参与概念到当前赋权术语的发展历程，以及赋权、公平和健康结果之间的联系。文章认为，这种关系可以用首字母缩写词CHOICE（能力建设、人权、组织可持续性、机构问责制、贡献和有利环境）来最好地描述。基于诺贝尔奖获得者阿玛蒂亚·森提出的发展即自由的概念，本文描述了每个因素如何在积极的健康结果中说明公平与赋权之间的关系，并给出了适当的例子。总之，建议这些因素可能构成评估公平与赋权之间关系及其对健康结果影响的工具基础。
