Starfield Barbara
Johns Hopkins School of Public Health, USA.
J Health Polit Policy Law. 2006 Feb;31(1):11-32. doi: 10.1215/03616878-31-1-11.
This essay provided the introduction to a workshop in Bellagio, Italy, on the subject of translating research into policy for equity in health. The essay first defines equity in a way that facilitates its assessment and monitoring and then summarizes evidence from existing research. Directions for developing policy strategies follow from these principles. The role of health services in influencing the distribution of health in populations is discussed in the special context of primary-care-oriented health systems that are, at the same time, more effective, more efficient, and more equity producing than is the case for specialist-dominated health systems.
本文介绍了在意大利贝拉吉奥举办的一场关于将卫生研究转化为公平卫生政策的研讨会。文章首先以有助于评估和监测的方式对公平进行了定义，然后总结了现有研究的证据。基于这些原则提出了制定政策战略的方向。在以初级保健为导向的卫生系统这一特殊背景下，讨论了卫生服务在影响人群健康分布方面的作用，这种卫生系统同时比以专科为主导的卫生系统更有效、更高效且更具公平性。
