Vallgårda Signild
Department of Health Services Research, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.
Eur J Public Health. 2006 Dec;16(6):615-6. doi: 10.1093/eurpub/ckl047. Epub 2006 Apr 6.
Is it possible to define criteria by which a political decision on which inequities in health should be addressed can be made? It has been suggested that differences which are unnecessary and avoidable and those which are unfair and unjust are inequalities which should lead to political action. In the article it is argued that it is not possible to make a clear distinction between avoidable and unavoidable differences, and that the extent to which differences are considered unfair depends on political and normative standpoints, and generally acceptable criteria can therefore not be established.
是否有可能界定出一些标准，据此做出关于应解决哪些健康不平等问题的政治决策？有人提出，不必要且可避免的差异以及不公平和不公正的差异属于不平等现象，应引发政治行动。但本文认为，无法明确区分可避免和不可避免的差异，而且差异被视为不公平的程度取决于政治和规范立场，因此通常无法确立可接受的标准。
