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[健康公平?健康不平等、伦理学与分配正义理论]

[Equity in health? Health inequalities, ethics, and theories of distributive justice].

作者信息

Buyx A M

机构信息

Academic Scholar, The Harvard Program in Ethics and Health, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Gesundheitswesen. 2010 Jan;72(1):48-53. doi: 10.1055/s-0029-1237743. Epub 2009 Nov 6.

Abstract

It is well-documented that the socio-economic status has an important influence on health. In all developed countries, health is closely correlated with income, education, and type of employment, as well as with several other social determinants. While data on this socio-economic health gradient have been available for decades, the moral questions surrounding social health inequalities have only recently been addressed within the field of public health ethics. The present article offers a brief overview of relevant data on social health inequalities and on some explanatory models from epidemiology, social medicine and related disciplines. The main part explores three influential normative accounts addressing the issue of health inequalities. Finally, an agenda for future work in the field of public health ethics and health inequalities is sketched, with particular attention to the German context.

摘要

有充分文献记载表明,社会经济地位对健康有着重要影响。在所有发达国家,健康与收入、教育、就业类型以及其他一些社会决定因素密切相关。虽然关于这种社会经济健康梯度的数据已经存在了几十年,但围绕社会健康不平等的道德问题直到最近才在公共卫生伦理学领域得到探讨。本文简要概述了有关社会健康不平等的相关数据以及流行病学、社会医学和相关学科的一些解释模型。主要部分探讨了三种有影响力的规范性观点,这些观点涉及健康不平等问题。最后,勾勒了公共卫生伦理学和健康不平等领域未来工作的议程,特别关注德国的情况。

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