Health Research & Information Division, Economic and Social Research Institute, Dublin, Ireland.
Health Econ Policy Law. 2011 Apr;6(2):205-17. doi: 10.1017/S1744133110000289. Epub 2010 Sep 17.
Equity is espoused in many national health policy statements but is a complex concept and is difficult to define. The way in which equity is defined in policy has implications for how the health-care system should be structured. Conflicts between different definitions of equity are identified in theory and policy. This paper discusses these issues, with specific focus on the equity principles underpinning the Irish health-care system. The complex mix of public and private funding in the Irish system brings the challenges in identifying (and achieving) equity objectives more sharply into view, and serves as a warning system for other countries.
公平性在许多国家的卫生政策声明中都得到了支持,但它是一个复杂的概念,难以定义。政策中对公平性的定义方式会影响医疗体系的结构方式。在理论和政策中都发现了不同公平性定义之间的冲突。本文讨论了这些问题,特别关注了支撑爱尔兰医疗体系的公平性原则。在爱尔兰体系中,公共和私人资金的复杂组合更加鲜明地凸显出确定(和实现)公平性目标所面临的挑战,并为其他国家提供了一个预警系统。