Health Inequalities Research Group, Employment Conditions Network, Universitat Pompeu Fabra, Barcelona, Spain.
Int J Health Serv. 2011;41(1):1-9. doi: 10.2190/HS.41.1.a.
There is growing interest and debate in the area of policy strategies to tackle health inequalities, as well as the impact of health policies and non-health-sector policies on the health of populations. Geoffrey Rose's milestone idea of a population strategy to "shift the curve" has provided key insights for both research and policy on social determinants of health. However, changes that occur both in the overall shift and in the shape of the curve (i.e., in inequality) should also be considered. This article presents a classification of policies and interventions based on all possible outcome scenarios of changes in population health and health inequalities, with examples of real policies.
人们对解决健康不平等问题的政策策略以及卫生政策和非卫生部门政策对人口健康的影响越来越感兴趣并展开了讨论。杰弗里·罗斯(Geoffrey Rose)提出的人口策略“转移曲线”这一里程碑式的理念为社会决定因素健康研究和政策提供了重要的见解。然而,总体变化和曲线形状(即不平等)的变化也应加以考虑。本文提出了一种基于人口健康和健康不平等变化的所有可能结果情景的政策和干预措施分类,并提供了真实政策的例子。