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健康差异:一种多维现象。

Disparidad en Salud: Un Fenómeno Multidimensional.

作者信息

Urrutia Maria-Teresa, Cianelli Rosina

机构信息

Pontificia Universidad Católica de Chile, Escuela de Enfermerĺa, and University of Miami School of Nursing and Health Studies.

出版信息

Hisp Health Care Int. 2010 Mar 1;8(1):23-35. doi: 10.1891/1540-4153.8.1.23.

Abstract

La Disparidad en Salud (DS) ha llamado la atención pública desde el siglo pasado, ha sido analizada desde diversas perspectivas y enfoques incluso variados términos han sido utilizados como sinónimos pudiendo llevar a confusión e inequidades al momento de su operacionalización. Sin embargo es importante señalar que las publicaciones coinciden en que la DS es uno de las determinantes esenciales a considerar al momento de definir polĺticas públicas. El propósito de esta publicación es analizar la disparidad en salud incorporando; a) los aspectos claves de su conceptualización, b) la evolución histórica del concepto, c) las estrategias que se han generado para enfrentarla, d) los factores considerados determinantes, y e) los aspectos éticos y la contribución de la investigación en la disminución de la DS.Health Disparities (HD) have been at the center of public attention for the past century. They have been analyzed from diverse perspectives utilizing various terms as synonyms that can lead to confusion and inequality at the moment of operationalization. Despite this, it is important to indicate that publications agree that HD are essential determinants that must be considered in the definition of public policy. The objective of this publication is to analyze health disparities incorporating; (a) key aspects in their conceptualization, (b) the historic evolution of the concept, (c) strategies that have been generated to confront them, (d) determining factors, and (e) ethical aspects and the contribution of research in decreasing HD.

摘要

健康差距(DS)自上世纪以来就引起了公众关注,人们从不同角度和方法对其进行了分析,甚至使用了各种不同术语作为同义词,这在实际操作中可能导致混淆和不公平。然而,重要的是要指出,各出版物一致认为,健康差距是制定公共政策时必须考虑的重要决定因素之一。本出版物的目的是分析健康差距,包括:a)其概念化的关键方面;b)该概念的历史演变;c)为应对健康差距而产生的策略;d)被视为决定因素的因素;e)伦理方面以及研究在减少健康差距方面的贡献。

健康差异(HD)在过去一个世纪一直是公众关注的焦点。人们从不同角度对其进行分析,使用了各种术语作为同义词,这在实际操作中可能导致混淆和不平等。尽管如此,重要的是要指出,各出版物一致认为,健康差异是公共政策定义中必须考虑的重要决定因素。本出版物的目的是分析健康差异,包括:(a)其概念化的关键方面;(b)该概念的历史演变;(c)为应对健康差异而产生的策略;(d)决定因素;(e)伦理方面以及研究在减少健康差异方面的贡献。

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