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[拉丁美洲关于健康社会决定因素的公共政策]

[Latin-American public policy regarding social determinants of health].

作者信息

García-Ramírez Jorge A, Vélez-Álvarez Consuelo

机构信息

Facultad de Ciencias para la Salud, Universidad de Caldas, Manizales, Colombia,

出版信息

Rev Salud Publica (Bogota). 2013 Sep-Oct;15(5):731-42.

Abstract

The study was aimed at identifying Latin-American countries' public policy which has been related to the social determinants of health. A topic review was thus made of papers kept in the 22 Latin-American countries' databases and official documents issued by their multilateral organisations and ministries of health. The World Health Organization's concept of the social determinants of health has been summarised and a history given of the pertinent work developed worldwide in regions such as Europe and Latin-America. Public policy regarding the field of study in Argentina, Brazil, Bolivia, Chile, Colombia, Costa Rica, México and Venezuela has been described. It was concluded that Latin-America provides a panorama of inequality regarding the application of policy concerning the social determinants of health and that there was segmented intervention, mainly regarding intermediate determinants of health, without taking an integrated approach from different entrance points into account, according to the stated conceptual framework.

摘要

该研究旨在确定与健康的社会决定因素相关的拉丁美洲国家公共政策。因此,对22个拉丁美洲国家数据库中的论文以及其多边组织和卫生部发布的官方文件进行了主题回顾。总结了世界卫生组织关于健康的社会决定因素的概念,并介绍了在欧洲和拉丁美洲等地区全球开展的相关工作的历史。描述了阿根廷、巴西、玻利维亚、智利、哥伦比亚、哥斯达黎加、墨西哥和委内瑞拉在该研究领域的公共政策。得出的结论是,根据所述概念框架,拉丁美洲在应用与健康的社会决定因素相关的政策方面呈现出不平等的局面,存在分段干预,主要涉及健康的中间决定因素,没有从不同切入点采取综合方法。

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