Ellencweig A Y, Grafstein O
Department of Medical Ecology Hebrew University, Hadassah School of Public Health and Community Medicine, Jerusalem, Israel.
Eur J Epidemiol. 1989 Jun;5(2):244-50. doi: 10.1007/BF00156839.
This article presents a particular case of inequity in health, that of two types of Israeli urban settlement: development towns and veteran towns. Inequity in health is demonstrated by the varying levels of resources allocated to each type of community, by the differences in health-care utilization (process), and by the diversity of external factors affecting the two categories of towns. Despite the existence of almost universal health insurance coverage in Israel, it is shown that inhabitants of less privileged development towns are more prone to inequitable health outcomes with respect to the wealthier populations living in veteran towns. This case illustrates an integrated approach to inequity in health, including the health-care system structure, utilization patterns, and the socio-demographic-economic background of different strata.
本文呈现了一个健康领域不平等的特殊案例,即以色列两种类型的城市定居点:发展中城镇和老牌城镇之间的不平等。健康领域的不平等体现在分配给每种社区类型的资源水平不同、医疗保健利用(过程)方面的差异以及影响这两类城镇的外部因素的多样性上。尽管以色列几乎实现了全民医疗保险覆盖,但研究表明,与生活在老牌城镇的较富裕人群相比,处于弱势的发展中城镇居民更容易出现健康结果不平等的情况。这个案例说明了一种针对健康不平等的综合方法,包括医疗保健系统结构、利用模式以及不同阶层的社会人口经济背景。