Barsanti Sara, Salmi Louis-Rachid, Bourgueil Yann, Daponte Antonio, Pinzal Ewelina, Ménival Solange
Laboratorio Management e Sanità, Institute of Management, Scuola Superiore Sant'Anna, Pisa, Italy.
Institut de Santé Publique, Épidémiologie et de Développement, INSERM U-1219 Bordeaux Population Health Research Center, Université de Bordeaux et CHU de Bordeaux, Pôle de Santé publique, Bordeaux, France.
Glob Health Res Policy. 2017 Jul 3;2:18. doi: 10.1186/s41256-017-0038-7. eCollection 2017.
The main objective of the paper is to identify the governance system related to policies to reduce health inequalities in the European regions. Considering the Action Spectrum of inequalities and the check list of health equity governance, we developed a survey in the framework of the AIR Project - Addressing Inequalities Intervention in Regions - was an European project funded by the Executive Agency of Health and Consumers.
A web-based qualitative questionnaire was developed that collected information about practiced strategies to reduce health inequalities. In total 28 questionnaires from 28 different regions, related to 13countries, were suitable for the analysis.
Progress in health equity strategies at the national and regional levels has been made by countries such as France, Portugal, Poland, and Germany. On the other hand, Spain, Italy, and Belgium have a variable situation depending on the region. However, the results of the survey indicate that the governance system for health equity different in terms of commitment, resources and tools.
The survey highlights a weakness of governance system for the majority of countries in terms of evaluation actions and of impact of interventions in reducing inequalities, and the difficulties in having a clear and integrated vision between the national and regional levels.
本文的主要目的是确定与欧洲地区减少健康不平等政策相关的治理体系。考虑到不平等行动谱和健康公平治理检查表，我们在“解决地区不平等干预行动”（AIR项目）框架内开展了一项调查，该项目是由卫生与消费者执行机构资助的一个欧洲项目。
开发了一份基于网络的定性问卷，收集有关减少健康不平等所采用策略的信息。来自13个国家28个不同地区的共28份问卷适合进行分析。
法国、葡萄牙、波兰和德国等国家在国家和地区层面的健康公平策略方面取得了进展。另一方面，西班牙、意大利和比利时的情况因地区而异。然而，调查结果表明，健康公平治理体系在承诺、资源和工具方面存在差异。
调查凸显了大多数国家在评估行动以及干预措施在减少不平等方面的影响方面治理体系的薄弱之处，以及在国家和地区层面形成清晰和综合愿景的困难。
