National Collaborating Centre for Determinants of Health, Antigonish, Nova Scotia, Canada
National Collaborating Centre for Determinants of Health, Antigonish, Nova Scotia, Canada.
J Epidemiol Community Health. 2019 Sep;73(9):802-805. doi: 10.1136/jech-2018-210851. Epub 2019 Feb 14.
Despite increased interest in addressing health equity through public health initiatives, practitioner and decision maker comprehension of core concepts is limited and inconsistent. Absence of a shared understanding of equity and related terminology contributes to lack of coordinated solutions as practitioners focus on individual level issues, unrelated to social justice. Taking action to decrease population health inequities requires a comprehension of where inequities are rooted, who is affected and interventions that consider the complexity of inequities being addressed. Public health decision making would be strengthened with greater common understanding of health equity concepts and terminology as an initial step to collaborative action. This glossary defines key concepts related to health equity in public health practice as well as broad-level approaches for taking action on health inequities at a population health level. Exploring terminology in this way supports going beyond individual practitioner responsibility and shifts towards organisational accountability for action.
尽管人们越来越关注通过公共卫生措施来解决健康公平问题,但从业者和决策者对核心概念的理解有限且不一致。由于从业者关注与社会正义无关的个人层面问题,缺乏对公平和平等相关术语的共同理解,导致缺乏协调一致的解决方案。采取行动减少人口健康不公平现象需要了解不公平现象的根源、受影响的人群以及考虑到所解决的不公平现象的复杂性的干预措施。如果公共卫生决策者能够更好地理解健康公平概念和术语,这将有助于加强公共卫生决策,作为采取协作行动的第一步。本词汇表定义了与公共卫生实践中健康公平相关的关键概念,以及在人口健康层面上针对健康不公平问题采取行动的广泛方法。以这种方式探讨术语不仅有助于超越个人从业者的责任,还促使组织对行动负责。