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解决拉丁美洲的健康不平等问题:社会保护的作用。

Addressing health inequalities in Latin America: the role of social protection.

机构信息

División de Desarrollo Social, CEPAL, Santiago de Chile, Chile,

出版信息

Cien Saude Colet. 2020 May;25(5):1587-1598. doi: 10.1590/1413-81232020255.32802019. Epub 2020 May 8.

Abstract

After more than a decade of progress in various areas of social development, since 2015 poverty has increased, labor market indicators have deteriorated, and the reduction of income inequality has stagnated in Latin America. These trends are of concern as they can affect health indicators and exacerbate profound health inequalities. This situation demands integrated policy responses that can create synergies between different sectors. There is growing recognition of the role of social protection in the eradication of poverty and the reduction of inequality. Various social protection mechanisms buffer against the costs of accessing health services directly and indirectly. By expanding coverage and universal access, promotion and prevention actions in health and nutrition, and fundamentally, the fight against poverty, inequality, and exclusion, social protection plays a fundamental role in guaranteeing the right to health and overcoming inequalities in this area. The reduction of inequalities in health should be a priority for all countries, and a way forward in that direction is to promote the construction and strengthening of universal social protection systems.

摘要

经过十余年的社会发展各领域的进步,自 2015 年以来,拉丁美洲的贫困状况有所加剧,劳动力市场指标恶化,收入不平等的减少也陷入停滞。这些趋势令人担忧,因为它们可能会影响健康指标,并加剧深刻的健康不平等。这种情况需要采取综合政策应对措施,在不同部门之间创造协同效应。社会保护在消除贫困和减少不平等方面的作用日益得到承认。各种社会保护机制直接和间接地缓冲获得卫生服务的成本。通过扩大覆盖范围和普及,促进和预防保健和营养方面的行动,从根本上消除贫困、不平等和排斥,社会保护在保障健康权和克服这方面的不平等方面发挥着根本作用。减少卫生方面的不平等应该成为所有国家的优先事项,实现这一目标的一个途径是促进建立和加强普遍的社会保护制度。

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