Ford John, Sowden Sarah, Olivera Jasmine, Bambra Clare, Gimson Alex, Aldridge Rob, Brayne Carol
University of Cambridge, Cambridge, UK.
Population Health Sciences Institute, Newcastle-upon-Tyne, UK.
Future Healthc J. 2021 Jul;8(2):e204-e209. doi: 10.7861/fhj.2021-0018.
Never before in history have we had the data to track such a rapid increase in inequalities. With changes imminent in healthcare and public health organisational landscape in England and health inequalities high on the policy agenda, we have an opportunity to redouble efforts to reduce inequalities. In this article, we argue that health inequalities need re-framing to encompass the breadth of disadvantage and difference between healthcare and health outcome inequalities. Second, there needs to be a focus on long-term organisational change to ensure equity is considered in all decisions. Third, actions need to prioritise the fundamental redistribution of resources, funding, workforce, services and power. Reducing inequalities can involve unpopular and difficult decisions. Physicians have a particular role in society and can support evidenced-based change across practice and the system at large. If we do not act now, then when?
历史上我们从未有过能够追踪不平等现象如此迅速加剧的数据。随着英格兰医疗保健和公共卫生组织格局即将发生变化，且健康不平等问题在政策议程上占据重要位置，我们有机会加倍努力以减少不平等。在本文中，我们认为健康不平等需要重新界定，以涵盖医疗保健不平等和健康结果不平等之间广泛的劣势和差异。其次，需要关注长期的组织变革，以确保在所有决策中都考虑到公平性。第三，行动需要优先考虑资源、资金、劳动力、服务和权力的根本性重新分配。减少不平等可能涉及不受欢迎且困难的决策。医生在社会中具有特殊作用，可以支持整个实践和整个系统基于证据的变革。如果我们现在不采取行动，那么何时采取行动呢？
