Whitehead M
King's Fund, London, UK.
Milbank Q. 1998;76(3):469-92, 306. doi: 10.1111/1468-0009.00099.
The issue of social inequalities in health has become politically salient during the 1990s in many European countries. Research evidence and ideas that eventually came to the attention of national policy makers helped to trigger this change. The pathways of this information flow are traced through an examination of the work of international agencies and a presentation of case studies from three countries: the Netherlands, Britain, and Sweden. Each country's experience was different but nevertheless influenced and reinforced the courses of action adopted by the others. It is clear that, in order to meet the challenge that health inequalities pose to public health and policy, cooperation will become even more important in the future.
20世纪90年代,健康方面的社会不平等问题在许多欧洲国家已成为政治上的突出问题。最终引起国家政策制定者关注的研究证据和观点促成了这一变化。通过审视国际机构的工作以及介绍荷兰、英国和瑞典这三个国家的案例研究来追溯这种信息流的路径。每个国家的经历各不相同,但都对其他国家采取的行动方针产生了影响并起到了强化作用。显然,为应对健康不平等给公共卫生和政策带来的挑战,未来合作将变得更加重要。