{"title":"Socialism as the way forward: updating a discourse analysis of the social determinants of health","authors":"D. Raphael, T. Bryant","doi":"10.1080/09581596.2023.2178387","DOIUrl":null,"url":null,"abstract":"ABSTRACT In 2011 Raphael identified seven discourses on the social determinants of health (SDH). These discourses ranged from ‘SDH as identifying those in need of health and social services’ to ‘SDH and their distribution result from the power and influence of those who create and benefit from health and social inequalities’. Developments since then have led us to identify an eighth: ‘SDH and their distribution result from the processes inherent to capitalism – capital accumulation, competition, and exploitation’. We identify scholarship espousing the view that quality and equitable distribution of SDH will require the creation of a post-capitalist socialist state. While the form this state will take remains uncertain, means of moving towards it are available. Specific steps the public health community can undertake are identified.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Critical Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09581596.2023.2178387","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 4
Abstract
ABSTRACT In 2011 Raphael identified seven discourses on the social determinants of health (SDH). These discourses ranged from ‘SDH as identifying those in need of health and social services’ to ‘SDH and their distribution result from the power and influence of those who create and benefit from health and social inequalities’. Developments since then have led us to identify an eighth: ‘SDH and their distribution result from the processes inherent to capitalism – capital accumulation, competition, and exploitation’. We identify scholarship espousing the view that quality and equitable distribution of SDH will require the creation of a post-capitalist socialist state. While the form this state will take remains uncertain, means of moving towards it are available. Specific steps the public health community can undertake are identified.
期刊介绍：
Critical Public Health (CPH) is a respected peer-review journal for researchers and practitioners working in public health, health promotion and related fields. It brings together international scholarship to provide critical analyses of theory and practice, reviews of literature and explorations of new ways of working. The journal publishes high quality work that is open and critical in perspective and which reports on current research and debates in the field. CPH encourages an interdisciplinary focus and features innovative analyses. It is committed to exploring and debating issues of equity and social justice; in particular, issues of sexism, racism and other forms of oppression.
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