印度的健康差距和健康公平:理解差异和政策路径

S. Acharya
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引用次数: 1

摘要

健康在日常生活的各个方面都是必不可少的。它对幸福、长寿以及利用经济和社会机会至关重要。因此,健康所需的资源和服务超出了医疗保健的范畴。促进健康的生活和工作条件更为重要,因为它们有可能减少对医疗保健的需求(Daniels, 1981年;1Daniels等人,1999年)。因此,健康话语需要从社会生态框架出发,通过生物心理社会走向生物医学。促进健康的要素需要根据需要进行分配,而不是将其视为可以根据个人经济倾向获得的商品。大量证据表明,健康状况取决于促进健康的环境,而这种环境的不平衡很可能产生健康方面的差距、不公平和不平等。
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Health Disparity and Health Equity in India: Understanding the Difference and the Pathways Towards Policy
Health is essential in all spheres of everyday life. It is crucial for well-being, longevity, and to avail economic and social opportunity. Therefore, resources and services needed to be healthy go beyond medical care. Living and working conditions which promote health assume greater importance as they have the potential to reduce the need for medical care (Daniels, 1981;1Daniels et al., 1999). Therefore, the discourse on health needs to begin from the socioecological framework and move towards the biomedical through the biopsychosocial.  The health promoting elements require to be distributed according to need, rather than treated as commodities which can be accessed based on one’s economic propensity. Evidences are aplenty that health status is contingent to health promoting environment, and  imbalances in this environment are likely to produce disparities, inequities and inequalities in health.
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