印度公共卫生不平等和不公平的政治经济学:包容性公共卫生保健政策的复杂性、挑战和战略。

IF 3.4 4区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
International Journal of Health Services Pub Date : 2022-04-01 Epub Date: 2022-01-27 DOI:10.1177/00207314211066748
Nitish Gogoi, S S Sumesh
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引用次数: 0

摘要

本文考察了印度公共卫生保健系统中卫生不平等和不平等的政治经济学,并确定了干预措施的潜在领域,以促进边缘化人群的平等和公平卫生保健。借鉴健康研究模式的政治经济学,本文重申了政策框架和方案在确保所有人都能获得、负担得起和高质量的公共卫生保健服务方面的不足。我们认为,要使政策取得成功,政策制定者应该考虑阶级、种姓、宗教、性别、地区、种族和年龄等不同的社会登记,以及它们的交集。我们还认为,卫生保健政策和项目需要:(a)动态和灵活,(b)交叉并有足够的基层研究支持,(c)在政策制定、实施和评估的每个阶段都是公平的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Political Economy of Public Health Inequalities and Inequities in India: Complexities, Challenges, and Strategies for Inclusive Public Health Care Policy.

This article examines the political economy of health inequalities and inequities in the public health care system in India and identifies potential areas for interventions to promote equal and equitable health care for marginalized people. Drawing on the Political Economy of Health Model of Research, this article reiterates the inadequacy of policy frameworks and programs in ensuring accessible, affordable, and quality public health care services to all. We argue that for policies to be successful, policymakers should consider the diverse social registries of class, caste, religion, gender, region, ethnicity, and age, as well as their intersections. We also argue that health care policies and programs need to be: (a) dynamic and flexible, (b) intersectional and backed up by sufficient grassroots research, and (c) equitable at every stage of policy formulation, implementation, and evaluation.

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来源期刊
CiteScore
4.50
自引率
2.90%
发文量
41
审稿时长
>12 weeks
期刊介绍: The International Journal of Health Services is a peer-reviewed journal that contains articles on health and social policy, political economy and sociology, history and philosophy, ethics and law in the areas of health and well-being. This journal is a member of the Committee on Publication Ethics (COPE).
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