Arbetsrapport, Institutet för Framtidsstudier - Institute for Futures Studies
Göran Dahlgren and Margaret Whitehead
Policies and strategies to promote social equity in health. Background document to WHO - Strategy paper for Europe.
Abstract: This is the second in a series of discussion papers from
the WHO Regional Office for Europe. The first covers concepts and principes
of equity in relation to health, and should be read in conjunction with
this paper (Whitehead 1990).
The present paper sets out to develop the
discussion further by outlining a strategic approach to promote greater
equity in health between different social and occupational groups. This
draws on the work of WHO advisory groups and associated litterature listed
at the back, together with practical examples from industrialized countries
where strategies have been put into action.
The first part (section
1-9) of the paper outlines why equity is seen as a priority and
distinguishes different policy levels for interventions. Specific equity
aspects related to each policy level are then highlighted as well as some
The second part of the paper (section 10-14) deals with
putting policy into practice. Special attention is then paid to the need
for comprehensive approaches to combat social and occupational inequities
in health as illustrated in terms of a strategy matrix.
democratice process within which healthy public policies are to be
discussed and determined is discussed as well as organizational aspects as
regards the implementation of an equity oriented health policy. Finally
checklists are presented focusing upon how to make things happen.
Keywords: health; social equity; (follow links to similar papers)
JEL-Codes: I10; I18; (follow links to similar papers)
69 pages, December 1991
ISSN: 1652-120X; ISBN: 978-91-85619-18-4
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