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Health Equity & Health Systems (Policy & Programs (Rights-Based…
Health Equity & Health Systems
Policy & Programs
Rights-Based Approach
Accountability
Equality & Non-Discrimination
Participation
Supports & Promotes Health Equity
Mandates
National
Global
World Health Organization
Governments & Decision-Makers
Creating & Implementing Concepts & Initiatives
Legal Obligation
Domestic or Constitutional Law
Social Determinants of Health
Systems
Large
Complex
Constantly Changing
Application is Necessary For:
Work Ethic
Professionals
Moral Compass
Humans
Equity: Definitions
Absence of Avoidable, Unfair, or Remediable Differences Among Groups of People
Socially
Economically
Demographically
Geographically
Absence of Systematic Disparities in Health
Stratification
Different Levels of Underlying Social Advantage / Disadvantage
Different Positions in a Social Hierarchy
Everyone Has a Fair Opportunity to Attain Their Full Health Potential
No One Is Disadvantaged From Achieving Potential
Equity vs. Equality
Health Equality
Everyone Has Same Health Outcomes
Not Possible - Some Factors Beyond Human Influence
Expect Young Adults to be Healthier Than Elderly Population
Men Have Prostate Problems, While Women Do Not
These Differences are NOT Remediable or Unfair
Health Equity
Creating Equal Opportunities to be Healthy
Absence of Disparities in Controllable or Remediable Aspects of Health
Nature of Health Inequities
Systematically Put Groups of People Who Are Already Socially Disadvantaged at a Further Disadvantage with Respect to Their Health
Examples:
Poor or Marginalized Persons
Female
Racial & Ethnic Minorities
Lack of Political, Social, or Economic Power
Vicious Cycle
Experiences Exclusion From Society
Mental Illness
Virtuous Cycle
Increasing Social Advantage
Example: Stable & Sustainable Employment
Health vs. Healthcare
Equity in Health
Elimination of All Systematic Differences in Health Status Between Socioeconomic Groups
Social Justice or Fairness
Ethical Concept
Open to Interpretation to Different People
Pursues Highest Possible Standard of Health and Healthcare for All People
Greater Risk of Poor Health
Broad Social, Political, and Economic Influences & Access to Care
Short History
Equity in Healthcare
Closely Match Services to the Level of Need
May Result in Large Differences in Access and Use of Services Between Different Socioeconomic Groups
Favouring of the More Disadvantaged Groups in Greatest Need
Interventions
Aim to Redress Inequities
Go Beyond Remedying a Particular Health Inequality
Help Empower the Group in Question
Systematic Changes
Law Reform
Economic / Social Relationships