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Health Equity & Health Systems (Social Justice (health equity is a…
Health Equity & Health Systems
Equity vs. Equality
Equity
absence of avoidable, unfair or remediable differences among groups
HEALTH EQUITY is concerned with creating equal opportunities to be healthy
social justice
linked to human rights
Equality
everyone has same health outcomes
Health vs. Healthcare
health
goal of equity in health is elimination of all systematic differences in health status between socioeconomic groups
physical and mental wellbeing
healthcare
goal of equity in healthcare is to closely match services to level of need
Rights Based Approach
Equality & non-discrimination
key measures required to address the social determinants affecting the enjoyment if the right to health
Participation
includes explicit strategies to empower citizens, especially the most marginalized so that their expectations are recognized
Accountability
accountability states are accountable for the allocation of maximum available resources and progressive realization of health goals
Social advantages and disadvantages
groups of people defined by differences that place them at different levels in a social hierarchy.
(Braveman & Gruskin, 2003)
ex. certain SES groups, occupational classes, racial/ethnic groups, women, etc.
social advantage means wealth, power and/or prestige
Social Justice
health equity is a social justice goal which focuses on achieving the highest level of health and healthcare for all people
pays close attention to more marginalized or at risk groups
understanding health as a human right
provides the opportunity to evaluate the issue in heath policy & service delivery
Part of a complex Health System
Medicare
publicly funded healthcare system
13 individual health care plans in total in Canada
1 per province
Ontario
OHIP - covers part of following services (Government of Ontario Website)
medical or surgical abortions
eligible dental services
Hospital visits & stays
eligible optometry services
Doctors visits
podiatry
ambulance services
Supplementary Coverage (Financial Services of Commission Ontario Website)
Can help to cover other aspects of healthcare that are not covered by OHIP
chiropractors/massage therapy
semi-private or private hospital rooms
Prescriptions
some medical exams, tests and vaccinations
dental care
3 for the territories
Federal Government (all information collected from Government of Canada website)
administering funding
setting and administering national standards
comprehensiveness
universality
public administration
portability
accessibility
other health-related functions
health research
health promotion & protection
regulation of products like: food, pharmaceuticals, cosmetics, pesticides, medical devices, consumer products
disease monitoring and prevention
tax support for health-related costs