Perpetuating health inequities in India: global ethics in policy and practice

2019 ◽  
Vol 15 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Vandana Prasad ◽  
Amit Sengupta
Keyword(s):  
Health Inequities ◽  
Global Ethics ◽  
Policy And Practice ◽  
Health Inequities In India

Introduction: Health Inequities in India—The Larger Dimensions

2018 ◽  
pp. 1-22
Author(s):  
Purendra Prasad
Keyword(s):  
Public Health ◽  
Health Care ◽  
Medical Anthropology ◽  
Medical Sociology ◽  
Health Sector ◽  
Health Inequities ◽  
Global Market ◽  
New Paradigm ◽  
Health Inequities In India ◽  
Epidemiology And Public Health

This chapter provides a narrative that explains the politics of access (distribution, utilization, outcomes) as well as the context in which health inequalities are produced in India. While fields such as medical sociology, medical anthropology, health economics, community health, social medicine, epidemiology, and public health, among others, with their own theories, methods, and approaches are able to contribute distinctive dimensions, it becomes essential to engage across the boundaries in a collective manner to understand the complexity of health care that is increasingly shaped by the global market forces and ideologies. This volume thus opens up the possibility of constructing a new paradigm for understanding health sector as well as signalling a new field ‘health care studies’.

scholarly journals Health inequities in unscheduled healthcare for children with intellectual disabilities in Ireland: a study protocol

2020 ◽  
Vol 3 ◽  
pp. 3
Author(s):  
Emma Nicholson ◽  
Edel Doherty ◽  
Suja Somanadhan ◽  
Suzanne Guerin ◽  
James Schreiber ◽  
...  
Keyword(s):  
Primary Care ◽  
Intellectual Disabilities ◽  
Health Systems ◽  
Systems Approach ◽  
Healthcare Utilisation ◽  
Health Inequities ◽  
Discrete Choice Experiments ◽  
Policy And Practice ◽  
Optimal Care ◽  
Feasible Solutions

Background: Health inequities for children with intellectual disabilities  are prevalent within different health systems, and children with intellectual disabilites  have shorter life expectancies than the general population, higher mortality rates before the age of 17 and have a greater risk of potentially preventable hospitalisations. A health systems approach to research in this area provides a useful means through which research can inform policy and practice to ensure people with intellectual disabilities receive equitable healthcare; however, there is a paucity of evidence regarding how to address differences that have been described in the literature to date. The overall aim of this research is to establish the extent of health inequities for children with intellectual disabilities  in Ireland compared to children without intellectual disabilities with respect to their utilisation of primary care and rates of hospitalisation, and to gain a better understanding of what influences utilisation of primary care and emergency department services in this population. Methods and analysis: The design of this research adopts a multi-methods approach: statistical analysis of health data to determine the extent of health inequities in relation to healthcare utilisation; discrete choice experiments to explore General Practitioners’ decision making and parental preferences for optimal care; and concept mapping to develop consensus between stakeholders on how to address current healthcare inequities. Discussion: By applying a systems lens to the issue of health inequities for children with intellectual disabilities, the research hopes to gain a thorough understanding of the varying components that can contribute to the maintenance of such healthcare inequities. A key output from the research will be a set of feasible solutions and interventions that can address health inequities for this population.

scholarly journals Health inequities in unscheduled healthcare for children with intellectual disabilities in Ireland: a study protocol

2020 ◽  
Vol 3 ◽  
pp. 3
Author(s):  
Emma Nicholson ◽  
Edel Doherty ◽  
Suja Somanadhan ◽  
Suzanne Guerin ◽  
James Schreiber ◽  
...  
Keyword(s):  
Primary Care ◽  
Intellectual Disabilities ◽  
Health Systems ◽  
Systems Approach ◽  
Healthcare Utilisation ◽  
Health Inequities ◽  
Discrete Choice Experiments ◽  
Policy And Practice ◽  
Optimal Care ◽  
Feasible Solutions

Background: Health inequities for children with intellectual disabilities (ID) are prevalent within different health systems, and children with ID have shorter life expectancies than the general population, higher mortality rates before the age of 17 and have a greater risk of potentially preventable hospitalisations. A health systems approach to research in this area provides a useful means through which research can inform policy and practice to ensure people with ID receive equitable healthcare; however, there is a paucity of evidence regarding how to address differences that have been described in the literature to date. The overall aim of this research is to establish the extent of health inequities for children with ID in Ireland compared to children without ID with respect to their utilisation of primary care and rates of hospitalisation, and to gain a better understanding of what influences utilisation of primary care and ED services in this population. Methods and analysis: The design of this research adopts a mixed-methods approach: statistical analysis of health data to determine the extent of health inequities in relation to healthcare utilisation; discrete choice experiments to explore General Practitioners’ decision making and parental preferences for optimal care; and concept mapping to develop consensus between stakeholders on how to address current healthcare inequities. Discussion: By applying a systems lens to the issue of health inequities for children with ID, the research hopes to gain a thorough understanding of the varying components that can contribute to the maintenance of such healthcare inequities. A key output from the research will be a set of feasible solutions and interventions that can address health inequities for this population.

scholarly journals Reimagining Researchers in Health Research Comment on "Experience of Health Leadership in Partnering With University-Based Researchers in Canada: A Call to ‘Re-Imagine’ Research"

2020 ◽  
Author(s):  
Katrina M. Plamondon
Keyword(s):  
Health Service ◽  
Health Research ◽  
Research Evidence ◽  
Health Inequities ◽  
Service Organizations ◽  
Policy And Practice ◽  
Collective Effort ◽  
Health Leadership ◽  
Health Service Organizations ◽  
The Relationship

It is widely accepted that research evidence should inform policy and practice in health service organizations. Yet, amid increasingly complex and even wicked realities, where health inequities prevail and resource-strained health service organizations struggle to keep pace with demand, using research to inform practice and policy remains an elusive ideal. Bowen and colleagues’ study illuminates critical relational pathways for engagement in evidence-informed practice and decision-making and suggests beginning insights into what might contribute to the tenuousness of this aspirational ideal. But what kind of reimagination is needed to move toward more genuine engagement in research? This commentary argues for reimagining the relationship between researchers and health research, positioning researchers as responsive, guided by humility, and part of a greater collective effort to advance a public good. It challenges notions of objectivity and detached expertise, suggesting that researchers embrace an active practice of humility focused on approaching research in service and from a position of learning rather than knowing.

Prevention policy and practice in the 1980s.

1982 ◽  
Vol 37 (9) ◽  
pp. 1038-1042 ◽  
Author(s):  
Edward N. Brandt
Keyword(s):  
Prevention Policy ◽  
Policy And Practice
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