scholarly journals Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e017772 ◽  
Author(s):  
Fran Baum ◽  
Sharon Friel
Keyword(s):  
Critical Discourse Analysis ◽  
Health Equity ◽  
Social Determinants ◽  
Media Coverage ◽  
Reference Group ◽  
Research Programme ◽  
Health Inequities ◽  
Policy Makers ◽  
The Social ◽  
The Impact

IntroductionThe development and implementation of multisectoral policy to improve health and reduce health inequities has been slow and uneven. Evidence is largely focused on the facts of health inequities rather than understanding the political and policy processes. This 5-year funded programme of research investigates how these processes could function more effectively to improve equitable population health.Methods and analysisThe programme of work is organised in four work packages using four themes (macroeconomics and infrastructure, land use and urban environments, health systems and racism) related to the structural drivers shaping the distribution of power, money and resources and daily living conditions. Policy case studies will use publicly available documents (policy documents, published evaluations, media coverage) and interviews with informants (policy-makers, former politicians, civil society, private sector) (~25 per case). NVIVO software will be used to analyse the documents to see how ‘social and health equity’ is included and conceptualised. The interview data will include qualitative descriptive and theory-driven critical discourse analysis. Our quantitative methodological work assessing the impact of public policy on health equity is experimental that is in its infancy but promises to provide the type of evidence demanded by policy-makers.Ethics and disseminationOur programme is recognising the inherently political nature of the uptake, formulation and implementation of policy. The early stages of our work indicate its feasibility. Our work is aided by a Critical Policy Reference Group. Multiple ethics approvals have been obtained with the foundation approval from the Social and Behavioural Ethics Committee, Flinders University (Project No: 6786).The theoretical, methodological and policy engagement processes established will provide improved evidence for policy-makers who wish to reduce health inequities and inform a new generation of policy savvy knowledge on social determinants.

Social Forces and Their Impact on Health

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
Premature Death ◽  
Social Medicine ◽  
Determinants Of Health ◽  
Biomedical Science ◽  
Adverse Health Effects ◽  
The Social ◽  
The Impact

This chapter focuses on the social determinants of health. The phrase—the social determinants of health—is used to describe the factors and forces in society that cause ill health and premature death. To achieve health equity, it is important to understand the impact of social determinants and work to mitigate their adverse health effects. The practice of social medicine uses a biosocial approach that merges biomedical science with social analysis to design programs that strive for health equity. Because of the historical and geopolitical forces that have shaped global inequities, social medicine and a biosocial approach are important in global health and health equity and are addressed in this chapter.

Improving equity

2020 ◽  
pp. 476-487
Author(s):  
Sharon Friel ◽  
David Melzer
Keyword(s):  
Social Determinants Of Health ◽  
Healthcare System ◽  
Health Equity ◽  
Social Determinants ◽  
Health Inequities ◽  
Health Inequity ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Social ◽  
Improve Health

After reading this chapter you will: be familiar with the concept and extent of health inequity in high- and middle- income countries; understand how the healthcare system can be both a cause of health inequities and a mechanism by which to improve health equity; recognize how to address the social determinants of health inequity; begin to systematically apply an equity lens to your daily professional practice.

Improving equity

2013 ◽  
pp. 406-417 ◽  
Author(s):  
Sharon Friel
Keyword(s):  
Health Care ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Health Care System ◽  
Social Determinants ◽  
Health Inequities ◽  
Health Inequity ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Social

After reading this chapter you will be familiar with the concept and extent of health inequity in high and middle income countries, understand how the health care system can be both a cause of health inequities and a mechanism by which to improve health equity, recognized how to address the social determinants of health inequity, and begin to systematically apply an equity lens to your daily professional practice.

scholarly journals Cash transfers and the social determinants of health: a conceptual framework

2018 ◽  
Vol 34 (6) ◽  
pp. e106-e118 ◽  
Author(s):  
Ebenezer Owusu-Addo ◽  
Andre M N Renzaho ◽  
Ben J Smith
Keyword(s):  
Conceptual Framework ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Inequities ◽  
Cash Transfers ◽  
Determinants Of Health ◽  
Sub Saharan Africa ◽  
Policy Makers ◽  
The Social ◽  
Evidence Review

Abstract Cash transfers (CTs) can play a significant role in tackling the social determinants of health (SDoH), but to date there is a lack of conceptual framework for understanding CTs linkages to the SDoH. This article proposes a framework that identifies the linkages between CTs and SDoH, discusses its implications, and argues for active involvement of health promoters in CT design, implementation and evaluation. The development of the framework followed two stages: evidence review and stakeholder involvement. The evidence review entailed a systematic literature search to identify published and unpublished impact evaluation studies of CTs in sub-Saharan Africa. Critical reflection on the evidence synthesized from the literature formed the basis for the development of the framework. Interviews with CT policy makers, managers and development partners were also carried out to help refine the framework. Interviews were audio-recorded and transcripts were analysed using thematic framework analysis. The study finds that there is limited recognition of SDoH in CT policy making and implementation. The evidence reviewed, however, points to strong impacts of CTs on SDoH. The framework thus conceptualizes how CTs work to influence a broad range of SDoH and health inequities. It also highlights how CT architecture and contexts may influence program impacts. The proposed framework can be used by policy makers to guide CT design, adaptation and operations, and by program managers and researchers to inform CTs’ evaluations, respectively. The framework suggests that to optimize CT impact on SDoH and reduce health inequities, health promoters should be actively engaged in terms of the programs design, implementation and evaluation.

Assessing baccalaureate nursing students’ knowledge and attitudes of social determinants of health after a health equity simulation

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Quyen Phan ◽  
Naomi Johnson ◽  
JoAnna Hillman ◽  
Daniel Geller ◽  
Laura P. Kimble ◽  
...  
Keyword(s):  
Nursing Students ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
Baccalaureate Nursing ◽  
Baccalaureate Nursing Students ◽  
Determinants Of Health ◽  
Marginalized Populations ◽  
Knowledge And Attitudes ◽  
The Impact

AbstractObjectiveFor nursing students, competency in population health management involves acquiring knowledge and forming attitudes about the impact of the social determinants of health (SDoH) on health equity. The purpose of this pilot study was to assess nursing students’ knowledge and attitudes about the SDoH and health equity following a focused simulation activity.MethodBaccalaureate nursing students (N=182) participated in a ninety-minute health equity simulation and a post-simulation debrief. Forty-four students (23%) completed a 19-item post-simulation survey.ResultsSixty-four percent of participants reported positive attitude change in working with marginalized populations caused by the SDoH, and 89% reported being knowledgeable about the role of the registered nurse in addressing health equity. Seventy-five percent reported enhanced knowledge of the SDoH through the health equity simulation.ConclusionUsing health equity simulation may be effective in enhancing students’ knowledge, as well as their attitudes in caring for the health of marginalized populations by addressing the SDoH.

Conversations About Opioids: Impact of the Opioid Overdose Epidemic on Social Interactions for People Who Live With Chronic Pain

2021 ◽  
pp. 104973232110030
Author(s):  
Lise Dassieu ◽  
Angela Heino ◽  
Élise Develay ◽  
Jean-Luc Kaboré ◽  
M. Gabrielle Pagé ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Media Coverage ◽  
Opioid Overdose ◽  
Opioid Use ◽  
Negative Effects ◽  
Self Advocacy ◽  
Social Lives ◽  
The Social ◽  
The Impact ◽  
Depth Interviews

The objective of this study was to understand the impact of the opioid overdose epidemic on the social lives of people suffering from chronic pain, focusing on interactions within their personal and professional circles. The study was based on 22 in-depth interviews with people living with chronic pain in Canada. Using thematic analysis, we documented three main impacts of the opioid overdose epidemic: (a) increased worries of people in pain and their families regarding the dangers of opioids; (b) prejudices, stigma, and discrimination faced during conversations about opioids; and (c) stigma management attempts, which include self-advocacy and concealment of opioid use. This study represents important knowledge advancement on how people manage stigma and communicate about chronic disease during everyday life interactions. By showing negative effects of the epidemic’s media coverage on the social experiences of people with chronic pain, we underscore needs for destigmatizing approaches in public communication regarding opioids.

Introduction

2018 ◽  
Author(s):  
Caroline Gatrell ◽  
Esther Dermott
Keyword(s):  
Social Research ◽  
Visual Methods ◽  
Policy Makers ◽  
Qualitative And Quantitative ◽  
The Social ◽  
Research Findings ◽  
Research Questions ◽  
Research Relationships ◽  
The Impact

This introductory chapter explains how different research questions and methods can contribute to better understanding of contemporary fathers, fatherhood, and fathering. Given the enhanced methodological diversity and increased sophistication of methods across the social sciences, embracing qualitative and quantitative approaches, traditional (such as interviewing) and contemporary approaches (such as netnography and visual methods), and general ‘handbooks’ offering basic introductions to social research have limited use for advanced researchers and students. The book aims to link detailed concerns about conducting individual projects to wider methodological debates concerning the value of different forms and sources of data, the negotiation of research relationships, and the impact of research findings on participants, policy makers, employers, and a wider public.

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