scholarly journals Aiming for Health Equity: The role of Public Health Policy and Primary Healthcare Comment on "Universal Health Coverage for Non-Communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare"

2021 ◽  
Author(s):  
Bo Burström
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Healthcare System ◽  
Health Equity ◽  
Social Determinants ◽  
Primary Healthcare ◽  
Communicable Diseases ◽  
Determinants Of Health ◽  
Non Communicable Diseases

This commentary refers to the article by Fisher et al on lessons from Australian primary healthcare (PHC), which highlights the role of PHC to reduce non-communicable diseases (NCDs) and promote health equity. This commentary discusses important elements and features when aiming for health equity, including going beyond the healthcare system and focusing on the social determinants of health in public health policies, in PHC and in the healthcare system as a whole, to reduce NCDs. A wider biopsychosocial view on health is needed, recognizing the importance of social determinants of health, and inequalities in health. Public funding and universal access to care are important prerequisites, but regulation is needed to ensure equitable access in practice. An example of a PHC reform in Sweden indicates that introducing market solutions in a publicly funded PHC system may not benefit those with greater needs and may reduce the impact of PHC on population health.

scholarly journals Primary Healthcare Policy Research: Including Variables Associated With the Social Determinants of Health Matters Comment on "Universal Health Coverage for Non-communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare"

2021 ◽  
Author(s):  
Shannon Berg
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Universal Health Coverage ◽  
Primary Healthcare ◽  
Policy Research ◽  
Communicable Diseases ◽  
Determinants Of Health ◽  
Health Coverage ◽  
Non Communicable Diseases ◽  
Universal Health

Fisher et al have provided a solid addition to health policy literature in their finding that universal health coverage supports equitable access to Australian primary healthcare (PHC), despite factors such as episodic care and poor distribution of services. Their definition of PHC was comprehensive, extending beyond medical care to include social determinants of health and public policy. However, they limited their operational definition for purposes of the study to general practice, community health and allied health. Applying a narrower definition risks lost opportunities to identify policy implications for equity beyond financial accessibility. The populations most at risk of non-communicable diseases also face significant language, culture, and individual and systemic discrimination barriers to access. Future policy research should consider using a comprehensive PHC definition in determining variables of interest and designing research methodologies, to avoid missing important knowledge that allows existing biases within primary care to continue.

Lessons from Public Health Legal Preparedness to Operationalize Health in All Policies

2017 ◽  
Vol 45 (3) ◽  
pp. 392-401
Author(s):  
Maxim Gakh ◽  
Lainie Rutkow
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Vulnerable Populations ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Health In All Policies ◽  
Public Health Preparedness ◽  
The Social

The Health in All Policies (HiAP) approach aims to integrate health into decisions across sectors to address the social determinants of health and enhance health equity. Jurisdictions interested in implementing this approach may seek clarification about how to operationalize it. Public health legal preparedness provides useful lessons for HiAP. While there are important differences between these two areas, there are also critical similarities. These similarities are particularly important because HiAP and public health preparedness are complementary. Law has been essential in advancing public health preparedness by helping to: (1) prioritize planning; (2) allocate responsibility; (3) enhance collaboration and coordination; (4) establish responsive funding; and (5) emphasize the needs of vulnerable populations. Law can be used similarly to advance HiAP.

scholarly journals Non-communicable diseases in Indian slums: re-framing the Social Determinants of Health

2018 ◽  
Vol 11 (1) ◽  
pp. 1438840 ◽  
Author(s):  
Lily Beth Lumagbas ◽  
Harry Laurence Selby Coleman ◽  
Joske Bunders ◽  
Antoine Pariente ◽  
Anne Belonje ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Communicable Diseases ◽  
Determinants Of Health ◽  
Non Communicable Diseases ◽  
The Social

Open science initiatives: challenges for public health promotion

2018 ◽  
Vol 34 (3) ◽  
pp. 624-633
Author(s):  
Cheryl Holzmeyer
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
Health Research ◽  
Open Science ◽  
Determinants Of Health ◽  
Innovation Ecosystems ◽  
Public Health Promotion

SummaryWhile academic open access, open data and open science initiatives have proliferated in recent years, facilitating new research resources for health promotion, open initiatives are not one-size-fits-all. Health research particularly illustrates how open initiatives may serve various interests and ends. Open initiatives not only foster new pathways of research access; they also discipline research in new ways, especially when associated with new regimes of research use and peer review, while participating in innovation ecosystems that often perpetuate existing systemic biases toward commercial biomedicine. Currently, many open initiatives are more oriented toward biomedical research paradigms than paradigms associated with public health promotion, such as social determinants of health research. Moreover, open initiatives too often dovetail with, rather than challenge, neoliberal policy paradigms. Such initiatives are unlikely to transform existing health research landscapes and redress health inequities. In this context, attunement to social determinants of health research and community-based local knowledge is vital to orient open initiatives toward public health promotion and health equity. Such an approach calls for discourses, norms and innovation ecosystems that contest neoliberal policy frameworks and foster upstream interventions to promote health, beyond biomedical paradigms. This analysis highlights challenges and possibilities for leveraging open initiatives on behalf of a wider range of health research stakeholders, while emphasizing public health promotion, health equity and social justice as benchmarks of transformation.

“I was 15 when I started doing drugs with my dad”: Victimization, Social Determinants of Health, and Criminogenic Risk Among Women Opioid Intervention Court Participants

2022 ◽  
pp. 088626052110520
Author(s):  
Diane S. Morse ◽  
Catherine Cerulli ◽  
Melissa Hordes ◽  
Nabila El-Bassel ◽  
Jacob Bleasdale ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Substance Use ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Antisocial Behaviors ◽  
Gender Based ◽  
The Impact

The presence and severity of childhood and adult victimization increase the likelihood of substance use disorder (SUD), crimes, antisocial behaviors, arrests, convictions, and medical and psychiatric disorders among women more than men. These problems are compounded by the impact of social determinants of health (SDH) challenges, which include predisposition to the understudied, dramatic increase in opioid dependence among women. This study examined victimization, related SDH challenges, gender-based criminogenic risk factors for female participants, and public health opportunities to address these problems. We recruited women from the first national Opioid Intervention Court, a fast-track SUD treatment response to rapidly increasing overdose deaths. We present a consensual qualitative research analysis of 24 women Opioid Intervention Court participants (among 31 interviewed) who reported childhood, adolescent, and/or adult victimization experiences in the context of substance use and recovery, mental health symptoms, heath behaviors, and justice-involved trajectories. We iteratively established codes and overarching themes. Six primary themes emerged: child or adolescent abuse as triggers for drug use; impact of combined child or adolescent abuse with loss or witnessing abuse; adult abduction or assault; trajectory from lifetime abuse, substance use, and criminal and antisocial behaviors to sobriety; role of friends and family support in recovery; and role of treatment and opioid court in recovery, which we related to SDH, gender-based criminogenic factors, and public health. These experiences put participants at risk of further physical and mental health disorders, yet indicate potential strategies. Findings support future studies examining strategies where courts and health systems could collaboratively address SDH with women Opioid Intervention Court participants.

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