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How to Think about Social Determinants of Health
註釋For example, the Code Red study of Hamilton, Ontario - a novel collaboration between university researchers and an investigative journalist in a metropolitan area whose economy had been devastated by the loss of manufacturing jobs - found a difference of 21 years in average age of death between one of the wealthiest neighbourhoods and one of the poorest. [...] The Commission further emphasized (2008, p. 1) that the "unequal distribution of health-damaging experiences is not in any sense a 'natural' phenomenon but is the result of a toxic combination of poor social policies and programmes, unfair economic arrangements, and bad politics" As a financial crisis swept across the world two months after the release of its report, acting on the Commission's foc [...] The method of realist review (Pawson, Greenhalgh, Harvey, & Walshe, 2005) approximates this approach at the level of research synthesis, provided that the range of methodologies and disciplines included is sufficiently broad, and that attention is paid to the values that may be embodied How to Think about Social Determinants of Health. [...] The WHO Euro review of the health divide is emphatic about the need to integrate "the views of ministers of health and social affairs" into economic and fiscal policy, specifically in the current context of austerity (Marmot et al., 2012). [...] Schrecker & Taler that being 'at the table' will necessarily make a difference given the unequal structure of representation (and the shift of power from elected governments to financial markets that is a defining characteristic of contemporary globalization), or whether health ministries have either the capacity or the commitment to advance health equity in a way that goes beyond the narrowly beh.