Naujausi A B C D E F G H I J K L M N O P R S T V W Y Z
Autoriai: EDITED BY SUDHIR ANAND, FABIENNE PETER, AMARTYA SEN
Metai: 2004
ISBN: 0199276366
Leidykla: Oxford : Oxford University Press
Brūkšninis kodas: 003075180325
Ieškoti VUB kataloge
Anotacija:
It is widely recognized that health is influenced by a variety of social, economic and environmental factors, and not just by access to health care. The extensive empirical literature on the social determinants of-and inequalities in-health has yet to be matched by an appreciation of the normative underpinnings of health equity. Health equity expresses a commitment of public health to social justice, which raises a series of ethical issues. Why, if at all, should a concern with health equity be singled out from the pursuit of social justice in general? What is the extent of social-as opposed to individual-responsibility for health? What ethical problems arise in evaluating population health and health inequalities? How sensitive should the pursuit of health equity be to contextual considerations in contrast to universal values?
In addressing these important questions, this volume examines the foundations of health equity. With contributions from distinguished philosophers, anthropologists, economists, and public-health specialists, it centres on five major themes: what is health equity?; health equity and its relation to social justice; health inequalities and responsibilities for health; ethical issues in health evaluation and prioritization; and anthropological perspectives on health equity.
This significant volume will be valuable to researchers and teachers in public health, philosophy, public policy, and health economics, and to public-health analysts and policymakers.
List of Figures List of Tables List of Abbreviations List of Contributors
Introduction
Sudhir Anand and Fabienne Peter
Part I. Health Equity
1. The Concern for Equity in Health
Sudhir Anand
2. Why Health Equity?
Amartya Sen
Part II. Health, Society, and Justice
3. Social Causes of Social Inequalities in Health
Michael Marmot
4. Health and Inequality, or, Why Justice is Good for Our Health
Norman Daniels, Bruce Kennedy, and Ichiro Kawachi
5. Health Equity and Social Justice
Fabienne Peter
Part III. Responsibility for Health and Health Care
6. Personal and Social Responsibility for Health
Daniel Wikler
7. Relational Conceptions of Justice: Responsibilities for
Health Outcomes
Thomas W. Pogge
8. Just Health Care in a Pluri-National Country
Philippe Van Parijs
Part IV. Ethical and Measurement Problems in Health Evaluation
9. Disability-Adjusted Life Years: A Critical Review Sudhir Anand and Kara Hanson
10. Ethical Issues in the Use of Cost Effectiveness Analysis for
the Prioritisation of Health Care Resources
Dan W. Brock
11. Deciding Whom to Help, Health-Adjusted Life Years
and Disabilities
Frances M. Kamm
12. The Value of Living Longer
John Broome
Part V. Equity and Conflicting Perspectives on Health Evaluation
13. Health Achievement and Equity: External and
Internal Perspectives
Amartya Sen
14. Ethics and Experience: An Anthropological Approach
to Health Equity
Arthur Kleinman
15. Equity of the Ineffable: Cultural and Political Constraints on
Ethnomedicine as a Health Problem in Contemporary Tibet
Vincanne Adams Index
3.1. All cause mortality by grade of employment Whitehall,
men 25-year follow-up
3.2. (a) IHD and (b) Suicide by social class in England
and Wales, males 1970-93
3.3. Life expectancy at age fifteen in Europe, (a) men and
(b) women
3.4. Model of pathways of social influences on health
3.5. Cigarette smoking by deprivation in Great Britain: GHS 1973
and 1996
3.6. Odds ratio for new CHD in Whitehall II by employment
grade—men
3.7. Odds ratio for new CHD in Whitehall II by employment
grade—men. Fully adjusted: adjusted for height,
coronary risk factors, low control at work
3.8. Standardised mortality from CHD, 0-64 years
4.1. Relationship between country wealth and life expectancy
4.2. Relationship between country wealth and life expectancy
among advanced industrial economies
4.3. Self-rated health and individual household income
12.1. A distribution of well-being
12.2. Two alternative distributions of well-being
12.3. A stylised demographic transition
12.4. Another example
