基本説明
New in paperback. Hardcover was published in 2005. Themes: what is health equity?; health equity and social justice; responsibilities for health; ethical issues in health evaluation; and anthropological perspectives.
Full Description
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.
Contents
Preface ; Introduction ; I. HEALTH EQUITY ; 1. The Concern for Equity in Health ; 2. Why Health Equity? ; II. HEALTH, SOCIETY, AND JUSTICE ; 3. Social Causes of Social Inequalities in Health ; 4. Why Justice is Good for Our Health: The Social Determinants of Health Inequalities ; 5. Health Equity and Social Justice ; III. RESPONSIBILITY FOR HEALTH AND HEALTH CARE ; 6. Justice, Socioeconomic Status, and Responsibility for Health ; 7. Relational Conceptions of Justice: Responsibilities for Health Outcomes ; 8. Just Health Care in a Plurinational Country ; IV. ETHICAL AND MEASUREMENT PROBLEMS IN HEALTH EVALUATION ; 9. Disability-adjusted Life Years: A Critical Review ; 10. Ethical Issues in the Use of Cost Effectiveness Analysis for the Prioritization of Health Care Resources ; 11. Deciding Whom to Help, Health-Adjusted Life Years, and Disabilities ; 12. The Value of Living Longer ; V. EQUITY AND CONFLICTING PERSPECTIVES ON HEALTH EVALUATION ; 13. Health Achievement and Equity: External and Internal Perspectives ; 14. Ethics and Experience: An Anthropological Approach to Health Equity ; 15. Equity of the Ineffable: Cultural and Political Constraints on Ethnomedicine as a Health Problem in Contemporary Tibet
