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Changes not for the fainthearted: Reorienting health care systems toward health equity through action on the social determinants of health

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  • Baum, F.E.
  • Bégin, M.
  • Houweling, T.A.J.
  • Taylor, S.

Abstract

Entrenched poor health and health inequity are important public health problems. Conventionally, solutions to such problems originate from the health care sector, a conception reinforced by the dominant biomedical imagination of health. By contrast, attention to the social determinants of health has recently been given new force in the fight against health inequity. The health care sector is a vital determinant of health in itself and a key resource in improving health in an equitable manner. Actors in the health care sector must recognize and reverse the sector's propensity to generate health inequity. The sector must also strengthen its role in working with other sectors of government to act collectively on the deep-rooted causes of poor and inequitable health.

Suggested Citation

  • Baum, F.E. & Bégin, M. & Houweling, T.A.J. & Taylor, S., 2009. "Changes not for the fainthearted: Reorienting health care systems toward health equity through action on the social determinants of health," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 1967-1974.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.154856_1
    DOI: 10.2105/AJPH.2008.154856
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    1. Haynes, Emma & Walker, Roz & Mitchell, Alice G. & Katzenellenbogen, Judy & D'Antoine, Heather & Bessarab, Dawn, 2021. "Decolonizing Indigenous health: Generating a productive dialogue to eliminate Rheumatic Heart Disease in Australia," Social Science & Medicine, Elsevier, vol. 277(C).
    2. Pulok, Mohammad Habibullah & Hajizadeh, Mohammad, 2022. "Equity in the use of physician services in Canada's universal health system: A longitudinal analysis of older adults," Social Science & Medicine, Elsevier, vol. 307(C).
    3. András Költő & Aoife Gavin & Elena Vaughan & Colette Kelly & Michal Molcho & Saoirse Nic Gabhainn, 2021. "Connected, Respected and Contributing to Their World: The Case of Sexual Minority and Non-Minority Young People in Ireland," IJERPH, MDPI, vol. 18(3), pages 1-27, January.
    4. Emma Haynes & Minitja Marawili & Alice Mitchell & Roz Walker & Judith Katzenellenbogen & Dawn Bessarab, 2022. "“Weaving a Mat That We Can All Sit On”: Qualitative Research Approaches for Productive Dialogue in the Intercultural Space," IJERPH, MDPI, vol. 19(6), pages 1-18, March.
    5. Embrett, Mark G. & Randall, G.E., 2014. "Social determinants of health and health equity policy research: Exploring the use, misuse, and nonuse of policy analysis theory," Social Science & Medicine, Elsevier, vol. 108(C), pages 147-155.
    6. Javier Casillas-Clot & Pamela Pereyra-Zamora & Andreu Nolasco, 2021. "Determinants of Disability in Minority Populations in Spain: A Nationwide Study," IJERPH, MDPI, vol. 18(7), pages 1-12, March.
    7. Yuan Liang & Yan-Hong Gong & Xiao-Piao Wen & Chao-Ping Guan & Ming-Chuan Li & Ping Yin & Zhi-Qing Wang, 2012. "Social Determinants of Health and Depression: A Preliminary Investigation from Rural China," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-7, January.
    8. Toby Freeman & Sara Javanparast & Fran Baum & Anna Ziersch & Tamara Mackean, 2018. "A framework for regional primary health care to organise actions to address health inequities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 567-575, June.
    9. Emma Haynes & Alice Mitchell & Stephanie Enkel & Rosemary Wyber & Dawn Bessarab, 2020. "Voices behind the Statistics: A Systematic Literature Review of the Lived Experience of Rheumatic Heart Disease," IJERPH, MDPI, vol. 17(4), pages 1-25, February.
    10. Mohammad Habibullah Pulok & Kees Gool & Mohammad Hajizadeh & Sara Allin & Jane Hall, 2020. "Measuring horizontal inequity in healthcare utilisation: a review of methodological developments and debates," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 171-180, March.
    11. Tamara Mackean & Madison Shakespeare & Matthew Fisher, 2022. "Indigenous and Non-Indigenous Theories of Wellbeing and Their Suitability for Wellbeing Policy," IJERPH, MDPI, vol. 19(18), pages 1-16, September.

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