Multisector Collaboration vs. Social Democracy for Addressing Social Determinants of Health.

Autor: Berkowitz SA; University of North Carolina at Chapel Hill School of Medicine.
Jazyk: angličtina
Zdroj: The Milbank quarterly [Milbank Q] 2024 Jun; Vol. 102 (2), pp. 280-301. Date of Electronic Publication: 2023 Dec 29.
DOI: 10.1111/1468-0009.12685
Abstrakt: Policy Points Multisector collaboration, the dominant approach for responding to health harms created by adverse social conditions, involves collaboration among health care insurers, health care systems, and social services organizations. Social democracy, an underused alternative, seeks to use government policy to shape the civil (e.g., civil rights), political (e.g., voting rights), and economic (e.g., labor market institutions, property rights, and the tax-and-transfer system) institutions that produce health. Multisector collaboration may not achieve its goals, both because the collaborations are difficult to accomplish and because it does not seek to transform social conditions, only to mitigate their harms. Social democracy requires political contestation but has greater potential to improve population health and health equity.
(© 2023 Milbank Memorial Fund.)
Databáze: MEDLINE