Multisector Collaboration vs. Social Democracy for Addressing Social Determinants of Health
比较了多部门协作(当前主流方法)与社会民主(较少使用)两种应对不良社会条件导致健康问题的策略,指出社会民主更有潜力改善人口健康与健康公平。
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.