Health sector reform and social determinants of health: building up theoretical and methodological interconnections to approach complex global challenges

Revista Brasileira de Epidemiologia

Garibaldi Dantas Gurgel Junior¹ 

关键词: Social determinants of health;    Health policy analyses;    Political economy;    Health sector reform;    Regulation theory;    Advocacy coalition framework;    Universal healthcare services;    Determinantes sociais de saúde;    Análise de política de saúde;    Economia política;    Reforma do setor saúde;    Teoria da regulação;    Modelo de coalizões de defesa;    Sistemas universais de saúde;   

DOI  :  10.1590/1809-4503201400060005

来源: SciELO

【 摘 要 】

Health Sector Reform and Social Determinants of Health are central issues for the current international policy debate, considering the turbulent scenario and the threat of economic recession in a global scale. Although these themes have been discussed for a long time, three major issues still calls the attention of the scientific community and health policymakers. The first one is the matter of how to approach scientifically the intricate connections between them in order to understand the consequences of policies for healthcare services, once this debate will become much more tensioned in the coming years. The second one is the lack of explanatory frameworks to investigate the policies of reform strategies, simultaneously observed in a variety of countries within distinct health services, which aim to achieve multiple and contradictory goals vis-à-vis the so-called social determinants of health. The third one is the challenge that governments face in developing and sustaining equitable health services, bearing in mind the intense political dispute behind the health sector reform processes. This article discusses an all-embracing theoretical and methodological scheme to address these questions. The aim is to connect macro- and middle-range theories to examine Social Determinants and Health Sector Reform interdependent issues, with view to developing new knowledge and attaining scientific understanding upon the role of universal and equitable healthcare systems, in order to avoid deepening economic crises.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License