Equity in health care and institutional trust: a communitarian view

Cadernos de Saúde Pública

Gavin Mooney¹  Shane Houston¹ 

[1] ,Curtin University Social and Public Health Economics Research Group Perth,Australia

关键词: Equity in Health;    Delivery of Health Care;    Indigenous Population;    Community-Institutional Relations;    Equidade em Saúde;    Assistência à Saúde;    População Indígena;    Relações Comunidade-Instituição;   

DOI  :  10.1590/S0102-311X2008000500024

来源: SciELO

【 摘 要 】

Communitarianism acknowledges and values, and not just instrumentally, the bonds that unite and identify communities. Communitarians also value community per se. This paper argues that trust is likely to be stronger in communities where these bonds are greater. Equity in health care is a social phenomenon. In health care, it is apparent that more communitarian societies, such as Scandinavia and within Aboriginal Australia, are likely to value more equity-orientated systems. Where, as in the latter case, this desire for equity takes place against a background of the powerful dominant (white) society treating the minority (black) society as dependent, Aboriginal trust in Australian society and in its public institutions is eroded. Lack of trust and inequity then come to the fore. This paper discusses institutional trust as a facilitator of equity in health care in the specific context of Indigenous health. The example used is Australian Aboriginal health but the principles would apply to other Indigenous populations as in for example South America.

【 授权许可】

CC BY   
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