---------- Forwarded message ----------
Date: Tue, 19 Jun 2001 12:18:49 -0400 (EDT)
From: Nancy Krieger <[log in to unmask]>
To: Spirit of 1848 <[log in to unmask]>
Cc: nancy krieger <[log in to unmask]>
Subject: [spiritof1848] JECH Articles: What can doctors do to reduce health
    inequalities? (fwd)

fyi ...

---------- Forwarded message ----------
Date: Tue, 19 Jun 2001 10:17:20 -0400
To: [log in to unmask]
Subject: JECH Articles: What can doctors do to reduce health inequalities?


J Epidemiol Community Health 2001;55:449 ( July )

What can doctors do to reduce health inequalities?

1 Accept that inequalities in health do exist, and are an important health
problem both in the developed and developing world.

2 Accept that any force affecting health irrespective of its biological or
social origin is in the professional domain of medicine.

3 Accept and recognise the complementary nature of the informal care sector
and its role in shaping health inequalities.

4 Develop a clinical practice sensible to social class, gender and ethnicity
issues, exploring how the affirmative action principles could be applied to
clinical practice.

5 Examine how clinical practice and protocols can reduce health
inequalities, identifying ways of ameliorating the effects of inequalities
in health within their clinical practice.

6 Perform qualitative research to better understand the effect of social
stratifying processes on the outcome of their clinical
practice.

7 Perform quantitative research (randomised controlled trials) to assess the
potential effect of clinical interventions aimed to reduce health
inequalities.

8 Participate in alliances aimed to produce healthy settings like
initiatives in domestic environments, schools, cities and workplaces.

9 Don't forget that doctors in their practice may produce gender bias (more
therapeutic efforts in men than in women for the same health problem)even
unconsciously.

10 Learn how to develop partnerships with the mass media to raise the issue
of health inequalities in the social and political agendas.

CARLOS ALVAREZ-DARDET, MARIA TERESA RUIZ

Department of Public Health, University of Alicante, Spain
© 2001 by Journal of Epidemiology and Community Health

July issue include: http://www.jech.com/content/vol55/issue7/
<http://www.jech.com/content/vol55/issue7/>

    What can doctors do to reduce health inequalities?
    CARLOS ALVAREZ-DARDET and MARIA TERESA RUIZ
    J Epidemiol Community Health 2001; 55: 449.


    Editorials
    Addressing health inequalities in health impact assessment
    MARGARET DOUGLAS and ALEX SCOTT-SAMUEL
    J Epidemiol Community Health 2001; 55: 450-451.


    Glossary
    Basic concepts in population health and health care
    B Starfield -  J Epidemiol Community Health 2001; 55: 452-454.

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J Epidemiol Community Health Online
Carlos Alvarez-Dardet
Editor, Journal of Epidemiology and Community Health
Departamento de Salud Publica. Edificio de Ciencias Sociales
Campus de San Vicente.Universidad de Alicante
Apdo 99,E-03080 Alicante, Spain
tel 34 96 5903918 Fax 34 96 5903964











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