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Closing the Health Inequalities Gap: An International Perspective

 The report was authored by Iain K. Crombie, Linda Irvine, Lawrence Elliott
and Hilary Wallace of the University of Dundee, Scotland, UK. It was
commissioned by NHS Health Scotland and published by the WHO European
Office for Investment for Health and Development.

The Regional Office for Europe of the World Health Organization, 2005

 Available online as PDF file [81p.] at:
http://www.euro.who.int/Document/E87599.pdf

 The report "Closing the health inequalities gap: an international
perspective61; presents an analysis of official documents on government
policies to tackle inequalities in health from 13 developed countries.  All
countries recognize that health inequalities are caused by adverse
socioeconomic and environmental circumstances. However they differ in their
definitions of inequalities and in their approaches to tackling the
problem.

Sweden and Northern Ireland have structured their overall public health
policy to tackle the underlying determinants of inequalities in health.
England is the only country with a separate comprehensive policy. Most
countries also have policies on poverty, social inclusion, and social
justice.

These are motivated by a concern for human rights and dignity and deal
primarily with the underlying causes of health inequalities. While broadly
setting the same overarching goal, policies on health inequalities show
many different features. Policymakers face two challenges: to ensure that
strategies to tackle the macroenvironmental factors feature in policy on
inequalities in health, and to ensure that health becomes a prominent issue
in social justice policy.
Few countries have a coordinated approach to tackling inequalities in
health.

 Content:

Executive summary

Introduction

Aims

Methods

Structure of policy on inequalities in health

Section 1 Documents on inequalities in health

Section 2 Description of inequalities in health

Section 3 Strategic approaches to tackling inequalities in health

Section 4 Evaluation of current policy

Section 5 Social inclusion and social justice policy

Synthesis

References

Annex 1 Bibliography of documents on inequalities in health

Annex 2 English Government57;s programme of work to tackle health
inequalities

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