https://journals.sagepub.com/doi/full/10.1177/14034948221113147
Abstract
The need to visualise the complexity of the determinants of population health and their interactions inspired the development of the rainbow model. In this commentary we chronicle how variations of this model have emerged, including the initial models of Haglund and Svanström (1982), Dahlgren and Whitehead (1991), and the Östgöta model (2014), and we illustrate how these models have been influential in both public health and beyond. All these models have strong Nordic connections and are thus an important Nordic contribution to public health. Further, these models have underpinned and facilitated other examples of Nordic leadership in public health, including practical efforts to address health inequalities and design new health policy approaches.
Apart from documenting the emergence of rainbow models and their wide range of contemporary uses, we examine a range of criticisms levelled at these models – including limitations in methodological development and in scope. We propose the time is ripe for an updated generic determinants of health model, one that elucidates and preserves the core value in older models, while recognising the developments that have occurred over the past decades in our understanding of the determinants of health. We conclude with an example of a generic model that fulfills the general purposes of a determinants of health model while maintaining the necessary scope for further adjustments to be made in the future, as well as adjustments to location or context-specific purposes, in education, research, health promotion and beyond.
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Dennis Raphael, PhD
Professor of Health Policy and Management
York University
4700 Keele Street
Strong College, Room 334
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Website: http://health.info.yorku.ca/health-profiles/index.php?mid=162284
Of interest:
The Politics of Health in the Canadian Welfare State
https://canadianscholars.ca/book/the-politics-of-health-in-the-canadian-welfare-state/
Poverty in Canada, 3rd edition,
Forewords by Cathy Crowe, Rob Ranier and Jack Layton
https://canadianscholars.ca/book/poverty-in-canada-d3408482-0caa-489a-8a76-7faf7587d00a/
Staying Alive: Critical Perspectives on Health, Illness, and Health Care, 3rd edition
Foreword by Gary Teeple
https://canadianscholars.ca/book/staying-alive/
Social Determinants of Health: Canadian Perspectives, 3rd edition
Forewords by Michael Butler and Maude Barlow, Carolyn Bennett and Roy Romanow
https://canadianscholars.ca/book/social-determinants-of-health-3rd-edition/
Immigration, Public Policy, and Health: Newcomer Experiences in Developed Nations
https://canadianscholars.ca/book/immigration-public-policy-and-health/
About Canada: Health and Illness, 2nd edition
https://fernwoodpublishing.ca/book/about-canada-health-and-illness
Tackling Health Inequalities: Lessons from International Experiences
Foreword by Alex Scott-Samuel
https://canadianscholars.ca/book/tackling-health-inequalities/
Health Promotion and Quality of Life in Canada: Essential Readings
https://canadianscholars.ca/book/health-promotion-and-quality-of-life-in-canada/
See a presentation! The Political Economy of Health Inequalities.
http://www.youtube.com/watch?v=-NCTYqAub8g
Also, presentation at the University of Toronto on how Canada stacks up again other nations in providing citizens with economic and social security.
http://vimeo.com/33346501
See what Jack Layton had to say about my books!
http://www.cbc.ca/news/canada/story/2011/04/10/cv-election-ndp-layton-platform.html
at 27:20
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