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On 1/27/11, Dennis Raphael <[log in to unmask]> wrote:
> ----- Forwarded by Dennis Raphael/fs/YorkU on 01/27/2011 06:54 PM -----
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> [EQ] When Do We Know Enough to Recommend Action on the Social Determinants
> of Health?
>
> Ruggiero, Mrs. Ana Lucia (WDC)
> to:
> EQUIDAD
> 01/27/2011 03:59 PM
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>
> Sent by:
> "Equity, Health & Human Development" <[log in to unmask]>
> Please respond to "Equity, Health & Human Development"
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> When Do We Know Enough to Recommend Action on the Social Determinants of
> Health?
>
> Paula A. Braveman, , Susan A. Egerter, Steven H. Woolf,  James S. Marks
> From the Department of Family and Community Medicine, University of
> California San Francisco (Braveman, Egerter), San Francisco, California;
> the Department of Family Medicine, Virginia Commonwealth University
> (Woolf), Richmond, Virginia; and the Robert Wood Johnson Foundation
> (Marks), Princeton, New Jersey
>
> Am J Prev Med 2011;40(1S1):S58–S66 - 2011 American Journal of Preventive
> Medicine
>
> Website: http://bit.ly/gWr6i7
>
> “………..The Robert Wood Johnson Foundation Commission to Build a Healthier
> America was charged to identify strategies beyond medical care to address
> health disparities in the U.S. related to social and economic
> disadvantage.
>
> Based on insights gained while providing scientifıc support for the
> commission’s efforts, this paper presents an overview of major issues that
> arise when assessing evidence to inform policies and programs to address
> the social determinants of health. While many of the insights are not new,
> they have not been widely assimilated within medicine and public health.
> They have particular relevance now, given growing awareness of the
> important health influences of social factors.
>
> The discussion presented here is intended to highlight key considerations
> for researchers who study social determinants of health and policymakers
> whose decisions are shaped by research fındings. Policies should be based
> on the best available knowledge, derived from diverse sources and methods.
> An array of tools and guidelines is now available to guide the assessment
> of evidence on the social determinants of health, building on—and going
> beyond—principles fırst articulated in the “Evidence-Based Medicine”
> movement.
> The central thesis of the current paper is that the standards for evidence
> to guide social policies must be equally rigorous but also more
> comprehensive than those traditionally used to inform clinical
> interventions, because social policies must deal with upstream factors
> that affect health through complex causal pathways over potentially long
> time periods….”
>
>
> Broadening the Focus: The Need to Address the Social Determinants of
> Health
> American Journal of Preventive Medicine, Volume 40, Issue 1, Supplement 1,
> January 2011, Pages S4-S18
> Paula A. Braveman, Susan A. Egerter, Robin E. Mockenhaupt
>
> Website: http://bit.ly/i6RG63
>
> “…..While ensuring that individuals have access to appropriate medical
> care and information about health-promoting behaviors remains important,
> effective solutions also will require a broader focus on the contexts that
> powerfully shape both health behaviors and health itself. Much remains to
> be learned about which strategies are most effective, but current
> knowledge is suffıcient to indicate promising directions….”
>
>
> Commission publications:
> http://www.commissiononhealth.org/Publications.aspx
>
>
>  *      *     *
> This message from the Pan American Health Organization, PAHO/WHO, is part
> of an effort to disseminate
> information Related to: Equity; Health inequality; Socioeconomic
> inequality in health; Socioeconomic
> health differentials; Gender; Violence; Poverty; Health Economics; Health
> Legislation; Ethnicity; Ethics;
> Information Technology - Virtual libraries; Research & Science issues.
> [DD/ KMC Area]
> Washington DC USA
> “Materials provided in this electronic list are provided "as is". Unless
> expressly stated otherwise, the findings
> and interpretations included in the Materials are those of the authors and
> not necessarily of The Pan American
> Health Organization PAHO/WHO or its country members”.
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