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GAPS IN HEALTH CARE SYSTEMS

AIMS OF PRESENTATION. To discuss the relationship between inequalities

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GAPS IN HEALTH CARE SYSTEMS

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    1. GAPS IN HEALTH CARE SYSTEMS The implications of Inequality Sue Laughlin Head of Inequalities & Health Improvement Greater Glasgow & Clyde NHS Board

    2. AIMS OF PRESENTATION To discuss the relationship between inequalities & poor health To consider the implications for health care systems

    3. A STANDARD DEFINITION OF HEALTH INEQUALITIES Term commonly used in Europe to indicate the virtually universal phenomenon of variation of health by socio-economic status

    4. DATA FROM CENTRE FOR POPULATION HEALTH Inequalities - 2001 Inequalities - 2001 Inequalities - 2001

    5. DATA FROM CENTRE FOR POPULATION HEALTH Inequalities - 2001

    6. DATA FROM CENTRE FOR POPULATION HEALTH Inequalities - 2001

    7. STRENGTHS OF PREVAILING UNDERSTANDING OF INEQUALITIES Health not standardised – good health possible Draws attention to disparities between social groups Highlights persistence within & across countries of health gap despite health policy & availability of health care

    8. LIMITATIONS Reiteration of mortality & morbidity data masks causes Emphasis on measurement by socio-economic status largely ignores other differences – gender (except life expectancy), race, disability

    9. CURRENT HEALTH CARE RESPONSES TO INEQUALITIES Targeting of resources towards those with poorest health? Activities designed to address health limiting behaviours of poorest groups “Safety net” for those unable to afford health insurance

    10. IMPROVING THE HEALTH CARE RESPONSE (1) Inequalities as a determinant of poor health as well as a measure of difference Reorganising the experience of inequality as a pathway into poor health – physical and mental

    11. IMPROVING THE HEALTH CARE RESPONSE (2) As an employer As a strategic partner As a procurer

    12. IMPROVING THE HEALTH CARE RESPONSE (3) Provision of services Access Assessment and management of health problems Health Promotion

    13. EXAMPLE OF A LOCAL HEALTH CARE RESPONSE (Example 1) Scotland – health is a devolved matter NHS Greater Glasgow & Clyde covers ¼ population of Scotland Adopted a strategic approach to addressing inequalities in 2005

    14. EXAMPLE OF A LOCAL HEALTH CARE RESPONSE (Example 2) Established a Corporate Inequalities Team with lead managers for social class, race, disability, sexual orientation. Team has responsibility for meshing together national & local health policy with equalities legislation into a framework for action.

    15. ISSUES FOR CONSIDERATION How can diverse health care systems respond to inequalities in a consistent way across Europe? What is the role of the European political process in facilitating health care systems to respond to inequalities? How does good practice get shared across borders to enhance national & Europe wide responses?

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