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Authors
Advisor(s)
Abstract(s)
Social inequality in health exist and are recognized by social researchers and politicians from several countries, wich have reported a problem increase in the 1970s and 1980s, despite improvements in the health of the populations as a whole. This conclusion has stressed the point that one of the main challenges for health policy in the 1990s is to reduce social inequities in health. This purpose its clear from the priority goal present in the "Health for all by the year 2000" strategy pursued by the Regional Office for Europe of the World Health Organization: by the year 2000, the actual differences in health status between countries and between groups within countries should be reduced by at least 25% by improving the level of health of disavantaged nation and groups. These reasons stem from the evidence that death, disability, ilness, personal health risk factors and environmental health hazards are not distributed evenly across populations. Groups at particular risk, include people with low incomes or limited education, single-parent families, elderly people living alone or disable people, the long-term unemployed, migrant workers and people in stressfull or physically hazardous ocupations. The present work tries to identify in what way the Social Exclusion concept, representing a multiple, cumulative and persistent state of disadvantage of some individuals or households, contribute for the explanation of the causes of socio-economics inequalities in health. This hypothesis is developed by the consideration that social inequality in health stem from a range of factors wich acts out of the specific context of health care system, trying to push the discussion to other fields, despite the recognition of great importance to health care systems. The Health Production Function include some inputs where direct privation implies specific situations of the most generic process of social exclusion. This statement is discessed either in theoretical and empirical therms, concluding by the relevance of it.
Description
Mestrado de Economia
Keywords
Poverty Social exclusion Health Health inequalities Need Acess
Pedagogical Context
Citation
Alves, Jorge Miguel dos Santos (1997). " Desigualdades sociais na saúde. Uma abordagem com base no conceito de exclusão social". Tese de Mestrado. Universidade Técnica de Lisboa. Instituto Superior de Economia e Gestão.