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  • Public Health, Ethics, and Equity

    Public Health, Ethics, and Equity by Anand, Sudhir; Peter, Fabienne; Sen, Amartya;

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      • Publisher's listprice GBP 197.50
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    Product details:

    • Publisher OUP Oxford
    • Date of Publication 9 December 2004

    • ISBN 9780199276363
    • Binding Hardback
    • No. of pages336 pages
    • Size 242x162x23 mm
    • Weight 617 g
    • Language English
    • Illustrations 9 figures
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    Short description:

    In the last fifty years, average overall health status has increased worldwide, but it is increasingly clear that this achievement has not been equally distributed. Inequities in health have in fact denied many people equality of opportunity. This book builds an interdisciplinary understanding of health equity with contributions from distinguished philosophers, anthropologists, economists, and public-health specialists, and centres on five major themes: what is health equity?; health equity and social justice; responsibilities for health; ethical issues in health evaluation; and anthropological perspectives.

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    Long description:

    In the last fifty years, average overall health status has increased more or less in parallel with a much celebrated decline in mortality, attributed mostly to poverty reduction, sanitation, nutrition, housing, immunization, and improved medical care. It is becoming increasingly clear, however, that these achievements were not equally distributed. In most countries, while some social groups have benefited significantly, the situation of others has stagnated or may even have worsened.

    If health is a prerequisite to a person functioning as an agent, inequalities in health constitute inequalities in people's capability to function -- a denial of equality of opportunity. So why should a concern with health equity be singled out from the pursuit of social justice more generally? Can existing theories of justice provide an adequate account of health equity? And what ethical problems arise in evaluating health inequalities?

    These are some of the important questions that this book addresses in building an interdisciplinary understanding of health equity. With contributions from distinguished philosophers, anthropologists, economists, and public-health specialists, it centres on five major themes: what is health equity?; health equity and social justice; responsibilities for health; ethical issues in health evaluation; and anthropological perspectives.

    ...some of the most significant contributions to the discourse on health equity.

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    Table of Contents:

    Preface
    Introduction
    I. Health Equity
    The Concern for Equity in Health
    Why Health Equity?
    II. Health, Society, and Justice
    Social Causes of Social Inequalities in Health
    Why Justice is Good for Our Health: The Social Determinants of Health Inequalities
    Health Equity and Social Justice
    III. Responsibility for Health and Health Care
    Justice, Socioeconomic Status, and Responsibility for Health
    Relational Conceptions of Justice: Responsibilities for Health Outcomes
    Just Health Care in a Plurinational Country
    IV. Ethical and Measurement Problems in Health Evaluation
    Disability-adjusted Life Years: A Critical Review
    Ethical Issues in the Use of Cost Effectiveness Analysis for the Prioritization of Health Care Resources
    Deciding Whom to Help, Health-Adjusted Life Years, and Disabilities
    The Value of Living Longer
    V. Equity and Conflicting Perspectives on Health Evaluation
    Health Achievement and Equity: External and Internal Perspectives
    Ethics and Experience: An Anthropological Approach to Health Equity
    Equity of the Ineffable: Cultural and Political Constraints on Ethnomedicine as a Health Problem in Contemporary Tibet

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