SAĞLIKTA EŞİTSİZLİKLER VE SOSYO-EKONOMİK YAKLAŞIMLAR

Abstract

Sağlıkta sosyoekonomik eşitsizlikler, toplumda belirli grupların daha az sağlıklı olmasına neden olmakta ve bu grupların daha sık hastalanıp, daha erken yaşta ölmesine yol açmaktadır. Bu durum, kişinin en temel hakkı olan yaşam hakkının sağlanması ilkesine aykırıdır. Bu eşitsizliklerin iyi açıklanması, en aza indirgenmesi ya da en iyi ifadeyle ortadan kaldırılması ise ülkelerin sağlık sistemlerinin etkin yönetilmesinde birincil amacı oluşturmaktadır. Bu nedenle sağlık alanında ortaya çıkan eşitsizliklerin anlaşılması için ortaya konulan yaklaşımların irdelenmesi önemlidir. Bu derleme çalışmada, sağlık eşitsizliklerine yol açan sosyoekonomik nedenler ve bunları açıklamada kullanılan hipotezlere yer verilmektedir. Eşitsizliklerin ele alınmasında, Grossman modeli, doğrudan gelir ve gelir dağılımı hipotezi, sağlık hizmet erişimi hipotezi, allostatik yük hipotezi ve tutumlu fenotip hipotezi açıklanmış ve sağlık düzeyindeki eşitsizlikleri açıklayan teorik yaklaşımlar çok yönlü olarak ele alınmıştır. Ayrıca, eşitsizlikleri azaltmak için atılabilecek adımlara ilişkin politikalar sunulmaktadır.

Keywords

• Sağlıkta Eşitsizlik
• Sosyoekonomik Faktörler
• Grosmann Modeli
• Sağlık Politikası

Ethical Statement

Etik beyana gerek duyulmamıştır. Makale derleme makaledir.

HEALTH INEQUALITIES AND SOCIOECONOMIC PERSPECTIVES

Abstract

In health, socioeconomic inequalities cause certain groups in society to be less healthy, leading them to get sick more frequently and die at a younger age. This situation is contrary to the principle of ensuring the fundamental right to life. Explaining, minimizing, or ideally eliminating these inequalities is the primary goal in the effective management of a country's healthcare system. There are many reasons for the inequalities in the field of health. For this reason, it is crucial to examine the approaches put forward to understand the inequalities that arise in the health. This review study discusses socioeconomic factors that lead to health inequalities and the hypotheses used to explain them. In addressing these inequalities, the Grossman model, the direct income and income distribution hypothesis, the healthcare access hypothesis, the allostatic load hypothesis, and the thrifty phenotype hypothesis are explained, and theoretical approaches explaining health disparities are considered from various angles. Additionally, policies aimed at reducing inequalities are discussed.

Keywords

• health inequality
• socioeconomic factors
• Grossman model
• health policy.

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