Policies for Social and Health Equity: The Case for Equity Sensitive Universalism; Comment on “Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia”
This commentary reflects on an important article by Fisher and colleagues who draw on four Australian policy case studies to examine how universal and targeted approaches or a combination can be deployed to improve health equity. They conclude that universal approaches are central to action to incre...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-12-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_4340_43e44b8ddfa7cf54cf3b52cc1648998d.pdf |
| _version_ | 1811158671307046912 |
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| author | Rebecca Mead Chrissie Pickin Jennie Popay |
| author_facet | Rebecca Mead Chrissie Pickin Jennie Popay |
| author_sort | Rebecca Mead |
| collection | DOAJ |
| description | This commentary reflects on an important article by Fisher and colleagues who draw on four Australian policy case studies to examine how universal and targeted approaches or a combination can be deployed to improve health equity. They conclude that universal approaches are central to action to increase health equity, but that targeting can improve equity of access in some situations including in the context of proportionate universalism. However, we argue that although target services may provide benefits for some populations, they are often stigmatizing and fail to reach may people they aim to support. Instead of accepting the dominant discourse about the key role for targeted approaches, we argue that those committed to reduce social and health inequities should consider the potential of Equity Sensitive Universalism (ESU). This approach focuses on achieving proportionate outcomes with equally provided resources rather than proportionate inputs and provides a ‘cohesion dividend,’ increasing social solidarity. |
| first_indexed | 2024-04-10T05:28:05Z |
| format | Article |
| id | doaj.art-7a6d9351d46d4721b34f0d3da5e2d567 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:28:05Z |
| publishDate | 2022-12-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-7a6d9351d46d4721b34f0d3da5e2d5672023-03-07T09:12:01ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-12-0111123151315410.34172/ijhpm.2022.75734340Policies for Social and Health Equity: The Case for Equity Sensitive Universalism; Comment on “Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia”Rebecca Mead0Chrissie Pickin1Jennie Popay2Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UKRetired from Department of Health and Human Services, Melbourne, VIC, AustraliaDivision of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UKThis commentary reflects on an important article by Fisher and colleagues who draw on four Australian policy case studies to examine how universal and targeted approaches or a combination can be deployed to improve health equity. They conclude that universal approaches are central to action to increase health equity, but that targeting can improve equity of access in some situations including in the context of proportionate universalism. However, we argue that although target services may provide benefits for some populations, they are often stigmatizing and fail to reach may people they aim to support. Instead of accepting the dominant discourse about the key role for targeted approaches, we argue that those committed to reduce social and health inequities should consider the potential of Equity Sensitive Universalism (ESU). This approach focuses on achieving proportionate outcomes with equally provided resources rather than proportionate inputs and provides a ‘cohesion dividend,’ increasing social solidarity.https://www.ijhpm.com/article_4340_43e44b8ddfa7cf54cf3b52cc1648998d.pdfuniversalismtargetingsocial dividendhealth equitystigma |
| spellingShingle | Rebecca Mead Chrissie Pickin Jennie Popay Policies for Social and Health Equity: The Case for Equity Sensitive Universalism; Comment on “Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia” International Journal of Health Policy and Management universalism targeting social dividend health equity stigma |
| title | Policies for Social and Health Equity: The Case for Equity Sensitive Universalism; Comment on “Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia” |
| title_full | Policies for Social and Health Equity: The Case for Equity Sensitive Universalism; Comment on “Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia” |
| title_fullStr | Policies for Social and Health Equity: The Case for Equity Sensitive Universalism; Comment on “Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia” |
| title_full_unstemmed | Policies for Social and Health Equity: The Case for Equity Sensitive Universalism; Comment on “Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia” |
| title_short | Policies for Social and Health Equity: The Case for Equity Sensitive Universalism; Comment on “Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia” |
| title_sort | policies for social and health equity the case for equity sensitive universalism comment on implementing universal and targeted policies for health equity lessons from australia |
| topic | universalism targeting social dividend health equity stigma |
| url | https://www.ijhpm.com/article_4340_43e44b8ddfa7cf54cf3b52cc1648998d.pdf |
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