Loading...
Naar een integrale aanpak van gezondheidsachterstanden. Een beschrijving van beleidsmaatregelen binnen en buiten de volksgezondheidssector
Citations
Altmetric:
Series / Report no.
RIVM rapport 270171001
Open Access
Type
Report
Language
nl
Date
2009-05-28
Research Projects
Organizational Units
Journal Issue
Title
Naar een integrale aanpak van
gezondheidsachterstanden. Een beschrijving van beleidsmaatregelen binnen en
buiten de volksgezondheidssector
Translated Title
Towards an integrated approach for tackling health
inequalities. A description of policy measures inside and outside the public
healthcare sector
Published in
Abstract
Er bestaan veel beleidsmaatregelen om
gezondheidsachterstanden te verkleinen, maar er is nog onvoldoende bekend
over de effecten ervan. Dit blijkt uit onderzoek van het RIVM waarin, in
opdracht van het ministerie van VWS, het effect van beleidsmaatregelen op
gezondheidsachterstanden is onderzocht. In dit onderzoek is geanalyseerd
welke beleidsvoornemens in de rijksbegroting 2008 er aan kunnen bijdragen
gezondheidsachterstanden terug te dringen. Daarnaast is gekeken naar de
effecten bij 14 bestaande beleidsmaatregelen.
Uit eerder onderzoek blijkt dat de gezondheid van mensen met een lage
sociaaleconomische status over het algemeen slechter is dan de gezondheid
van mensen met een hoge sociaaleconomische status. Ook allochtonen zijn
over het algemeen ongezonder dan autochtonen. Om de veelheid aan oorzaken
van gezondheidsachterstanden aan te pakken, is het van belang om naast de
volksgezondheidssector andere beleidssectoren te betrekken. Voorbeelden
zijn de sectoren onderwijs, sociale zaken en ruimtelijke ordening. Het
beleid dient integraal te zijn en de volgende vier punten te verbeteren: 1.
de sociaaleconomische positie van mensen; 2. de arbeidsdeelname van mensen
met gezondheidsproblemen; 3.de woon- en werkomstandigheden en de leefstijl
van mensen met een lage sociaaleconomische positie; 4. de toegankelijkheid
en effectiviteit van de gezondheidszorg voor deze groepen.
Uit dit onderzoek blijkt dat van de 153 voorgenomen beleidmaatregelen in de
rijksbegroting er 38 op minimaal een van de vier bovengenoemde punten
gericht zijn. Daardoor is het aannemelijk dat ze gezondheidsachterstanden
terugdringen. Het verband tussen de effecten van de 14 bestaande
maatregelen en de bijdrage aan het terugdringen van gezondheidsachterstanden
is echter moeilijk te leggen.
Many policy measures are available for tackling inequalities in health, but as yet the effects of such measures are inadequately understood. This was the conclusion of the National Institute for Public Health and the Environment (RIVM) following completion of a study carried out by order of the Ministry of Health, Welfare and Sport. The aim of this study was to investigate the effects of policy measures on inequalities in health. The potential of policy resolutions mentioned in the 2008 national budget for reducing health inequalities was studied. The effects of 14 existing policy measures were also studied. As demonstrated in previous investigations, the health of people with a low socioeconomic status is generally worse than that of individuals with a high socioeconomic status. In addition, allochthonous people are generally unhealthier than autochthonous people. It is important that policies aimed at tackling the diversity of causes of health inequalities involve not only the public healthcare sector but also other relevant sectors subject to policymaking, such as the education, social affairs and environmental planning sectors. Policy needs to be integrated and aimed at improving the following: (1) the socioeconomic position of people; (2) participation in the labour market of people with health problems; (3) the living and working conditions and lifestyle of people with a low socioeconomic position; (4) the accessibility and effectiveness of healthcare for people with a low socioeconomic position. This study reveals that of the 153 policy resolutions mentioned in the 2008 national budget, 38 address at least one of these four points. It is therefore plausible that they will diminish health inequalities. In contrast, a link between the effects of the 14 existing policy measures and a contribution to the reduction of health inequalities is difficult to establish.
Many policy measures are available for tackling inequalities in health, but as yet the effects of such measures are inadequately understood. This was the conclusion of the National Institute for Public Health and the Environment (RIVM) following completion of a study carried out by order of the Ministry of Health, Welfare and Sport. The aim of this study was to investigate the effects of policy measures on inequalities in health. The potential of policy resolutions mentioned in the 2008 national budget for reducing health inequalities was studied. The effects of 14 existing policy measures were also studied. As demonstrated in previous investigations, the health of people with a low socioeconomic status is generally worse than that of individuals with a high socioeconomic status. In addition, allochthonous people are generally unhealthier than autochthonous people. It is important that policies aimed at tackling the diversity of causes of health inequalities involve not only the public healthcare sector but also other relevant sectors subject to policymaking, such as the education, social affairs and environmental planning sectors. Policy needs to be integrated and aimed at improving the following: (1) the socioeconomic position of people; (2) participation in the labour market of people with health problems; (3) the living and working conditions and lifestyle of people with a low socioeconomic position; (4) the accessibility and effectiveness of healthcare for people with a low socioeconomic position. This study reveals that of the 153 policy resolutions mentioned in the 2008 national budget, 38 address at least one of these four points. It is therefore plausible that they will diminish health inequalities. In contrast, a link between the effects of the 14 existing policy measures and a contribution to the reduction of health inequalities is difficult to establish.
Description
Publisher
Sponsors
VWS