Abstract:
:This article aims to clarify the moral underpinning of the policy framework of Healthy Ageing. It is a policy adopted by the World Health Organization designed to operate in alignment with the United Nations (UN) framework of the Sustainable Development Goals (SDGs) and the urgency given for the achievement of Universal Health Coverage (UHC). It particularly reflects on what, if anything, justifies protecting the most basic rights to health and well-being of older adults from possible policy trade-offs on the path to UHC.It argues that the dignity of older adults-under which are nested more specific ideas of self-respect, respect for autonomy, as well as the ethical priority for living well-underpins a categorical moral injunction against imposing the familiar utilitarian calculus as the default criterion for policy trade-offs across age groups. Respect for the dignity of older persons marks the moral threshold that every society ought to uphold even under conditions of relative resource scarcity.The moral constraint on permissible policy trade-offs relating to the health of older adults must reflect an understanding of older persons as active agents in the social structure of (their) well-being, not merely as passive vessels through which a good healthy life may or may not occur. We argue that there are three main domains where trade-offs are unacceptable from the moral point of view: it is impermissible (1) to prioritise key service(s) across different (vulnerable) age groups on the basis of actual or future contribution to society, (2) to prioritise across different age groups when co-prioritisation is warranted by the ethical theory, and (3), to always prioritise (by default) services that improve well-being over those that foster respect for dignity and autonomy.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Gebremariam KM,Sadana Rdoi
10.1186/s12939-019-0997-zsubject
Has Abstractpub_date
2019-09-05 00:00:00pages
140issue
1issn
1475-9276pii
10.1186/s12939-019-0997-zjournal_volume
18pub_type
杂志文章,评审abstract:BACKGROUND:People experiencing homelessness are often marginalized and are known to face barriers to accessing acceptable and respectful healthcare services. This study examines the experience of accessing hospital-based services of persons experiencing homelessness or vulnerable housing in southeastern Ontario and con...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1004-4
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:To investigate the association between multimorbidity and Preference_Weighted Health Related Quality of Life (PW_HRQoL), a score that combines physical and mental functioning, and how this varies by socioeconomic deprivation and age. DESIGN:The Scottish Health Survey (SHeS) is a cross-sectional representativ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-67
更新日期:2013-08-20 00:00:00
abstract:BACKGROUND:Inequalities in health across social class, gender and regional context in Spain are well-known; however, there is a lack of research examining how these dimensions of inequality interact. This study explores self-rated health (SRH) inequalities across intersectional positions of gender, social class and reg...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01202-7
更新日期:2020-06-05 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-11
更新日期:2013-01-24 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0639-2
更新日期:2017-09-02 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0108-0
更新日期:2014-11-07 00:00:00
abstract:BACKGROUND:Over the last several decades, global efforts to end female genital mutilation/cutting (FGM/C) have intensified through combined efforts of international and non-governmental organizations, governments, and religious and civil society groups. One question asked by donors, program implementers and observers a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0907-9
更新日期:2019-01-30 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-80
更新日期:2013-09-26 00:00:00
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journal_title:International journal for equity in health
pub_type: 社论
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更新日期:2020-03-17 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1077-0
更新日期:2019-11-27 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0719-y
更新日期:2018-02-05 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0398-5
更新日期:2016-07-16 00:00:00
abstract:INTRODUCTION:Conditional Cash Transfers (CCTs) have been largely used in the world during the past decades, since they are known for enhancing children's human development and promoting social inclusion for the most deprived groups. In other words, CCTs seek to create life chances for children to overcome poverty and e...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-017-0647-2
更新日期:2017-08-31 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-021-01379-5
更新日期:2021-01-25 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0419-4
更新日期:2016-08-19 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-38
更新日期:2012-08-06 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0715-7
更新日期:2018-01-05 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-1-1
更新日期:2002-04-22 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-13-12
更新日期:2014-02-03 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-0955-9
更新日期:2019-04-16 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-4-8
更新日期:2005-06-24 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1005-3
更新日期:2019-07-04 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-10
更新日期:2012-02-29 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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更新日期:2015-11-14 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01315-z
更新日期:2020-11-10 00:00:00
abstract:BACKGROUND:Evidence from low and middle income countries (LMICs) suggests that maternal mortality is more prevalent among the poor whereas access to maternal health services is concentrated among the rich. In Bangladesh substantial inequities exist both in the use of facility-based basic obstetric care and for home bir...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-22
更新日期:2013-04-02 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12939-017-0643-6
更新日期:2017-08-30 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-3-3
更新日期:2004-05-06 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0837-6
更新日期:2018-08-17 00:00:00
abstract:BACKGROUND:Equitable access to services that promote health and wellbeing is an important component of social justice. A community-engaged participatory qualitative study was conducted in Flint, Michigan, USA, to understand the needs of special populations (young women, perinatal women and new mothers, older women, wom...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1133-9
更新日期:2020-01-31 00:00:00