Lowering hospital walls to achieve health equity

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dc.citation.volume362
dc.contributor.authorMatheson A
dc.contributor.authorBourke C
dc.contributor.authorVerhoeven A
dc.contributor.authorKhan MI
dc.contributor.authorNkunda D
dc.contributor.authorDahar Z
dc.contributor.authorEllison-Loschmann L
dc.coverage.spatialEngland
dc.date.accessioned2024-08-04T23:53:59Z
dc.date.available2024-08-04T23:53:59Z
dc.date.issued2018-09-20
dc.description.abstractHospitals have evolved to become integral and dominant components of health systems, although their functions, organisation, size, degree of centralisation, and resourcing varies across countries. Despite this diversity, hospitals are generally focused on providing services for sick people rather than prevention. Although many have shown the capacity to quickly adopt new technologies, especially for diagnosing and managing illness, achieving institutional change to tackle the systemic causes of health inequities has proved much more difficult. We argue that the actions of hospitals contribute to health inequities. This is important given that hospitals hold an inordinate share of power, resources, and influence within health and community systems—while primary care and prevention are consistently undervalued and underfunded. We draw on four opportunistically selected country case examples to show the role that hospitals can play in overcoming systemic barriers to health equity. Each example highlights health sector actions taken for particular population groups: women and children in Pakistan and Rwanda and the indigenous peoples of Australia and New Zealand.
dc.description.confidentialfalse
dc.format.paginationk3597-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/30237307
dc.identifier.citationMatheson A, Bourke C, Verhoeven A, Khan MI, Nkunda D, Dahar Z, Ellison-Loschmann L. (2018). Lowering hospital walls to achieve health equity.. BMJ. 362. (pp. k3597-).
dc.identifier.doi10.1136/bmj.k3597
dc.identifier.eissn1756-1833
dc.identifier.elements-typejournal-article
dc.identifier.issn0959-8146
dc.identifier.numberARTN k3597
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/71187
dc.languageeng
dc.publisherBMJ Publishing Group Ltd
dc.publisher.urihttps://www.bmj.com/content/362/bmj.k3597
dc.relation.isPartOfBMJ
dc.rightsC BY-NC 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAustralia
dc.subjectFemale
dc.subjectHealth Equity
dc.subjectHealth Services Accessibility
dc.subjectHospitals
dc.subjectHumans
dc.subjectLeadership
dc.subjectLife Expectancy
dc.subjectNew Zealand
dc.subjectPakistan
dc.subjectPrimary Health Care
dc.subjectRwanda
dc.titleLowering hospital walls to achieve health equity
dc.typeJournal article
pubs.elements-id416220
pubs.organisational-groupOther
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