Territorial factors in health inequalityAbsztrakt

Authors

  • Veronika Szentes Author
  • Szabolcs Morvay Széchenyi István Egyetem Author

DOI:

https://doi.org/10.14513/tge-jres.00390

Keywords:

health inequality, territorial factors, regional politics

Abstract

Health inequality is morally unacceptable and economically harmful. It can be observed among different social groups and is influenced by many factors. At the same time, spatiality, territorial factors, and territorial characteristics are also determining factors for the existence of health inequality. As a result, regional policy also has a role in mitigating health differences, precisely because regional factors also cause the differences that can be observed between the health status of people living in different places. The purpose of this study is to explore these factors and to formulate proposals for the support policy aimed at health care in relation to spatiality.
In order to achieve these goals, the literature was processed, which are available on the topic, during which the conceptual essence of health inequality was highlighted, as well as the health models that systematize the factors influencing health also are in this study, and the indicators characterized by the territorial aspect from the range of factors were counted. The method was to synthesize the existing knowledge with emphasis on the role of spatiality in the examined topic. During the processing of the literature, it became clear that health inequality is influenced by an extremely large number of factors, so the phenomenon is a multiclausal problem. Finally, the main conclusion is that, taking into account this complex system of factors, it is necessary to explore the intervention possibilities of individual policies, with which mosaic-like developments can take place. The study highlights the regional policy among the policies.

References

Acemoglu, D.–Johnson, S. (2007) Disease and development: The effect of life expectancy on economic growth. Journal of Political Economy, 6, pp. 925–985. http://doi.org/b2865s

Albert-Ballestar, S.–García-Altés, A. (2021) Measuring health inequalities: a systematic review of widely used indicators and topics. Int J Equity Health, 20, 73, https://doi.org/10.1186/ s12939-021-01397-3

Asada, Y. (2005) A framework for measuring health inequity. J Epidemiol Community Health, 59, pp. 700–705. https://doi.org/10.1136/jech.2004.031054

Barro, R. J. (2013) Health and Economic Growth. Annals of Economics and Finance, 14, 2, pp. 305–342.

Barro, R. J.–Sala-i-Martin, X. I. (1995) Economic growth. McGraw-Hill, New York.

Black, D.–Morris, J. N.–Smith, C.–Townsend, P.–Davidson, N.–Whitehead, M. (1980) The black report: inequalities in health. DHSS, London.

Boncz I.–Sebestyén Á. (2006) Economy and mortality in Eastern and Western Europe

between 1945 and 1990: the largest medical trial of history. International Journal of Epidemiology, 35, 3, pp. 796–797.

Braveman, P.–Arkin, E.–Orleans, T.–Proctor, D.–Plough, A. (2017) What is health equity? And what difference does a definition make? Robert Wood Johnson Foundation, Princeton.

Brezzi, M.–Luongo, P. (2016) Regional disparities in access to health care: a multilevel analysis in selected OECD countries. OECD Regional Development Working Papers 2016/04. OECD Publishing, Paris. https://doi.org/10.1787/5jm0tn1s035c-en.

Buchmueller, T. C.–Jacobson, M.–Wold, C. (2006) How far to the hospital? The effect of hospital closures on access to care. Journal of Health Economics, 25, 4, pp. 740–761. https://doi. org/10.1016/j.jhealeco.2005.10.006

Chandola, T.–Ferrie, J.–Sacker, A.–Marmot, M. (2007) Social inequalities in self reported health in early old age: follow-up of prospective cohort study. BMJ, 334, 990. https://doi. org/10.1136/bmj.39167.439792.55

Cornia, G. A.–Paniccia R. (2000) The Transition Mortality Crisis: Evidence, Interpretation and Policy Responses. In: Giovanni Andrea Cornia, G. A.–Paniccià, R. (Eds.): The Mortality Crisis in Transitional Economies. WIDER Studies in Development Economics, Oxford. pp. 3–31. https://doi.org/10.1093/acprof:oso/9780198297413.003.0001

Cromley, E. K.–McLafferty, S. L. (2011) GIS and public health. Guilford Press, New York.

Csite A.–Németh N. (2007a) A születéskor várható élettartam kistérségi egyenlőtlenségei az ezredforduló Magyarországán. Kormányzás Közpénzügyek Szabályozás, 2, 2, 257–289.

Csite A.–Németh N. (2007b) Az életminőség területi differenciái Magyarországon: a kistérségi szintű HDI becslési lehetőségei. MTA Közgazdaságtudományi Intézet; BCE Emberi erőforrások tanszék, Budapest. (Budapesti Munkagazdaságtani füzetek 2007/3).

Donabedian, A. (1988) The quality of care: How can it be assessed? JAMA, 26012, pp. 1743– 1748. https://doi.org/10.1001/jama.260.12.1743

Egri Z. (2017a) Települési egészségegyenlőtlenségek a gazdasági fejlettség triadikus felbontása alapján. Studia Mundi – Economica, 4, 3, 32–44.

Egri Z. (2017b) Spaciális egészségegyenlőtlenségek, törésvonalak az Európai Unió regionális terében. Magyarok a Kárpát-medencében, 2, 16, 411–425.

Fox, A. J.–Goldblatt, P. O. (1982) Longitudinal study: socio-demographic mortality differentials. HMSO, London.

Illés I. (2009) A „területi kohézió” szerepe az EU és a tagországok politikájában. In: Kocziszky Gy.–Sáfrányné Gubik A. (Szerk.): VII. Nemzetközi Konferencia. I-II. kötet. Miskolci Egyetem Gazdaságtudományi Kar, Miskolc. 214–224.

Juhász A.–Nagy Cs.–Paldy A.–Beale L. (2010) Development of a Deprivation Index and its relation to premature mortality due to diseases of the circulatory system in Hungary, 1998–2004. Social Science & Medicine, 70, pp. 1342–1349. https://doi.org/10.1016/j.socscimed.2010.01.024

Kawachi, I.–Subramanian, S. V.–Almeida-Filho, N. (2002) A glossary for health inequalities. J Epidemiol Community Health, 56, 9, pp. 47–52. https://doi.org/10.1136/jech.56.9.647

von dem Knesebeck, O. (2015) Concepts of social epidemiology in health services research. BMC Health Serv Res, 15, https://doi.org/10.1186/s12913-015-1020-z

Krieger, N. (2011) Epidemiology and the people’s health: theory and context. Oxford University Press, New York. https://doi.org/10.1093/acprof:oso/9780195383874.001.0001

Libicki É.–Fedor A. (2022) A telepi körülmények között élők egészségi állapotának és egészségműveltségének jellemzői. Acta Medicinae et Sociologica, 13, 34, 138–162. https://doi. org/10.19055/ams.2022.05/31/7

Lorentzen, P.–McMillan, J.–Wacziarg, R. (2008) Death and development. Journal of Economic Growth, 13, pp. 81–124. https://doi.org/fpssjv

Lynge, E. (1981) Occupational mortality in Norway, Denmark and Finland 1971-1975. In: Committee for International Cooperation of National Research in Demography (Ed.): Socioeconamic differential mortality in industrialised societies. World Health Organisation, Paris.

Mackenbach, J. P. (2012) The persistence of health inequalities in modern welfare states: The explanation of a paradox. Social Science & Medicine, 75, 4, pp. 761–769. https://doi.org/10.1016/j. socscimed.2012.02.031

Mackenbach, J. P.–Bos, V.–Andersen, O.–Cardano, M.–Costa, G.–Harding, S.–Reid, A.– Hemström, Ö.–Valkonen, T.–Kunst, A. E. (2003) Widening socioeconomic inequalities in mortality in six Western European countries. International Journal of Epidemiology, 32, 5, pp. 830–837. https://doi.org/10.1093/ije/dyg209

Mackenbach, J. P.–Stirbu, I.–Jan R. Roskam, A.–Schaap, M. M.–Menvielle, G.–Leinsalu, M.– Kunst, A. E. (2008) Socioeconomic Inequalities in Health in 22 European Countries. The new england journal of medicine, 358, pp. 2468–2481. https://doi.org/10.1056/NEJMsa0707519 • Marmot, M. (2015) The health gap – the challenge of an unequal world. Bloomsbury Press, London.

Marmot, M. G.–Smith, G. D.–Stansfeld, S.–Patel, C.–North, F.–Head, J.–White, I.–Brunner, E.–Feeney, A. (1991) Health inequalities among British civil servants: the Whitehall II study.

Lancet, 337, pp. 1387–1393. https://doi.org/10.1016/0140-6736(91)93068-k

McCartney, G.–Popham, F.–McMaster, R.–Cumbers, A. (2019) Defining health and health inequalities. Public Health, 172, pp. 22–30. https://doi.org/10.1016/j.puhe.2019.03.023.

Nagy Cs.–Juhász A.–Beale L.–Paldy A. (2011) Mortality amenable to health care and its relation to socioeconomic status in Hungary 2004–08. European Journal of Public Health. 22, 5, pp. 620–624. https://doi.org/10.1093/eurpub/ckr143

Nemes Nagy J. (1990) Területi kiegyenlítődés és differenciálódás Magyarországon. Földrajzi Értesítő, 39 1–4, 151–173.

Nordhaus, W. D. (2002) The Health of Nations: The Contribution of Improved Health to Living Standards. NBER Working Paper No. 8818. Cambridge, National Bureau of Economic

Research. https://doi.org/10.7208/chicago/9780226551791.003.0002

Orosz É. (1989) Az egészségügy területi egyenlőtlenségei — az újraértelmezés szükségességéről. Tér és Társadalom, 3, 2, 3–19.

Pacáková, V.–Jindrová, P.–Kopecká, L. (2019) Statistical Analysis of Health Inequalities in European Countries. ITM Web Conf., 24. https://doi.org/10.1051/itmconf/20192402002

Rechnitzer J. (2013) Adalékok Kelet-Közép-Európa térszerkezetének felrajzolására. Geopolitika a XXI. században, 4, 35–52.

Scambler, G. (2007) Social structure and the production, reproduction and durability of health inequalities, Social Theory and Health, 5, 4, pp. 297–315.

Shah, T. I.–Bell, S.–Wilson, K. (2016) Spatial Accessibility to Health Care Services: Identifying under-Serviced Neighbourhoods in Canadian Urban Areas. PLOS ONE, 11, 12, https://doi.org/10.1371/journal.pone.0168208

Simonyi Á. (2015) Synthesis Report: Social Cohesion and Social Policies Growth-Innovation-

Competitiveness Fostering Cohesion in Central and Eastern Europe. Grinkoh Working Papers, 5, http://www.grincoh.eu/media/syhtnesis_reports/grincoh_wp5_synthesis_report_simonyi. pdf Letöltve: 2023. 08. 15.

Smith, G. D.–Bartley, M.–Blane, D. (1990) The Black report on socioeconomic inequalities in health 10 years on. Br. Med. J., 301, pp. 373–377. https://doi.org/10.1136/bmj.301.6748.373

Starfield, B. (2001) Basic concepts in population health and health care. J Epidemiol Community Health, 55, pp. 452–454. https://doi.org/10.1136/jech.55.7.452

Szilágyi D.–Uzzoli A. (2013) Az egészségegyenlőtlenségek területi alakulása az 1990 utáni válságok idején Magyarországon. Területi Statisztika, 16, 2, 130–147.

Uzzoli A.–Pál V. (2019) A térbeli szempontok megjelenése az egészségegyenlőtlenségek csökkentésére irányuló szakpolitikai törekvésekben Magyarországon. In: Karlovitz J. T. (Szerk.): Tanulmányok a kompetenciákra építő, fenntartható kulturális és technológiai fejlődés köréből. International Research Institute (IRI), Komárno. 28–40.

Uzzoli A.–Pál V.–Beke Sz.–Bán A. (2019) Egészségegyenlőtlenség, hozzáférés, térbeliség –

A Szívizominfarktus ellátásának néhány földrajzi jellegzetessége Magyarországon. Földrajzi

Közlemények, 143, 2, 107–123. https://doi.org/10.32643/fk.143.2.2

Vitrai J. (2011) Az egészség és az egészség-egyenlőtlenségek egyéni és közösségi szintű befolyásoló tényezői. Doktori Értekezés, Pécs.

Whitehead, M. (1992) The Concepts and Principles of Equity and Health. International Journal of Health Services, 22, 3, pp. 429–445. https://doi.org/10.2190/986L-LHQ6-2VTE-YRRN • WHO (2013) Review of social determinants and the health divide in the WHO European Region: final report. WHO Regional Office for Europe, Copenhagen.

Wilkinson, R. (1996) Unhealthy Societies — the Afflictions of Inequality. Routledge, London.

INTERNETES FORRÁSOK:

www.ksh.hu

www.teir.hu

Database - Eurostat (europa.eu)

Published

2024-06-30

Issue

Section

Articles

How to Cite

Szentes, V., & Morvay, S. (2024). Territorial factors in health inequalityAbsztrakt. Tér - Gazdaság - Ember Journal of Region, Economy and Society, 12(1-2). https://doi.org/10.14513/tge-jres.00390

Similar Articles

11-20 of 76

You may also start an advanced similarity search for this article.