ArticleInternational journal for equity in health2009
The ideal of equal health revisited: definitions and measures of inequity in health should be better integrated with theories of distributive justice.
Article in International journal for equity in health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed.
- Health equity impact of community-initiated kangaroo mother care: a randomized controlled trial.International journal for equity in health · 2021Trial
- Estimating and Rewarding the Value of Healthcare Interventions Beyond the Healthcare Sector: A Conceptual Framework.PharmacoEconomics · 2024Article
- Bridging ethics and epidemiology: Modelling ethical standards of health equity.SSM - population health · 2023Article
- Contributions of declining mortality, overall and from HIV, TB and malaria, to reduced health inequality and inequity across countries.Health policy and planning · 2023Article
- Top and bottom longevity of nations: a retrospective analysis of the age-at-death distribution across 18 OECD countries.European journal of public health · 2023Article
- Strategic COVID-19 vaccine distribution can simultaneously elevate social utility and equity.Nature human behaviour · 2022Article
- Age, Frailty, Resuscitation and Intensive Care: With Reference to COVID-19.Geriatrics (Basel, Switzerland) · 2021Article
- Inequality of health stock and the relation to national wealth.International journal for equity in health · 2019Article
- Defining health and health inequalities.Public health · 2019Review
- A flexible formula for incorporating distributive concerns into cost-effectiveness analyses: Priority weights.PloS one · 2019Article
- Health, priority to the worse off, and time.Medicine, health care, and philosophy · 2018Article
- Health inequalities and inequities by age: Stability for the Health Utilities Index and divergence for the Frailty Index.SSM - population health · 2018Article
- End-of-Life Decision Making in Palliative Care and Recommendations of the Council of Europe: Qualitative Secondary Analysis of Interviews and Observation Field Notes.Journal of palliative medicine · 2018Article
- Considering health equity when moving from evidence-based guideline recommendations to implementation: a case study from an upper-middle income country on the GRADE approach.Health policy and planning · 2017Article
- On Effective Graphic Communication of Health Inequality: Considerations for Health Policy Researchers.The Milbank quarterly · 2017Article
- Costs and expected gain in lifetime health from intensive care versus general ward care of 30,712 individual patients: a distribution-weighted cost-effectiveness analysis.Critical care (London, England) · 2017Article
- Health and legal literacy for migrants: twinned strands woven in the cloth of social justice and the human right to health care.BMC international health and human rights · 2017Article
- The Ethical Imperative to Move to a Seven-Day Care Model.Journal of bioethical inquiry · 2016Article
- Food sovereignty, food security and health equity: a meta-narrative mapping exercise.Health policy and planning · 2015Review
- Towards universal health coverage for reproductive health services in Ethiopia: two policy recommendations.International journal for equity in health · 2015Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The past decade witnessed great progress in research on health inequities. The most widely cited definition of health inequity is, arguably, the one proposed by Whitehead and Dahlgren: "Health inequalities that are avoidable, unnecessary, and unfair are unjust." We argue that this definition is useful but in need of further clarification because it is not linked to broader theories of justice. We propose an alternative, pluralist notion of fair distribution of health that is compatible with several theories of distributive justice. Our proposed view consists of the weak principle of health equality and the principle of fair trade-offs. The weak principle of health equality offers an alternative definition of health equity to those proposed in the past. It maintains the all-encompassing nature of the popular Whitehead/Dahlgren definition of health equity, and at the same time offers a richer philosophical foundation. This principle states that every person or group should have equal health except when: (a) health equality is only possible by making someone less healthy, or (b) there are technological limitations on further health improvement. In short, health inequalities that are amenable to positive human intervention are unfair. The principle of fair trade-offs states that weak equality of health is morally objectionable if and only if: (c) further reduction of weak inequality leads to unacceptable sacrifices of average or overall health of the population, or (d) further reduction in weak health inequality would result in unacceptable sacrifices of other important goods, such as education, employment, and social security.
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Registered trials
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