Political and Welfare State Determinants of Infant and Child Health indicators : An Analysis of Wealthy Countries  

Oleh:

Haejoo Chung ; Muntaner, Charles

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 3 (Aug. 2006), page 829-842.
Topik: WELFARE STATE; welfare state; politics of health care; public medical care; infant mortality; under five mortality; low birth weight; comparative

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Economic indicators such as income inequality are gaining attention as putative determinants of population health. On the other hand, we are just beginning to explore the health impact on population health of political and welfare state variables such as political orientation of government or type of medical care coverage. To determine the socially structured impact of political and welfare state variables on low birth weight rate, infant mortality rate and under five mortality rate, we conducted an ecological study with unbalanced time series data from 19 welathy OECD countries for the years from 1960 to 1994. Among the political / welfare state variables, total public medical coverage was the most significant predictor obtained by social democratic or labor parties. Overall, political and welfare state variables (including indicators of health policies) are associated with infant and child health indicators. hile a strong medical care system seems crucial to some population health outcomes (e.g. the infant mortality rate), other population health outcomes might be impacted by social policies enacted parties supporting strong welfare states (the low borth weght rate). Our investigation suggests that strong political will that advocates for more egalitarian welfare policies, including public medical services is important in maintaining and improving the nation's health.

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