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Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin Workshop III Public Health Strategies for Vulnerable Groups Ullrich Bauer, Diana Sahrai

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin Workshop III Public Health Strategies for Vulnerable Groups Ullrich Bauer, Diana Sahrai

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Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

Workshop III

Public Health Strategies for Vulnerable Groups

Ullrich Bauer, Diana Sahrai

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

Introduction

1. The focus of the workshop

2. Main insights we are trying to deepen

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

Introduction

1. The focus of the workshop

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

Introduction

1. The focus of the workshop

We are talking about Health Care Inequalities and the groups that can be defined as vulnerable. Main focus will be how to address these groups in the Health Care System or – in general – in Health services.

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

Introduction

1. The focus of the workshop

2. Main insights we are trying to deepen

Black Box Character

Description level is more complete than the explanation of health care inequalities

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

hbscUniversität Bielefeld

Tagung Health Inequalities, 13.-14. Juni 2008

Health Care InequalitiesHealth Service Disparity

AccessUnequal

Use

Unequal ResourcesUnequal

Access

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

hbscUniversität Bielefeld

Tagung Health Inequalities, 13.-14. Juni 2008

Health Care InequalitiesHealth Service Disparity

AccessUnequal

Use

Formal barriersi.e. economic

Unequal ResourcesUnequal

Access

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

hbscUniversität Bielefeld

Tagung Health Inequalities, 13.-14. Juni 2008

Health Care InequalitiesHealth Service Disparity

AccessUnequal

Use

Formal barriersi.e. economic

Social Homogamyi.e. privileging same habitus

Unequal ResourcesUnequal

Access

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

hbscUniversität Bielefeld

Tagung Health Inequalities, 13.-14. Juni 2008

Health Care InequalitiesHealth Service Disparity

AccessUnequal

Use

Formal barriersi.e. economic

Social Homogamyi.e. privileging same habitus

Competencies“Unable to do“

Aspirations“Don’t want to“

Unequal ResourcesUnequal

Access

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

US-Institute of Medicine (IOM)

Health care inqualitiy

“between population groups to be the difference in treatment or access not justified by the difference in health status or preferences of the groups.”

(McGuire 2006: 1979)

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

Vulnerability

In general, vulenarable is an ill, disabled etc. person

According to the discussion on Health Inequalities, vulnerability is an insufficient availability of resources – economic, cultural, social – determining the access to good medical care and different types of use

Reducing Health Inequalities, Conference 8 - 9 May 2009, Berlin

Workshop III

Public Health Strategies for Vulnerable Groups

Orna Baron-Epel, Inequalities in Health in Vulenrable Populations in Israel