In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.

This open access book applies insights from the network perspective in health research to explain the reproduction of health inequalities. It discusses the extant literature in this field that strongly correlates differences in social status with health behaviours and outcomes, and add to this literature by providing a coherent theoretical explanation for the causes of these health inequalities. It also shows that much research is needed on the precise factors and the social and socio-psychological mechanisms that are at play in creating and cementing social inequalities in health behaviours. While social support and social relations have received considerable attention within social and behavioural science research on health inequalities, this book considers the whole network of interpersonal relations, structures and influence mechanisms. This is the perspective of the social network analytical approach which has recently gained much attention in health research. The chapters of this book cover state-of-the-art research, open research questions, and perspectives for future research. The book provides network analyses on health inequalities from the perspective of sociology, psychology, and public health and is of interest to a wide range of scholars, students and practitioners trying to understand how health inequalities are reproduced across generations.

This volume engages the interface between the development of human lives and social relational networks. It focuses on the integration of two subfields of sociology/social science--the life course and social networks. Research practitioners studying social networks typically focus on social structure or social organization, ignoring the complex lives of the people in those networks. At the same time, life course researchers tend to focus on individual lives without necessarily studying the contexts of social relationships in which lives are embedded and “linked” to one another through social networks. These patterns are changing and this book creates an audience of researchers who will better integrate the two subfields. It covers the role of social networks across the life span, from childhood and adolescence, to midlife, through old age.

This book looks at the pressing issue of the contribution of information systems (IS) to the healthcare field. It examines the potential of IS to change management processes in complex organizations, before addressing more specific concerns relating to the healthcare domain. It then looks at the increasing demand for accountability and the struggle of management accounting systems in pursuing cost effectiveness and quality, in turn signalling how and why IS have the potential and power to re-shape the healthcare context. In so doing, the book offers a fresh and wholly encompassing look at the future of healthcare in the digital area, providing a base for reflection to practitioners and policymakers.

Evidence indicates that actions within four main themes (early child development fair employment and decent work social protection and the living environment) are likely to have the greatest impact on the social determinants of health and health inequities. A systematic search and analysis of recommendations and policy guidelines from intergovernmental organizations and international bodies identified practical policy options for action on social determinants within these four themes. Policy options focused on early childhood education and care; child poverty; investment strategies for an inclusive economy; active labour market programmes; working conditions; social cash transfers; affordable housing; and planning and regulatory mechanisms to improve air quality and mitigate climate change. Applying combinations of these policy options alongside effective governance for health equity should enable WHO European Region Member States to reduce health inequities and synergize efforts to achieve the United Nations Sustainable Development Goals.

Provides wide-ranging anaylses and reviews of the UK's experiences of health inequalities research and policy to date, and reflects on the lessons that have been learnt from these experiences, both within the UK and internationally.