Income inequality, structural racism, and Canada's low performance in health equity

Healthcare Management Forum
Nathan C NickelMichael Paillé

Abstract

In 2017, the Commonwealth Fund released a report evaluating 11 countries' healthcare systems on a variety of domains; one of these domains was health equity. Canada's score on health equity placed it among the bottom three countries. This article applies a conceptual framework for health equity developed by the World Health Organization's Commission on the Social Determinants of Health to reflect upon and discuss mechanisms that may help to explain Canada's low score. We discuss the role that two societal-level constructs-income inequality and structural racism-play in shaping population health and health equity. We use publically available data to examine whether income inequality correlates with the Commonwealth Fund report's equity measures. We also comment on the role that Canada's history of colonialism may play in its health equity ranking.

References

Mar 23, 2005·Lancet·Michael Marmot
Oct 18, 2005·Social Science & Medicine·Richard G Wilkinson, Kate E Pickett
Oct 2, 2007·Lancet·Michael Marmot, UNKNOWN Commission on Social Determinants of Health
Nov 11, 2008·Lancet·Michael MarmotUNKNOWN Commission on Social Determinants of Health
Feb 20, 2010·Journal of Health Care for the Poor and Underserved·Camara Phyllis JonesCamille Arnel Jones
Feb 11, 2014·Social Science & Medicine·Alicia LukachkoKatherine M Keyes
Nov 5, 2014·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Nathan C NickelUNKNOWN Paths Equity Team
Jan 13, 2015·Social Science & Medicine·Kate E Pickett, Richard G Wilkinson
Apr 1, 2011·Du Bois Review : Social Science Research on Race·Gilbert C Gee, Chandra L Ford
Jun 13, 2015·American Journal of Public Health·Maeve E WallaceKatherine L Grantz
Apr 1, 2017·Health & Place·Maeve WallaceKatherine Theall

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Citations

May 6, 2021·International Journal of Health Services : Planning, Administration, Evaluation·Deb F MahabirCarles Muntaner

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