Health policies are specified in documents that contain values, objectives, strategies, and interventions to be implemented. The objective of our study was to analyse health policy documents of six European cities and one county council published around 2010 to determine (i) how cities conceptualize health inequalities, and (ii) what strategies are proposed to reduce them. We performed a qualitative document analysis. We selected Health or Health Inequalities policy documents and analysed the following aspects: general characteristics of the document, inclusion and definition of health inequalities, promotion of good governance and participation, number of objectives, and evaluation. We also described specific objectives. Rotterdam, London, and Stockholm use a conceptual framework. Two of them define health inequalities as a social gradient. Intersectoral action, participation, and evaluation are included in most documents. Interventions focus mainly on the socioeconomic context.

译文

在包含要实施的价值观,目标,策略和干预措施的文件中指定了健康政策。我们研究的目的是分析2010年左右发布的六个欧洲城市和一个县议会的卫生政策文件,以确定 (i) 城市如何概念化健康不平等现象,以及 (ii) 提出了哪些减少不平等现象的策略。我们进行了定性文件分析。我们选择了健康或健康不平等政策文件,并分析了以下几个方面: 文件的一般特征,健康不平等的纳入和定义,促进善治和参与,目标数量和评估。我们还描述了具体目标。鹿特丹、伦敦和斯德哥尔摩使用概念框架。其中两个将健康不平等定义为社会梯度。大多数文件都包含部门间行动、参与和评估。干预主要集中在社会经济背景上。

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