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      Hacia una salud pública orientada desde los determinantes sociales de la salud: informe de un taller Translated title: Towards a social determinants-oriented approach to public health: workshop report

      brief-report

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          Abstract

          RESUMEN Este artículo es el producto de los resultados de un taller con expertos y expertas en salud pública realizado en Granada en octubre de 2015, que tuvo por objetivo reflexionar sobre qué elementos clave deberían caracterizar una salud pública orientada desde los determinantes sociales de la salud. La labor de abogacía y la formación de profesionales críticos en defensa de la salud pública fueron señalados como elementos centrales. Hubo acuerdo en que el enfoque de género, la mirada salutogénica, el trabajo con otros sectores y una particular atención a colectivos más desfavorecidos son también elementos indispensables. Se subrayó la importancia de trabajar desde un marco de derechos humanos y de promover cambios legislativos. Además, el grupo señaló como reto la necesidad de generar conocimiento sobre cómo intervenir para reducir las brechas de desigualdad en salud, porque hasta ahora solo se ha avanzado identificando determinantes sociales de la salud y generando marcos conceptuales.

          Translated abstract

          ABSTRACT This article is the result of a workshop with public health experts held in Granada (Spain) in October 2015 in order to reflect upon the components of the framework that should be part of a public health approach based on the social determinants of health. Advocacy and training professionals in health advocacy were identified as key elements where this was needed. During the workshop, it was agreed that the gender perspective, the salutogenic approach, interdisciplinary work and particular attention to disadvantaged groups are crucial. The importance of working from a human rights’ framework and promoting legislative changes were also mentioned. Moreover, the group mentioned that even though much progress has been made identifying social determinants of health and creating conceptual frameworks, there is limited knowledge about how to intervene to reduce health inequality gaps in our societies.

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          Evaluation of Health in All Policies: concept, theory and application

          This article describes some of the crucial theoretical, methodological and practical issues that need to be considered when evaluating Health in All Policies (HiAP) initiatives. The approaches that have been applied to evaluate HiAP in South Australia are drawn upon as case studies, and early findings from this evaluative research are provided. The South Australian evaluation of HiAP is based on a close partnership between researchers and public servants. The article describes the South Australian HiAP research partnership and considers its benefits and drawbacks in terms of the impact on the scope of the research, the types of evidence that can be collected and the implications for knowledge transfer. This partnership evolved from the conduct of process evaluations and is continuing to develop through joint collaboration on an Australian National Health & Medical Research Council grant. The South Australian research is not seeking to establish causality through statistical tests of correlations, but instead by creating a 'burden of evidence' which supports logically coherent chains of relations. These chains emerge through contrasting and comparing findings from many relevant and extant forms of evidence. As such, program logic is being used to attribute policy change to eventual health outcomes. The article presents the preliminary program logic model and describes the early work of applying the program logic approach to HiAP. The article concludes with an assessment of factors that have accounted for HiAP being sustained in South Australia from 2008 to 2013.
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            Improving the evidence base on public health assets--the way ahead: a proposed research agenda.

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                gs
                Gaceta Sanitaria
                Gac Sanit
                Ediciones Doyma, S.L. (Barcelona, Barcelona, Spain )
                0213-9111
                October 2018
                : 32
                : 5
                : 488-491
                Affiliations
                [5] orgnameEscuela Andaluza de Salud Pública Spain
                [1] orgnameEscuela Andaluza de Salud Pública Spain
                [4] orgnameInstituto de Investigación Biosanitaria Spain
                [2] orgnameCIBER de Epidemiología y Salud Pública Spain
                [3] Valencia orgnameUniversidad de Alicante orgdiv1Grupo de Investigación en Salud Pública Spain
                Article
                S0213-91112018000500488
                10.1016/j.gaceta.2017.09.003
                aa534a93-950b-4129-9951-2eff1b3fd672

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 24 September 2017
                : 12 July 2016
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 4
                Product

                SciELO Spain

                Categories
                Nota de Campo

                Social determinants of health,Health policy,Public health,Determinantes sociales de la salud,Política de salud,Salud pública

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