- Oct 2024
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iris.who.int iris.who.int
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Health in low-resource countries is often compromisedby social determinants, such as poverty, malnutrition, pooreducation, unhealthy living conditions, and lack of accessto health care, as well as by corruption in the public andprivate sector
Again, whole people groups disempowered by social determinants, perpetuated by government corruption. Immense obstacles to establishing the Ottawa charter action areas, such as strengthening supportive communities and reorientating health services. I like the term 'politial antennae' - a much needed quality for those those working in health promotion
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The problem of limited access to health care in resource-poorcountries has been exacerbated by a “brain drain”.11 Healthprofessionals trained in resource-poor countries are com-monly recruited to work in wealthier countries, resultingin a severe shortage of health care workers in the former
"Brain drain" an interesting and important contributer to the problem of under resouced health system, and also a barrier to recruiting local people who maight be skilled to enable, mediate, and advocate for the community they know well.
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Human rights encompass what are known ascivil, cultural, economic, political and social rights
These social determinants remain the greatest influencing factors to health and access to health care
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www.aihw.gov.au www.aihw.gov.au
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hese elements of dataquality are derived from, or consistent with, the following frameworks:• the ABS Data Quality Framework (ABS 2009)• the AIHW Data quality statements policy and guidelines 2011 (internal document)• the Australian Commission on Safety and Quality in Health Care Strategic principles for anational approach to Australian clinical quality registries (ACSQHC 2010)• the Canadian Institute for Health Information Data Qual
Elements coherent with other frameworks
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Being a visual person, I love colourful clear visuals that show direction
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template at Table 3
A clear and explanatory guide to assessing data quality
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The Institutional Environment is of most interest to me I would be interested to know the purpose of their data collection in the first place, their interest in the population, how they collected it, how it was resourced and how it has been used so far.
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Includes pain, disability, functioning, problems at school, work disability,loss of productivity, social participation, and mental health, carer impacts
Interesting to see consideration of interrelated aspects such as individual costs and impact on social, mental health, career/education.
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journals.sagepub.com journals.sagepub.com
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Recent policy directions suchas the imposition of “Shared ResponsibilityAgreements” which demand certain behav-iours from Indigenous people as a condi-tion for receiving social security benefitshave acted to reduce the autonomy ofIndigenous peoples and have been inter-preted as a return to more paternalistic pol-icy days
Top-down and bottom-up pressure needs to be consistent, agreed upon, with a common goal, and based on the evidence so far.
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They are also subjected to sig-nificant racism (Hunter, 1993) and live in aworld which is dominated by invisible andlargely unacknowledged assumptions ofwhiteness
More education of the public is needed to raise awareness regarding racism and invisible assumptions. Civic groups could be instrumental in this.
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