Charles Darwin University

CDU eSpace
Institutional Repository

 
CDU Staff and Student only
 

Reflections on the framing of 'health equity' in the National Primary Health Care Strategic Framework: a cause for celebration or concern?

Smith, James A. (2014). Reflections on the framing of 'health equity' in the National Primary Health Care Strategic Framework: a cause for celebration or concern?. Health Promotion Journal of Australia,25(1):42-45.

Document type: Journal Article
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Altmetric Score Altmetric Score is 12
Google Scholar Search Google Scholar

IRMA ID 84473306xPUB57
Title Reflections on the framing of 'health equity' in the National Primary Health Care Strategic Framework: a cause for celebration or concern?
Author Smith, James A.
Journal Name Health Promotion Journal of Australia
Publication Date 2014
Volume Number 25
Issue Number 1
ISSN 1036-1073   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84898986595
Start Page 42
End Page 45
Total Pages 4
Place of Publication Australia
Publisher Australian Health Promotion Association
HERDC Category C1 - Journal Article (DIISR)
Abstract Issue addressed: There has been a growing national and global focus on the need to address social determinants of health to better achieve equitable health outcomes. In Australia, this focus is now being embedded into state, territory and Commonwealth government health policies. In this paper I use the National Primary Health Care Strategic Framework as a case study to examine the way in which ‘health equity’ and other related terms have been framed within a current national health policy context.

Discussion: Using a critically reflective approach, I argue that primary health care and health promotion professionals need to capitalise on the inclusion of terms such as ‘action on social determinants of health’, ‘health equity’ and ‘reducing inequity’ through emerging national health policies, such as the National Primary Health Care Strategic Framework. Yet, there is also a need to proceed with caution. The way in which these terms are framed appears to deviate from the principles, values and ideologies on which they are historically based. The implications for contemporary health promotion practice in Australia are discussed.

Conclusions: Primary health care and health promotion professionals working in both policy and practice contexts are encouraged to engage in critical reflective practice when interpreting and considering the implementation requirements of national health policies that incorporate a health equity focus.

So what?:
To build health equity in Australia, primary health care and health promotion professionals will be required to engage in the skilful reframing of current primary health care policy discourses relating to health equity during health promotion planning, implementation and evaluation processes.
Keywords health equity
health policy
health promotion
primary health care
social determinants of health
DOI http://dx.doi.org/10.1071/HE13106   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
Versions
Version Filter Type
Access Statistics: 24 Abstract Views  -  Detailed Statistics
Created: Wed, 19 Aug 2015, 12:07:39 CST