[The local organization of health equity or the mistakes of intersectorality]

Rev Epidemiol Sante Publique. 2019 Feb:67 Suppl 1:S13-S18. doi: 10.1016/j.respe.2018.12.059. Epub 2019 Jan 5.
[Article in French]

Abstract

In recent years, there has been a new institutional set of developments in France aimed at promoting the adoption of partnership-based, cross-sectoral and modulated health policies based on the health status of the population. Nevertheless, because addressing the challenge of health equity depends largely on the mobilization of a large number of protagonists with very heterogeneous initiatives, interests and values, the conduct of such policies potentially opens up a space for confrontation between those who wish to promote it and those who refuse, challenge, circumvent or neutralize the reconfigurations of public action and the work routines it inevitably induces. This company can therefore be marked by tensions and additional constraints for the actors. In this context, it remains largely conditional.

Keywords: Action locale; Intersectoriality; Intersectorialité; Inégalités sociales de santé; Local action; Partenariat; Partnership; Social inequalities of health.

MeSH terms

  • Health Equity / legislation & jurisprudence
  • Health Equity / organization & administration*
  • Health Equity / standards
  • Health Policy
  • Health Promotion / legislation & jurisprudence
  • Health Promotion / organization & administration*
  • Health Promotion / standards
  • Health Services Accessibility / legislation & jurisprudence
  • Health Services Accessibility / organization & administration
  • Health Services Accessibility / standards
  • Health Status Disparities*
  • Humans
  • Intersectoral Collaboration*
  • Local Government
  • Public-Private Sector Partnerships / legislation & jurisprudence
  • Public-Private Sector Partnerships / organization & administration
  • Public-Private Sector Partnerships / standards
  • Scientific Experimental Error