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Exploring discourses of equity, social justice and social determinants in Australian health care policy and planning documents

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dc.contributor.authorYoung, J.
dc.contributor.authorMcGrath, R.
dc.date.issued2011
dc.description.abstractThe Australian National Health Reform agenda includes aims to reduce health disadvantages and provide equitable access. However, this reform will be implemented through state and territory governments, and as such will be built on existing conceptualisations of health as a social justice concept (core to understandings of social determinants). A selection of state and territory health policy documents were analysed within a critical discourse framework focussing on their use of terms relating to social determinants. Analysis revealed that the understandings of social justice concepts vary across Australia and are generally apolitical, belying core concerns inherent in a social determinants understanding. Such differentiation bears recognition by reformers seeking to implement national consistency. This paper also considers how health professionals might become aware of their own cultural enmeshment in neo-liberal frameworks of understanding, recognising a social determinants framework as counter-cultural and hence requiring radical thinking.
dc.identifier.citationAustralian Journal of Primary Health, 2011; 17(4):369-377
dc.identifier.doi10.1071/PY11038
dc.identifier.issn1448-7527
dc.identifier.issn1836-7399
dc.identifier.urihttps://hdl.handle.net/1959.8/135071
dc.language.isoen
dc.publisherCSIRO
dc.source.urihttp://dx.doi.org/10.1071/PY11038
dc.subjecthealth justice
dc.subjecthealth outcomes
dc.subjecthealth reforms
dc.subjectnew public management
dc.titleExploring discourses of equity, social justice and social determinants in Australian health care policy and planning documents
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9915909389801831

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