The health of individuals and populations is influenced by many variables. These include genetics and biology, but perhaps more important than these are the social determinants of health. The social, political and economic circumstances in which people live their lives are critical in determining how long they live and with what burden of ill health. These differences are very marked between countries, for example a 15-year-old boy in Lesotho has about a 10% chance of living until the age of 60, compared with a 15-year-old boy in Sweden who has ...

An astute bureaucratic pundit named Rufus Miles once observed that ‘where you stand depends on where you sit’ (Miles 1978). This ‘Miles Law’ deserves to be kept centrally in mind when considering not only traditional bureaucratic behaviour, but also health equity; for one's judgment about what's ‘best’ in the health equity area is unavoidably shaped by his/her institutional experience, background and interests.Rather than challenge such an unfortunately well-established reality, better for an author to admit at the outset just where (s)he has ...

This editorial questions the implications of the capability approach for health economics. Two specific issues are considered: the evaluative space of capablities (as opposed to health or utility) and the decision-making principle of maximisation. The paper argues that the capability approach can provide a richer evaluative space enabling improved evaluation of many interventions. It also argues that more thought is needed about the decision-making principles both within the capability approach and within health economics more generally. Specifically, ...

Racism, ethnocentrism, segregation, stereotyping, and classism are tightly linked to health equity and social determinants of health. They lead to lack of power, money, resources, and education which may result in poor health care access and outcomes. Health profession faculties must address the complex relationships that exist between individual, interpersonal, institutional, social and political factors that influence health outcomes in both clinical and research training. Thus, the purposes of this paper are to provide examples of training ...

The “Triangle that Moves the Mountain” is a conceptualized strategy initiated as a social tool for solving difficult social problems, by simultaneously strengthening capacity in three interrelated sectors: (1) creation of knowledge; (2) social movement; and (3) political involvement. The concept has been claimed as the basis of many successes in various Thai policy arenas. This article describes the strategy implications of four alcohol policy development case studies. The first case is the establishment process for the Thai Health Promotion ...

The concepts of social enterprise and social entrepreneurship are making amazing breakthroughs in EU countries and the United States. Until recently, the debates on both sides of the Atlantic have taken place in parallel trajectories with few connections among them. In the first part of the paper, we describe the European and US historical landscapes in which those concepts took root. In the second part, we analyse how the various conceptualizations have evolved. This analysis paves the way for the third part, in which we highlight the conceptual ...