Health-care access as a social determinant of health.
The social determinants of health (SDH) are recognized as important indicators of health and well-being. Health-care services (primary, secondary, tertiary care) have not until recently been considered an SDH. Inequities in access to health care are changing this view. These inequities include barriers faced by certain population groups at point of care, such as the lack of cultural competence of health-care providers. The authors show how a social justice perspective can help nurses understand how to link inequities in access to poorer health outcomes, and they call on nurses to break the cycle of oppression that contributes to these inequities.
School of Nursing, St Francis Xavier University, Antigonish , Nova Scotia.
Elizabeth
E
McGibbon
Josephine
J
Etowa
Charmaine
C
McPherson
D002170:Canada; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006801:Humans; D009729:Nursing; D012935:Social Justice