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The health debatePolicy & Politics in the Twenty-First Century$
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David J. Hunter

Print publication date: 2008

Print ISBN-13: 9781861349293

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861349293.001.0001

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Moving upstream: the dilemma of securing health in health policy

Moving upstream: the dilemma of securing health in health policy

(p.141) 6 Moving upstream: the dilemma of securing health in health policy
The health debate

David J. Hunter

Policy Press

This chapter examines the wider public health debates that are gathering pace in many countries that have concluded that merely funding health systems as presently configured is unsustainable. It explains that that most of the gains in population health have less to do with health care services and more to do with factors and policies outside health care. It suggests that health services alone are insufficient on their own and in the absence of an ecological approach to health that recognises the importance of structural determinants on health.

Keywords:   health debate, health systems, population health, health care services, ecological approach, health determinants

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