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Statements

Subject Item
dbr:Inverse_care_law
rdf:type
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逆向照顧法則 Ley de cuidados inversos Loi inverse des soins Inverse care law Lei dos cuidados inversos
rdfs:comment
The inverse care law is the principle that the availability of good medical or social care tends to vary inversely with the need of the population served. Proposed by Julian Tudor Hart in 1971, the term has since been widely adopted. It is considered a landmark publication in the history of The Lancet. The name is a pun on inverse-square law, a term and concept from physics. The law states that: Hart later paraphrased his argument: "To the extent that health care becomes a commodity it becomes distributed just like champagne. That is rich people get lots of it. Poor people don’t get any of it." 逆向照顧法則（inverse care law）是指越是需要醫療照顧及社會關懷的人，其可得到的的資源反而越少。逆向照顧法則是由在1971年提出，後來此用語也廣為使用。逆向照顧法則的英文是來自物理學上的平方反比定律（Inverse-square law）。 逆向照顧法則指出:"良好醫療照顧的可用性會隨著其服務族群的需要程度而減少。若醫療照顧越是暴露在市場機制下，此法則會執行的越徹底，若比較沒有暴露在市場機制下，情形會好一些。" 。 哈特後來再解釋其論點：「到最極致的程度，医疗保健會變成商品，其散播方式類似香檳；有錢人有很多，窮人什麼都沒有。」 逆向照顧法則是有關爭議的核心議題。正如前卫生大臣所提出的「醫療不平等是所有的不平等中最嚴重的一項。你一直到在身體情形很差時，才知道很快就要死亡，沒有任何不平等比這個更嚴重了。"。 La loi inverse des soins est une « loi » de santé publique inventée par (en), médecin anglais né à Londres le 9 mars 1927, fils de Edith Tudor-Hart. Elle s’énonce ainsi : « La disponibilité de soins médicaux de qualité est inversement proportionnelle au besoin de la population desservie ». A lei dos cuidados inversos propõe que a oferta de serviços sociais e de saúde de qualidade é inversamente proporcional à necessidade de uma população. , o médico de família britânico que propôs este princípio, em 1971, indica que esta lei opera ainda mais intensamente nas sociedades em que este setor está mais exposto às forças do mercado. Esta constatação aponta para a importância de produzir políticas de saúde que considerem e priorizem ações e serviços de atenção primária voltados para populações com maiores necessidades, sob maior risco ou com elevada vulnerabilidade social, de modo a reduzir as . La ley de cuidados inversos dice que el acceso a la atención médica o social de calidad varía en proporción inversa a su necesidad en la población asistida.​ Enunciada por Julian Tudor Hart en 1971, el término ha sido ampliamente adoptado.
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dbc:Social_inequality dbc:Public_health dbc:Adages dbc:Determinants_of_health dbc:Health_economics
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dbo:abstract
La loi inverse des soins est une « loi » de santé publique inventée par (en), médecin anglais né à Londres le 9 mars 1927, fils de Edith Tudor-Hart. Elle s’énonce ainsi : « La disponibilité de soins médicaux de qualité est inversement proportionnelle au besoin de la population desservie ». La ley de cuidados inversos dice que el acceso a la atención médica o social de calidad varía en proporción inversa a su necesidad en la población asistida.​ Enunciada por Julian Tudor Hart en 1971, el término ha sido ampliamente adoptado. 逆向照顧法則（inverse care law）是指越是需要醫療照顧及社會關懷的人，其可得到的的資源反而越少。逆向照顧法則是由在1971年提出，後來此用語也廣為使用。逆向照顧法則的英文是來自物理學上的平方反比定律（Inverse-square law）。 逆向照顧法則指出:"良好醫療照顧的可用性會隨著其服務族群的需要程度而減少。若醫療照顧越是暴露在市場機制下，此法則會執行的越徹底，若比較沒有暴露在市場機制下，情形會好一些。" 。 哈特後來再解釋其論點：「到最極致的程度，医疗保健會變成商品，其散播方式類似香檳；有錢人有很多，窮人什麼都沒有。」 逆向照顧法則是有關爭議的核心議題。正如前卫生大臣所提出的「醫療不平等是所有的不平等中最嚴重的一項。你一直到在身體情形很差時，才知道很快就要死亡，沒有任何不平等比這個更嚴重了。"。 A lei dos cuidados inversos propõe que a oferta de serviços sociais e de saúde de qualidade é inversamente proporcional à necessidade de uma população. , o médico de família britânico que propôs este princípio, em 1971, indica que esta lei opera ainda mais intensamente nas sociedades em que este setor está mais exposto às forças do mercado. Esta constatação aponta para a importância de produzir políticas de saúde que considerem e priorizem ações e serviços de atenção primária voltados para populações com maiores necessidades, sob maior risco ou com elevada vulnerabilidade social, de modo a reduzir as . The inverse care law is the principle that the availability of good medical or social care tends to vary inversely with the need of the population served. Proposed by Julian Tudor Hart in 1971, the term has since been widely adopted. It is considered a landmark publication in the history of The Lancet. The name is a pun on inverse-square law, a term and concept from physics. The law states that: "The availability of good medical care tends to vary inversely with the need for it in the population served. This ... operates more completely where medical care is most exposed to market forces, and less so where such exposure is reduced." Hart later paraphrased his argument: "To the extent that health care becomes a commodity it becomes distributed just like champagne. That is rich people get lots of it. Poor people don’t get any of it." The Inverse Care Law is a key issue in debates about the provision of health care and health inequality. As Frank Dobson put it when he was United Kingdom Secretary of State for Health: "Inequality in health is the worst inequality of all. There is no more serious inequality than knowing that you'll die sooner because you're badly off."
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