Inequality and health: Can medical practice address the consequences of inequalities?

J Eval Clin Pract. 2024 Dec;30(8):1617-1628. doi: 10.1111/jep.14067. Epub 2024 Jul 8.

Abstract

Background: The extent to which governments provide socioeconomic supports has been highlighted by their spending during the COVID-19 pandemic. This has implications for patterns of inequality, in particular on exacerbating unequal health and well-being.

Results: Inequity has expanded due to neoliberalism, a market-based approach that has endured for more than four decades. Together with COVID-19, it has developed and exposed many structural governance differences.

Discussion: There are a number of examples presented of the effects of inequalities on health and well-being. The role of general practice in addressing these is discussed and challenges are highlighted, especially those relating to payment systems and workforce constraints.

Keywords: COVID‐19; health financing; inequity; social investment; sociopolitical orientation; workforce constraints.

MeSH terms

  • COVID-19* / epidemiology
  • General Practice / organization & administration
  • Health Inequities
  • Health Status Disparities
  • Healthcare Disparities
  • Humans
  • Pandemics
  • SARS-CoV-2
  • Socioeconomic Factors