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6 - From Risk Factors to Social Determinants

How the Changing Social Democratic Welfare Regime in Finland Reframed Health Inequality

Published online by Cambridge University Press:  24 December 2019

Julia Lynch
Affiliation:
University of Pennsylvania
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Summary

In 1964, a nationwide survey of health and health care utilization in the Finnish population revealed striking inequalities. Finnish citizens living in rural areas, where access to medical services was limited, had higher mortality, and poorer people in Finland were more frequently ill than their higher-socioeconomic status (SES) neighbors, yet less likely to see a doctor. In response, an innovative program, organized at the municipal level, was rolled out in 1972. It provided integrated public health, prevention, and primary health care and services free of charge, and focused on the poorest areas first. A review of health policy by the tripartite Economic Council that same year articulated the joint goals of improving population health and ensuring a more equal distribution of health, a dual formulation that would later be repeated in the WHO’s Health For All agenda (interview FI5). The North Karelia project, Finland’s internationally renowned, multisectoral effort to reduce regional inequalities in cardiovascular mortality, was also launched in 1972.

Type
Chapter
Information
Regimes of Inequality
The Political Economy of Health and Wealth
, pp. 144 - 175
Publisher: Cambridge University Press
Print publication year: 2020

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