2023-09-28 14:46:10 +00:00
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abstract: 'This analysis reflects on the importance of political parties, and the
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policies they implement when in government, in determining the level of
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equalities/inequalities in a society, the extent of the welfare state
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(including the level of health care coverage by the state), the
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employment/unemployment rate, and the level of population health. The
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study looks at the impact of the major political traditions in the
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advanced OECD countries during the golden years of capitalism
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(1945-1980) - social democratic, Christian democratic, liberal, and
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ex-fascist - in four areas: (1) the main determinants of income
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inequalities, such as the overall distribution of income derived from
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capital versus labor, wage dispersion in the labor force, the
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redistributive effect of the welfare state, and the levels and types of
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employment/unemployment; (2) levels of public expenditures and health
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care benefits coverage; (3) public support of services to families, such
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as child care and domiciliary care; and (4) the level of population
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health as measured by infant mortality rates. The results indicate that
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political traditions more committed to redistributive policies (both
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economic and social) and full-employment policies, such as the social
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democratic parties, were generally more successful in improving the
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health of populations, such as reducing infant mortality. The erroneous
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assumption of a conflict between social equity and economic efficiency,
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as in the liberal tradition, is also discussed. The study aims at
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filling a void in the growing health and social inequalities literature,
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which rarely touches on the importance of political forces in
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influencing inequalities. The data used in the study are largely from
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OECD health data for 1997 and 1998; the OECD statistical services; the
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comparative welfare state data set assembled by Huber, Ragin and
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Stephens; and the US Bureau of Labor Statistics. (C) 2001 Elsevier
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Science Ltd. All rights reserved.'
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affiliation: 'Navarro, V (Corresponding Author), Johns Hopkins Univ, Sch Hyg \& Publ
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Hlth, Dept Hlth Policy \& Management, 4th Floor,624 N Broadway, Baltimore, MD 21205
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USA.
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Johns Hopkins Univ, Sch Hyg \& Publ Hlth, Dept Hlth Policy \& Management, Baltimore,
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MD 21205 USA.'
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author: Navarro, V and Shi, LY
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author_list:
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- family: Navarro
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given: V
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- family: Shi
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given: LY
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da: '2023-09-28'
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doi: 10.1016/S0277-9536(00)00197-0
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: social inequalities; health; welfare state
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keywords-plus: WELFARE-STATE; QUALITY; LIFE
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language: English
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month: FEB
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number: '3'
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number-of-cited-references: '18'
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orcid-numbers: Navarro, Vicente/0000-0002-3310-3984
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pages: 481-491
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papis_id: ce1a9168e0bc0e179be06088118b1e5f
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ref: Navarro2001politicalcontext
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researcherid-numbers: Navarro, Vicente/E-8174-2014
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times-cited: '291'
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title: The political context of social inequalities and health
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000165962500013
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usage-count-last-180-days: '0'
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usage-count-since-2013: '68'
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volume: '52'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '2001'
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