The limitations of targeting to address inequalities in health: a case study of road traffic injury prevention from the UK

Authors: Green, Judith; Edwards, Phil

Source: Critical Public Health, Volume 18, Number 2, June 2008 , pp. 175-187(13)

Publisher: Routledge, part of the Taylor & Francis Group

Buy & download fulltext article:

Price: $50.43 plus tax (Refund Policy)

Abstract:

So-called 'Third Way' responses to inequalities in health have encouraged the 'targeting' of evidence-based interventions at those communities at high risk in order to improve health outcomes. In the UK, one area of persisting inequalities in mortality and morbidity risk is from injury, and there have been recent national and local incentives for relevant agencies to 'address deprivation' in delivering reductions in injury through 'targeting' particular communities in the context of an evidence-based approach to policy making. This case study draws on interviews with those responsible for implementing policy in London in order to explore the tensions inherent in such approaches. We suggest that 'taking deprivation into account' by targeting is unlikely to be a fruitful route for addressing inequalities in health, as it devolves responsibility to a level which has no power to address the determinants of inequality.

Keywords: inequalities; public policy; injury

Document Type: Research article

DOI: http://dx.doi.org/10.1080/09581590701697300

Affiliations: 1: London School of Hygiene and Tropical Medicine, UK

Publication date: 2008-06-01

More about this publication?