Equity in transport: Learning from the policy domains of housing, health care and education
نویسندگان
چکیده
Introduction The aim of this paper is to explore the equity principles in three main domains of government intervention (health, education and especially housing) and to draw lessons for the domain of transport. In line with the burgeoning literature, we consider equity in transport to be primarily – albeit not only – concerned with the level of accessibility conferred by the transport-land use system to persons. While some (recent) research has explored what requirements of fairness may imply for accessibility the issue has received scant attention in the practice of transport planning and policy. In contrast, equity principles are fairly well established in the domains of health care, education and housing. By analyzing the equity principles in each of the latter domains, and assessing their possible relevance for the domain of transport, we want to contribute to the rapidly growing literature addressing equity concerns in the domain of transport. Methods The paper consists of two parts. In the first part, we conduct a thought experiment with the aim to provide a rough first estimate of the population at risk of what we call accessibility poverty. In the second part of the paper, we contrast the (lack of) equity principles in the transport domain with the type of equity principles underpinning three domains of government intervention: health care, education, and housing. We have selected these domains, because in contrast to transport, they are generally considered key anchors of developed welfare states; and in parallel to transport, they are each concerned with the delivery of a particular good to citizens. Results We estimate that in developed (Northern-European) countries about 9% to 11% of households is at risk of accessibility poverty. Of this group, 7% of all households is at risk because of a poor transport system (and sometimes also because of affordability problems), while another 2% to 4% is at risk of accessibility poverty because of disproportionally high motoring costs. We observe that most Western societies have well-established policies regarding the fair provision of health care, education and housing for all (income) groups. In contrast, decision-makers have not even started to define what fairness in the domain of transport could amount to. Conclusion Given the importance of mobility in modern societies, we argue that there is an urgent need for societal and policy debates about fairness and for subsequent translation of the outcomes of these debates into adequate principles, standards, and policies for the transport domain.
منابع مشابه
Adaptive Policies for Reducing Inequalities in the Social Determinants of Health
Inequalities in the social determinants of health (SDH), which drive avoidable health disparities between different individuals or groups, is a major concern for a number of international organisations, including the World Health Organization (WHO). Despite this, the pathways to changing inequalities in the SDH remain elusive. The methodologies and concepts within system science are now viewed ...
متن کاملMeasuring equity in household\'s health care payments (Tehran- Iran 2013): technical points for health policy decision makers
Background: Households’ financial protection against health payments and expenditures and equity in utilization of health care services are of the most important tasks of governments. This study aims to measuring equity in household’s health care payments according to fairness in financial contribution (FFC) and Kakwani indices in Tehran-Iran, 2013. Methods: This cross-sectional study was c...
متن کاملEquity in the Utilization of Healthcare Services in India: Evidence from National Sample Survey
Background The pursuit of equity in health and healthcare has been the key feature of health policy in India. However, despite the policy significance, the volume of literature available on this issue is scarce. Therefore, this paper is an attempt to examine the horizontal inequities in healthcare utilization, consisting of outpatient and inpatient care in 15 major states and north-eastern regi...
متن کاملCivil rights as determinants of public health and racial and ethnic health equity: Health care, education, employment, and housing in the United States
This essay examines how civil rights and their implementation have affected and continue to affect the health of racial and ethnic minority populations in the United States. Civil rights are characterized as social determinants of health. A brief review of US history indicates that, particularly for Blacks, Hispanics, and American Indians, the longstanding lack of civil rights is linked with pe...
متن کاملThe Development and Initial Validation of the Perinatal Mental Health Awareness Scale in Student Midwives
Background & aim: Perinatal mental health problems have been demonstrated to impact upon maternal, and fetal/child outcomes. Despite the global evidence and a policy-driven responsibility for identification of these problems, research demonstrates that student midwives/midwives lack knowledge and confidence to assess, identify, and manage them. A similar context is evident for learning disabili...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2017