東京大学医学系研究科 国際保健政策学 東京大学 The University of Tokyo

Department of Global Health Policy

Graduate School of Medicine, The University of Tokyo

Inequality and inequity in health

健康における不平等と不公平

先進国・途上国と共に、多くのヘルスケアシステムがアクセスにおける不公平と
提供するサービスの質について重大な問題を抱えている。
皆保険制度がある日本や英国のような先進国ですら、不公平の現状が観察され、
社会の最貧層と富裕層の間では医療結果に大きな違いを生み出しうる。
当研究室では先進国・途上国のデータをもとに、ヘルスケアの不公平を特定し、不公平が生まれる家庭、
そのヘルスシステムへの効果、改善のための介入についての理解を深めている。

In both the developed and the developing world, many health systems face significant problems
of inequity in access to or quality of health care.
Even in developed nations with universal coverage, such as Japan or the UK,
inequity can be observed and can produce significant differences in health outcomes
between the poorest and richest members of society.
The department of Global Health Policy works with data from developing and
developed nations to both identify specific health inequities,
and to advance our understanding of how inequality is created,
its health system effects, and the best interventions to ameliorate it.

研究員 Researchers: Stuart Gilmour スチュアート・ギルモー
研究トピック Research Topics: Health system performance assessment

Recent Publications

Rahman MS, Rahman MM, Gilmour S, Swe KT, Abe SK, Shibuya K. Trends in, and projections of, indicators of universal health coverage in Bangladesh, 1995–2030: a Bayesian analysis of population-based household data. The Lancet Global Health. 2018; 6: e84-94.

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Rahman MM, Karar A, Rahman MS, Parsons A, Abe SK, Bilano V, Gilmour S, Shibuya K. Progress toward universal health coverage: a comparative analysis in 5 South Asian countries. JAMA Intern Med. 2017; 177(9): 1297-1305.

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Islam MR, Rahman MS, Islam Z, Zhang C, Sultana P, Rahman MM. Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage. International Journal for Equity in Health. 2017;16:59

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Saito E, Gilmour S, Yoneoka D, Gautam GS, Rahman MM, Shrestha PK, Shibuya K. Inequality and inequity in healthcare utilization in urban Nepal: a cross-sectional observational study. Health Policy and Planning. 2016;31(7):817-24.

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Yoneoka D, Saito E, Nakaoka S. New algorithm for constructing area-based index with geographical heterogeneities and variable selection: An application to gastric cancer screening. Scientific Reports. 2016; 6:26582.

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Nomura S, Parsons AJQ, Hirabayashi M, Kinoshita R, Liao Y, Hodgson S. Social determinants of mid- to long-term disaster impacts on health: A systematic review. International Journal of Disaster Risk Reduction. 2016;16: 53-67

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Wada K, Gilmour S. Inequality in mortality by occupation related to economic crisis from 1980 to 2010 among working-age Japanese males. Scientific Reports. 2015; 6: 22255

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Shibuya K, Gilmour S. Civil registration as a means to promote human security. The Lancet. 2015; Online. DOI: http://dx.doi.org/10.1016/S0140-6736(15)60765-6

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Honjo K, Iso H, Nakaya T, Hanibuchi T, Ikeda A, Inoue M, Sawada N, Tsugane S; Japan Public Health Center-based Prospective Study Group. Impact of neighborhood socioeconomic conditions on the risk of stroke in Japan. Journal of Epidemiology. 2015;25(3):254-60. doi: 10.2188/jea.JE20140117.

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Nishino Y, Gilmour S, Shibuya K. Inequality in Diabetes-Related Hospital Admissions in England by Socioeconomic Deprivation and Ethnicity: Facility-Based Cross-Sectional. PLOS ONE. 2015;10(2): e0116689. doi: 10.1371/journal.pone.0116689

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Miki Y, Inoue M, Ikeda A, Sawada N, Nakaya T, Shimazu T, Iwasaki M, Yamaji T, Sasazuki S, Shibuya K, Tsugane S; JPHC Study Group. Neighborhood deprivation and risk of cancer incidence, mortality and survival: results from a population-based cohort study in Japan. PLoS One. 2014;9(9):e106729. doi: 10.1371/journal.pone.0106729

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Honjo K, Iso H, Inoue M, Sawada N, Tsugane S; JPHC Study Group. Socioeconomic status inconsistency and risk of stroke among Japanese middle-aged women. Stroke. 2014;45(9):2592-8.doi:10.1161/STROKEAHA.114.005238.

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Saito E, Gilmour S, Rahman MM, Gautam GS, Shreshta PK, Shibuya K. Incidence of and illnesses associated with catastrophic household expenditure on health in Nepal: a cross-sectional survey. Bulletin of the World Health Organization. 2014; 92:760-767.

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Nakaya T, Honjo K, Hanibuchi T, Ikeda A, Iso H, Inoue M, Sawada N, Tsugane S; Japan Public Health Center-based Prospective Study Group. Associations of all-cause mortality with census-based neighbourhood deprivation and population density in Japan: a multilevel survival analysis. PLoS One. 2014;9(6):e97802. doi: 10.1371/journal.pone.009780

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Miki Y. Neighborhood deprivation index and risk of cancer incidence, death and survival in Japan. 2014. Master's Thesis. University of Tokyo.