Özet:

Access and equity is a major objective of most health care systems. Globalization has had both negative and positive effects on health and health care worldwide and in all coun tries, rich and poor, health and illness follow a social pattern whereby the lower the socioeconomic position, the worse the health. Despite developments in health promotion and disease prevention, the advances in medical technology and more effective therapies, and greater knowledge about health determinants and the factors that influence health, there has not been any change in the health effects of economic and social inequalities. In this paper it is argued that nurses must develop a research, education and political agenda that focuses on the social determinants of health inequalities, and raises public awareness about the social determinants of health.

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