Rights to Social Determinants of Flourishing: A Paradigm for Disability and Public Health Research and Policy

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dc.cclicenceCC-BY-NCen
dc.contributor.authorBerghs, Maria
dc.contributor.authorAtkin, Karl
dc.contributor.authorHatton, Chris
dc.contributor.authorThomas, Carol
dc.date.acceptance2019-07-16
dc.date.accessioned2019-07-30T13:16:34Z
dc.date.available2019-07-30T13:16:34Z
dc.date.issued2019-07-24
dc.descriptionopen access articleen
dc.description.abstractBackground: The term evidence based medicine (EBM) was introduced in the early 1990s in clinical medicine to educate clinicans about how to assess the ‘credibility’ of research to ensure best treatments for their patients. The EBM paradigm has become more diffuse in times of austerity and randomised controlled designs (RCTs) are being used to address complex issues in public health and disability research. This research is not addressing inequalities in terms of diisability nor how people can live well with disabilities. Main text: We argue that there are four ways that public health research needs to change if it wants to address inequalities linked to disability: 1) rethinking theoretical connections between public health and disability; 2) building ethics and equity into interventions through a human rights approach; 3) ensuring ethical inclusion through intersectionality; and 4) evaluating policy and other social impacts to ensure they capture diversity. We argue that these are key issues to building a social determinants of flourishing. Conclusions: We need to understand how disability might have an accumulative impact across the life course, as well as how to ensure equity for people living with disabilities. This means conceptualising a social determinants of flourishing where we evaluate how exactly RCTs and public health interventions, not only lead to greater equality but also ensure rights to health and wellbeing.en
dc.funderNIHR (National Institute for Health Research)en
dc.identifier.citationBerghs, M.; Atkin, K., Hatton, C. and Thomas, C. (2019) Rights to Social Determinants of Flourishing? A Paradigm for Disability and Public Health Research and Policy. BMC Public Health, 19, 997en
dc.identifier.doihttps://doi.org/10.1186/s12889-019-7334-8
dc.identifier.issn1471-2458
dc.identifier.urihttps://www.dora.dmu.ac.uk/handle/2086/18255
dc.language.isoenen
dc.peerreviewedYesen
dc.projectidNIHR-PHR 12/182/14en
dc.publisherBioMed Centralen
dc.researchinstituteInstitute for Allied Health Sciences Researchen
dc.subjectpublic healthen
dc.subjectrandomised controlled trialen
dc.subjectdisabilityen
dc.subjectinterventionen
dc.subjectflourishingen
dc.subjectsocial determinantsen
dc.titleRights to Social Determinants of Flourishing: A Paradigm for Disability and Public Health Research and Policyen
dc.typeArticleen

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