Completely agree, and I don't think anyone has mentioned influences on mortality and morbidity outside the health system. Michael marmots work on social determinants, Richard Wilkinson and kate pickets work on the relationship between income inequality in a country and mortality rates. The variation in maternity leave and high quality childcare are all influences on these rates. This is a brilliant starting point to really understand what the data is saying and frame questions differently.
For me, the challenge is what is the potential of a health system to mitigate the wider social determinants and how do we have greater equity in our systems?
Bw
Jane Sandall
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From: A forum for discussion on midwifery and reproductive health research.
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