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Social Determinants of Health Revisited: Detouring Around the Weberian Bureaucracy

2025/12/19 by Ming-Jui Yeh, Ming‐Jui Yeh
Business, Management and Accounting · Health Professions · Social Sciences · #Global Public Health Policies and Epidemiology #Human Rights and Development #Public Health Policies and Education

paper · pdf · doi:10.1017/jme.2025.10205

openalex created_date 2025/12/19 · openalex publication_date 2025/12/19 · openalex updated_date 2026/06/09

Abstract

The knowledge of the Social Determinants of Health (SDH) approach implies Health in All Policies and thorough cultural and social transformations, as well as whole-of-government, whole-of-society policies and governance to address health inequities. Nonetheless, this article argues that in the currently dominant rational decision-making model in health policymaking, these policy implications from the knowledge of the SDH approach would lead to an intrinsic contradiction with the logic of modern bureaucracy based on the legal authority as suggested by Max Weber. Using two examples of social determinants of health - universal health coverage and housing issues - this article demonstrates the potential of the polis model proposed by Deborah Stone to take advantage of the knowledge of the SDH approach to pursue structural policy interventions.

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