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グローバリゼーションと健康:グローバルなビジョンの必要性
Ted Schrecker1, Ronald Labonté, Roberto De Vogli
1Institute of Population Health, University of Ottawa, Ontario, Canada.
Lancet (London, England)
|November 11, 2008
まとめ
経済的に定義されたグローバリゼーションは,健康上の不平等を自動的に軽減するものではありません. 代わりに,健康格差を拡大する4つのダイナミクスを生み出し,再配分,規制,権利のためのターゲットを絞った政策を必要とします.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 健康経済学 医療経済学
- 社会学 社会学 社会学とは
背景:
- 世界保健機関 (WHO) の健康の社会的決定因子委員会 (CSDH) は,健康上の不平等を減らすことを倫理的な必須事項として特定しています.
- CSDHを支えるグローバリゼーション・ノレッジ・ネットワークからの証拠は,この分析を参考にします.
研究 の 目的:
- グローバリゼーションを経済的な観点から定義し,健康上の不平等への影響を批判的に評価する.
- 現代のグローバリゼーションが健康格差を悪化させるメカニズムを特定する.
主な方法:
- グローバリゼーション・ノレッジ・ネットワークからの学際的なエビデンス・シンセシス.
- グローバリゼーションのダイナミクスの経済的定義と分析.
- 保健の平等のための政策アプローチのレビュー.
主要な成果:
- 主に経済的要因によって定義されるグローバリゼーションは,本質的に健康状態の改善や不平等の軽減につながらない.
- 現代のグローバリゼーションの4つの重要な不均衡のダイナミクスを特定した:世界的な生産再編,拘束力のある貿易協定,金融資本の流動性,債務危機.
- 保健の平等のための一般的な政策は,再分配,規制,および権利の周りに組み込まれています.
結論:
- 現代のグローバリゼーションは,健康上の不平等を減らすために,重要な知的,制度的課題を提示しています.
- グローバリゼーションが健康に及ぼす不均衡な影響に対抗するには,積極的で有意な戦略が必要である.
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