全球化与健康:需要一个全球愿景
Ted Schrecker1, Ronald Labonté, Roberto De Vogli
1Institute of Population Health, University of Ottawa, Ontario, Canada.
Lancet (London, England)
|November 11, 2008
概括
从经济上定义,全球化并不能自动减少健康不平等. 相反,它创造了四种动态,扩大了健康差距,需要针对性的再分配,监管和权利政策.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 世界卫生组织健康社会决定因素委员会 (CSDH) 认为,减少健康不平等是道德上的必要.
- 来自全球化知识网络的证据,支持CSDH,为此分析提供了信息.
研究的目的:
- 以经济学术语定义全球化,并批判性地评估其对健康不平等的影响.
- 确定当代全球化加剧健康差异的机制.
主要方法:
- 来自全球化知识网络的多学科证据综合.
- 全球化动态的经济定义和分析.
- 对健康公平的政策方法的审查.
主要成果:
- 全球化主要是由经济因素决定的,它本身并没有改善健康状况或减少不平等.
- 鉴定了当代全球化的四个关键不均衡动态:全球生产重组,有约束力的贸易协定,金融资本流动性和债务危机.
- 关于健康公平的通用政策是围绕再分配,监管和权利进行的.
结论:
- 当代全球化为减少健康不平等带来了重大的智力和制度挑战.
- 需要积极主动和有针对性的战略来抵消全球化对健康的不均衡影响.
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