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提高预防慢性疾病的优先级:一个政治过程
Robert Geneau1, David Stuckler, Sylvie Stachenko
1Elizabeth Bruyere ResearchInstitute, University of Ottawa, Canada. rgeneau@bruyere.org
Lancet (London, England)
|November 16, 2010
概括
慢性疾病是全球大流行,但政治意愿,而不是缺乏解决方案,阻碍了进步. 重塑辩论,调动资源,抓住政治机遇是解决这一健康和发展危机的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 全球健康 全球健康
背景情况:
- 慢性疾病 (心血管疾病,糖尿病,癌症,COPD) 构成了全球健康负担.
- 现有的全球和国家政策已经不足以应对不断上升的慢性疾病大流行.
- 有效的,低成本的预防策略存在,表明挑战是政治性的,而不是技术性的.
研究的目的:
- 分析解决慢性疾病大流行问题的政治失败.
- 确定提高慢性疾病政治优先级的战略.
- 加强发展机构参与慢性病倡议的参与.
主要方法:
- 采用了先前用于社会运动的调整后的政治进程模型.
- 分析的重点是确定针对慢性疾病的政治行动的障碍和机会.
- 基于对政治局势的评估,制定了战略.
主要成果:
- 尽管有技术解决方案,但无法控制慢性疾病主要是政治问题.
- 提出了三个核心策略:重新构建辩论,调动资源和利用政治机会.
- 解决社会决定因素以及慢性疾病,贫困和发展之间的联系至关重要.
结论:
- 迫切需要采取政治行动来打击慢性疾病大流行.
- 将慢性疾病预防纳入发展议程对于公平的人类发展至关重要.
- 与全球卫生倡议和政治论坛的战略参与可以推动进步.
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