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在阿拉伯世界治理和健康
Rajaie Batniji1, Lina Khatib2, Melani Cammett3
1Department of Medicine, Stanford University, Stanford, CA, USA.
Lancet (London, England)
|January 24, 2014
概括
有效的治理和减少腐败与阿拉伯世界人口健康状况的改善有关. 民主化努力没有显示出与降低死亡率的直接联系,这凸显了政府有效性对公共卫生的重要性.
科学领域:
- 政治科学 政治科学是指政治学.
- 公共卫生 公共卫生
- 经济学 经济学 经济学
背景情况:
- 自2010年以来,阿拉伯世界经历了重大的政治变革,要求更具包容性的治理.
- 该地区的政治机构薄弱往往导致被排除在代表和服务之外.
- 现有的研究将政治学和经济学与健康结果联系起来.
研究的目的:
- 评估阿拉伯世界治理质量,选举民主和健康指标 (成人,婴儿,产妇死亡率) 之间的关系.
- 检查与治理有关的医疗服务的可访问性和改善.
- 分析从1980年到2010年的人口,健康和治理数据.
主要方法:
- 来自世界银行,世卫组织,IHME,阿拉伯气温计调查和其他来源的汇编数据.
- 测量了三十年来人口统计,健康状况和治理方面的变化.
- 利用统计分析来确定治理与健康指标之间的相关性.
主要成果:
- 研究人员发现,更有效的治理与平均降低死亡率之间存在关联.
- 在民主程度和死亡率降低之间没有发现显著的关系.
- 政治变化可能会暂时扰乱服务的获取,增加人口的脆弱性.
结论:
- 提高政府效率和减少腐败似乎与改善人口健康状况比民主化努力更为密切相关.
- 目前的调查结果基于有限的死亡率数据,不包括主观的健康指标和生活质量.
- 需要更多关于边缘化群体获得医疗保健,质量和服务的数据,以指导机构改革.
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