定义和概念化健康的商业决定因素
Anna B Gilmore1, Alice Fabbri1, Fran Baum2
1Department for Health, University of Bath, Bath, UK.
强大的企业推动健康的商业决定因素加剧了健康问题和环境破坏. 政府迫切需要采取行动, 抵制企业的影响, 保护公众福祉.
科学领域:
- 公共卫生
- 卫生政策
- 环境健康
背景情况:
- 越来越多的证据将商业活动,特别是跨国公司,与可预防的疾病,环境退化和健康不平等的增加联系在一起.
- 烟草,超加工食品,化石燃料和酒精等关键行业对全球死亡率和经济成本做出了重大贡献.
- 目前的制度受到市场原教旨主义的影响, 使商业行为者在积累财富和权力时,
研究的目的:
- 引入商业健康决定因素的概念.
- 解释商业行为者造成损害和外部化成本的机制.
- 为了突出由此产生的权力不平衡和政策惯性.
主要方法:
- 对健康的商业决定因素的概念分析.
- 对行业对健康和环境影响的证据的审查.
- 对企业权力和政策的政治经济学的研究.
主要成果:
- 商业行为者,特别是大公司,越来越多地带来负面的健康和环境结果.
- 全球死亡的很大一部分与四个主要行业有关.
- 权力不平衡有利于商业利益,导致政策不采取行动,尽管有可行的解决方案.
结论:
- 目前的制度加剧了对人类和地球健康的伤害,
- 政策惯性阻碍了减轻商业健康决定因素的解决方案.
- 政府必须介入保护未来的福祉,发展和经济增长免受商业危害.
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