在新的数字健康议程中的殖民主义
Sharifah Sekalala1, Tatenda Chatikobo2
1School of Law, University of Warwick, Coventry, UK.
BMJ global health
|February 27, 2024
概括
数字健康提供了潜力,但有可能加强全球南方的殖民不平等. 需要一种非殖民主义的方法来优先考虑当地环境,社区需求,以及为公平的卫生正义提供强有力的监管.
科学领域:
- 全球健康 全球健康
- 数字健康数字健康
- 健康 公平 卫生 公平
背景情况:
- 数字技术正在迅速改变全球医疗保健,特别是在资源有限的环境中.
- 全球南方数字健康的扩张引发了人们对加强殖民权力结构和加剧不平等的担忧.
- 当前的数字健康转型往往缺乏适当的监管,并无视当地环境,受到进步言论的驱动.
研究的目的:
- 为数字健康提出一个脱殖民主义的议程,挑战对技术作为健康正义解决方案的简单观点.
- 倡导数字健康的概念和实证重新想象,以本土和交叉理论为中心.
- 突出当地环境和监管基础设施在数字健康发展中的重要性.
主要方法:
- 批判性地分析数字健康扩散在全球南方的影响.
- 提出一个去殖民的框架,以土著和交叉理论为中心.
- 检查数字健康监管基础设施作为抵抗和斗争的场所.
主要成果:
- 无批判地采用数字健康可以加深现有的不平等和殖民遗产.
- 脱殖民主义的方法需要将当地背景,社区声音和生活经验作为中心.
- 强大的监管框架对于减轻数字化的社会伤害和促进公平的健康结果至关重要.
结论:
- 数字健康转型必须超越技术乐观主义的叙述,以解决系统性不平等问题.
- 实施脱殖民的数字健康议程需要优先考虑社区参与和特定环境的解决方案.
- 加强监管基础设施对于确保所有人,特别是边缘化人口的数字健康益处至关重要.
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