如何建立健康的社会:对相关概念框架的专题分析
Devaki Nambiar1,2,3, Amy Bestman2, Siddharth Srivastava1
1The George Institute for Global Health, New Delhi, India.
International journal of health policy and management
|April 15, 2024
概括
实现健康的社会需要超越技术解决方案,解决政治和意识形态障碍. 需要批判性的上游方法来推动有意义的社会转型并减少健康不平等.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 社会的转变社会转变.
背景情况:
- 随着可持续发展目标截止日期的临近,人们越来越关注"健康社会".
- 由于干预措施狭窄,对健康不平等的上游努力不足,行动滞后.
- 需要指导社会卫生改革的行动和政治参与.
研究的目的:
- 引导行动和政治参与,以实现健康的社会.
- 对与健康社会相关的概念进行主题分析.
- 确定公共政策杆和推动力,以创造健康的社会.
主要方法:
- 自1974年以来出版的68份文件 (声明,报告,文献) 的定性主题分析.
- 有目的地抽取相关文件的样本.
- 独立的数据提取和批评由三个审查员进行,以确定政策杆和推动因素.
主要成果:
- 确定了三个关键的政策杆:监管/财政措施,跨部门行动,以及关于社会结果的全球共识转变.
- 确定了三个推动因素:政治领导/问责制,群众动员,知识生成/使用.
- 分析显示,专注于技术而不是政治解决方案,权力分析有限,基于权利的方法被忽视.
结论:
- 当前的方法往往忽视了权力动态,问责制以及在政策实施中有效的东西.
- 现有的框架未能挑战意识形态或确保政府和企业的问责制.
- 需要更多的上游,批判性和激进的方法来有效地实现健康的社会.
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