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全球卫生系统的问责制:来自普渡制药公司网络分析的见解
Andrea Bowra1, Amaya Perez-Brumer2, Lisa Forman2
1Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. andrea.bowra@mail.utoronto.ca.
Globalization and health
|August 13, 2025
概括
像普渡这样的制药公司必须对对公众健康造成的伤害负责. 本研究考察了全球卫生系统内的社会,政治和法律问责网络,以了解问责制是如何颁布的.
科学领域:
- 全球健康 全球健康
- 制药行业的道德 制药行业的道德
- 卫生社会学 卫生社会学
背景情况:
- 普渡制药公司对OxyContin (oxycodone) 的营销对北美阿片类药物危机做出了重大贡献,导致超过60万人死亡.
- 这一案例凸显了跨国制药公司优先考虑利而不是公共福祉的伦理挑战.
- 全球卫生系统面临着为制药行业造成的伤害建立问责机制的关键需求.
研究的目的:
- 检查全球卫生系统如何在应对跨国制药公司造成的伤害时制定问责制,以普渡大学的行动作为案例研究.
- 分析全球卫生系统中使用的不同网络和策略,以追究制药公司的责任.
- 扩大全球卫生中的问责制的概念化和操作化.
主要方法:
- 采用案例研究方法,专注于普渡制药和阿片类药物危机.
- 在全球卫生系统内进行了关键信息人采访 (n=18).
- 作为分析框架,使用了社会材料方法的演员网络理论.
主要成果:
- 全球卫生系统中的问责制是通过三个不同的,但相互关联的网络来实施的:社会,政治和法律.
- 这些网络利用各种工具,资源和策略 (例如新闻,文学,政策指南) 来构建和稳定问责制.
- 该研究揭示了各种参与者之间的复杂互动,以及这些问责网络中利用的独特优势.
结论:
- 全球卫生系统对制药公司的问责制表现出多方面的方法.
- 了解这些问责网络的差异,相互联系和特点对于有效的治理至关重要.
- 这项研究为定义,概念化和运营全球卫生中的问责制提供了细微的视角,特别是关于制药业行为的问责制.
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