全球卫生脱殖:对其关键组成部分,拟议的行动和贡献者的范围审查
Michelle Amri1, Jan Filart2, Jinny Yang3
1The W. Maurice Young Centre for Applied Ethics, School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada. michelle.amri@ubc.ca.
Global health research and policy
|October 28, 2025
概括
全球卫生脱殖需要解决权力不平衡和殖民遗产. 行动包括对结构进行大修,促进自决,促进认识多元主义,为更公平的全球健康格局而努力.
科学领域:
- 全球健康 全球健康
- 脱殖民研究 脱殖民研究
- 公共卫生政策 公共卫生政策
背景情况:
- 全球卫生脱殖的概念缺乏明确的共识,阻碍了对新殖民主义的有效行动.
- 了解关键组成部分和可行的策略对于应对当代全球卫生挑战至关重要.
- 识别对全球卫生讨论脱殖民主义的贡献者对于包容性对话至关重要.
研究的目的:
- 系统地审查和综合学术文献的全球卫生脱殖.
- 确定核心组成部分,可操作的策略和全球卫生话语脱殖的关键贡献者.
- 为全球卫生脱殖的定义和实施提供清晰度.
主要方法:
- 在PRISMA-ScR (PRISMA-Scoping Review) 原则的指导下进行全面的范围审查.
- 从创立到2023年8月,搜索了多个数据库 (OVID Medline,Embase,CINAHL,Web of Science,PAIS,全球政治科学摘要,IBSS) 从创立到2023年8月.
- 包括使用特定搜索术语的英语文本 ("去殖民*全球健康"或"反殖民全球健康") 与实质性讨论.
主要成果:
- 全球卫生脱殖是通过权力不对称,殖民遗产/新殖民主义和认识不公正来理解的.
- 可行的策略包括改革权力结构,建立全球南方机构,认识体系改革,教育和包容性.
- 大多数作者来自美洲 (46%) 和欧洲 (29%),只有22%的作者来自低收入和中等收入国家.
结论:
- 本综述阐明了全球卫生脱殖的关键组成部分和行动,解决了文献中的差距.
- 在实现全球卫生脱殖的普遍商定的定义方面,仍然存在持续的挑战.
- 调查结果为关于全球卫生脱殖民主义的更加知情和包容性的讨论提供了基础.
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