在菲律宾,通过安全治理健康:一个现实的分析
Delaram Akhavein1, Lea Elora A Conda2, Sary Valenzuela2,3
1School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia.
Health policy and planning
|December 12, 2025
概括
菲律宾的卫生安全框架加强了自上而下的卫生优先设定,影响了决策和资源分配. 这种方法可以导致错误的计划和不平等的增加,尽管调动了注意力.
科学领域:
- 公共卫生政策 公共卫生政策
- 全球卫生安全 全球卫生安全
- 卫生系统研究 卫生系统研究
背景情况:
- 全球卫生议程越来越多地将健康视为安全问题.
- 菲律宾在制定卫生优先事项方面面临国际捐助者和国内政治的压力.
研究的目的:
- 检查健康安全框架如何影响菲律宾的优先设定.
- 确定菲律宾卫生部门卫生安全框架的结果和上下文因素.
主要方法:
- 定性研究采用了25次与政府和非政府组织参与者的访谈.
- 利用现实的方法来分析健康安全框架及其表现.
主要成果:
- 卫生安全框架加强了国际和国家一级的集中,自上而下的优先级设定.
- 实施挑战包括错误的框架,垂直计划和由捐助者驱动的报告负担.
- 军事和安全参与者的参与使卫生领域的安全规范制度化.
结论:
- 卫生安全是一个由全球话语,捐助者议程和国内治理所塑造的动态概念.
- 在调动资源的同时,卫生安全框架风险加剧了不平等,忽视了健康的结构性决定因素.
- 权力关系和历史背景对卫生安全的共同构建有重大影响.
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