Lee K
London School of Hygiene and Tropical Medicine, University of London.
J Public Health Med. 2000 Sep;22(3):253-62. doi: 10.1093/pubmed/22.3.253.
There has been substantial discussion of globalization in the scholarly and popular press yet limited attention so far among public health professionals. This is so despite the many potential impacts of globalization on public health. Defining public health broadly, as focused on the collective health of populations requiring a range of intersectoral activities, globalization can be seen to have particular relevance. Globalization, in turn, can be defined as a process that is changing the nature of human interaction across a wide range of spheres and along at least three dimensions. Understanding public health and globalization in these ways suggests the urgent need for research to better understand the linkages between the two, and effective policy responses by a range of public health institutions, including the UK Faculty of Public Health Medicine.
The paper is based on a review of secondary literature on globalization that led to the development of a conceptual framework for understanding potential impacts on the determinants of health and public health. The paper then discusses major areas of public health in relation to these potential impacts. It concludes with recommendations on how the UK Faculty of Public Health Medicine might contribute to addressing these impacts through its various activities.
Although there is growing attention to the importance of globalization to public health, there has been limited research and policy development in the United Kingdom. The UK Faculty of Public Health Medicine needs to play an active role in bringing relevant issues to the attention of policy makers, and encourage its members to take up research, teaching and policy initiatives.
The potential impacts of globalization support a broader understanding and practice of public health that embraces a wide range of health determinants.
在学术和大众媒体中,全球化已引发了大量讨论,但迄今为止,公共卫生专业人员对此关注有限。尽管全球化对公共卫生有诸多潜在影响,但情况依然如此。从广义上将公共卫生定义为关注需要一系列跨部门活动的人群的集体健康,全球化可被视为具有特殊相关性。反过来,全球化可定义为一个正在改变广泛领域中人类互动性质且至少涉及三个维度的过程。以这些方式理解公共卫生和全球化表明,迫切需要开展研究以更好地理解两者之间的联系,并需要包括英国公共卫生医学学院在内的一系列公共卫生机构做出有效的政策回应。
本文基于对全球化二手文献的综述,该综述促成了一个概念框架的形成,用于理解对健康决定因素和公共卫生的潜在影响。然后本文讨论了与这些潜在影响相关的公共卫生主要领域。最后就英国公共卫生医学学院如何通过其各项活动为应对这些影响做出贡献提出了建议。
尽管全球化对公共卫生的重要性日益受到关注,但英国在这方面的研究和政策制定仍然有限。英国公共卫生医学学院需要发挥积极作用,使相关问题引起政策制定者的关注,并鼓励其成员开展研究、教学和政策倡议。
全球化的潜在影响支持对公共卫生进行更广泛的理解和实践,这种理解和实践涵盖了广泛的健康决定因素。