Buse K, Waxman A
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520-8034, USA.
Bull World Health Organ. 2001;79(8):748-54. Epub 2001 Oct 24.
Following early success with a number of high-profile partnerships, WHO is increasingly working with the private for-profit sector. In so doing, the organization finds itself in the maelstrom of a vibrant debate on the roles of public, civic, and commercial entities in society and on the appropriate modes of interaction among them. This paper examines WHO's involvement with the commercial sector, particularly in partnerships. WHO's approach to this sector is outlined and the criticisms levelled at public-private partnerships are reviewed. An indication is given of the steps recently taken by WHO to confront the concerns that have been expressed. The paper argues that partnership between WHO and the commercial sector is inevitable and that it presents considerable opportunities, but also significant risks, for the organization and for public health. A strategy is proposed for directing the debate on issues critical to WHO and its role in the promotion and protection of public health.
在与一些备受瞩目的伙伴关系取得早期成功之后,世卫组织越来越多地与私营营利部门合作。在此过程中,该组织发现自己陷入了一场激烈辩论的漩涡,这场辩论涉及公共、公民和商业实体在社会中的角色以及它们之间适当的互动模式。本文审视了世卫组织与商业部门的合作,特别是在伙伴关系方面的合作。概述了世卫组织对该部门的做法,并回顾了对公私伙伴关系的批评。介绍了世卫组织最近为应对所表达的关切而采取的步骤。本文认为,世卫组织与商业部门之间的伙伴关系是不可避免的,并且对该组织和公共卫生而言,这种伙伴关系既带来了相当多的机遇,也带来了重大风险。本文提出了一项战略,以引导关于对世卫组织及其在促进和保护公共卫生方面的作用至关重要的问题的辩论。