Ollila Eeva
Globalism and Social Policy Programme (GASPP), Welfare Research Group, National Research and Development Centre for Welfare and Health (Stakes), Helsinki, Finland.
Global Health. 2005 Apr 22;1(1):6. doi: 10.1186/1744-8603-1-6.
Health has gained importance on the global agenda. It has become recognized in forums where it was once not addressed. In this article three issues are considered: global health policy actors, global health priorities and the means of addressing the identified health priorities. I argue that the arenas for global health policy-making have shifted from the public spheres towards arenas that include the transnational for-profit sector. Global health policy has become increasingly fragmented and verticalized. Infectious diseases have gained ground as global health priorities, while non-communicable diseases and the broader issues of health systems development have been neglected. Approaches to tackling the health problems are increasingly influenced by trade and industrial interests with the emphasis on technological solutions.
健康在全球议程上已变得愈发重要。它在曾经未被提及的论坛中已得到认可。本文探讨了三个问题：全球卫生政策行为体、全球卫生优先事项以及应对已确定的卫生优先事项的手段。我认为，全球卫生政策制定的舞台已从公共领域转向了包括跨国营利部门在内的领域。全球卫生政策日益碎片化和垂直化。传染病作为全球卫生优先事项的地位日益凸显，而非传染性疾病以及卫生系统发展等更广泛问题却被忽视。解决卫生问题的方法越来越受到贸易和产业利益的影响，且侧重于技术解决方案。
