Freeman Richard
University of Edinburgh.
J Health Polit Policy Law. 2006 Feb;31(1):51-70. doi: 10.1215/03616878-31-1-51.
At the center of the politics of health equity, in many countries and circumstances, stands a signal report of research. This article is concerned with what might be described as the architecture of such documents, including how they are produced and organized and the relationships they demonstrate with others that parallel, precede, and succeed them. The article examines how scientific and political authority is established and comments on the evidence of cross-national learning that these documents reveal. It discusses differences in how the problem of health equity is constructed in different countries and how research findings are converted into policy recommendations. It begins to trace a process of implementation by noting how these documents are referred to and written about. The argument is that the politics of health equity are expressed or realized in the documents and reports, which are its principal vehicle. This is not to claim that there is no world beyond the text or that the world somehow is a text, but that to fully understand that world we must understand the text and the work it does.
在许多国家和情况下，处于健康公平政治核心位置的是一份具有标志性的研究报告。本文关注的是这类文件的架构，包括它们是如何产生和组织的，以及它们与其他平行、先于和后于它们的文件所展示的关系。本文考察了科学和政治权威是如何确立的，并对这些文件所揭示的跨国学习证据进行了评论。它讨论了不同国家构建健康公平问题的方式以及研究结果如何转化为政策建议的差异。它通过注意这些文件是如何被引用和论述的，开始追溯一个实施过程。论点是，健康公平政治在文件和报告中得以表达或实现，而这些文件和报告是其主要载体。这并不是说文本之外没有世界，也不是说世界在某种程度上就是一个文本，而是说要全面理解那个世界，我们必须理解文本及其所起的作用。
