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卫生政策创新:回应健康社会

Innovation in health policy: responding to the health society.

作者信息

Kickbusch Ilona

机构信息

Graduate Institute of International Studies, Ginebra, Suiza.

出版信息

Gac Sanit. 2007 Jul-Aug;21(4):338-42. doi: 10.1157/13108509.

Abstract

The 21st century health society is characterized by 2 major social processes: the expansion of the territory of health and the expansion of the reflexivity of health. The boundaries of what we call the <> are becoming increasingly fluid and health has become integral to how we live our everyday life. Health itself has become a major economic and social driving force in society. This shifts the pressure for policy innovation from a focus on the existing health system to a reorganization of how we approach health in 21st century societies. The dynamics of the health society challenge the way we conceptualize and locate health in the policy arena, the mechanisms through which we conduct health policy and they redefine who should be involved in the policy process. This concern is beginning to be addressed within government through joined up government approaches, beyond government through making health everybody's business and beyond nation states as a new interface between domestic and foreign policy.

摘要

21世纪的健康社会具有两大主要社会进程的特点:健康领域的拓展和健康反思性的增强。我们所谓“卫生系统”的边界正变得越来越具有流动性,健康已成为我们日常生活方式中不可或缺的一部分。健康本身已成为社会中一股主要的经济和社会驱动力。这将政策创新的压力从关注现有卫生系统,转向对我们在21世纪社会中对待健康方式的重新组织。健康社会的动态变化挑战着我们在政策领域对健康进行概念化和定位的方式、我们实施卫生政策的机制,并且重新定义了谁应该参与政策过程。这种关切正开始在政府内部通过联合政府的方式得到解决,在政府之外通过让健康成为每个人的事来解决,并且在民族国家之外作为国内外政策之间的一个新界面来解决。

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