Institut de Recherche en Santé Publique, Université de Montréal, PO Box 6128, Succ. CV, Montreal, QC, Canada.
Health Promot Int. 2011 Mar;26(1):109-16. doi: 10.1093/heapro/daq079.
The past few years have seen the emergence of claims that the political determinants of health do not get due consideration and a growing demand for better insights into public policy analysis in the health research field. Several public health and health promotion researchers are calling for better training and a stronger research culture in health policy. The development of these studies tends to be more advanced in health promotion than in other areas of public health research, but researchers are still commonly caught in a naïve, idealistic and narrow view of public policy. This article argues that the political science discipline has developed a specific approach to public policy analysis that can help to open up unexplored levers of influence for public health research and practice and that can contribute to a better understanding of public policy as a determinant of health. It describes and critiques the public health model of policy analysis, analyzes political science's specific approach to public policy analysis, and discusses how the politics of research provides opportunities and barriers to the integration of political science's distinctive contributions to policy analysis in health promotion.
过去几年出现了一些说法，认为健康的政治决定因素没有得到应有的考虑，并且越来越需要更好地了解健康研究领域的公共政策分析。一些公共卫生和健康促进研究人员呼吁在健康政策方面进行更好的培训和建立更强的研究文化。这些研究的发展在健康促进方面比在其他公共卫生研究领域更为先进，但研究人员仍然普遍对公共政策持有天真、理想主义和狭隘的看法。本文认为，政治学学科已经发展出一种特定的公共政策分析方法，可以帮助开拓公共卫生研究和实践中尚未开发的影响力杠杆，并有助于更好地理解公共政策作为健康决定因素的作用。它描述和批评了公共卫生政策分析模型，分析了政治学对公共政策分析的特定方法，并讨论了研究的政治如何为将政治学对政策分析的独特贡献纳入健康促进提供机会和障碍。
