Department of Population & Family Health, Columbia University, New York, NY, USA.
Glob Public Health. 2012;7 Suppl 1:S16-28. doi: 10.1080/17441692.2012.679741. Epub 2012 Jul 5.
A survey of global health experts attending an invited meeting provided a means to map key issues perceived to be shaping emerging global public health agendas. Eighty-five participants proposed three major issues likely to have the most significant impact on the field of global health in the coming years. Six raters grouped the resultant items, with multi-dimensional scaling (MDS) analysis producing a composite two-dimensional map depicting the overall patterning of items. Thematic clusters were incorporated within four major domains: changing health and prevention needs (15% of items), globalisation and global health governance (33% of items), transforming health systems (30% of items) and innovations in science and technology (7% of items). The remaining 15% of items addressed forms of environmental change. The distribution of items across domains was not significantly influenced by the current professional role of participants, their current location in the 'global north' or 'global south' or their region of focus (although the latter approached threshold significance). The constraints on interpretation imposed by the biases influencing participation in the survey are noted. However, the exercise suggests the potential for coherently defining shared agendas for diverse stakeholders to address emerging priorities. The closer integration of environmental concerns with other global public issues is clearly warranted.
一项针对参加特邀会议的全球卫生专家的调查提供了一种方法，可以绘制出被认为正在塑造新兴全球公共卫生议程的关键问题图。85 名参与者提出了三个可能对未来几年全球卫生领域产生最重大影响的主要问题。六位评估者对产生的项目进行了分组，多维尺度分析（MDS）产生了一个综合的二维图谱，描绘了项目的整体模式。主题集群被纳入四个主要领域：不断变化的健康和预防需求（占项目的 15%）、全球化和全球卫生治理（占项目的 33%）、医疗体系转型（占项目的 30%）和科学技术创新（占项目的 7%）。其余 15%的项目涉及环境变化的形式。参与者的当前专业角色、他们在“全球北方”或“全球南方”的当前位置或他们的关注区域并没有显著影响项目在各领域的分布（尽管后者接近显著水平）。调查中参与偏见所带来的解释限制被注意到。然而，该研究表明，为了应对新出现的优先事项，不同利益相关者之间有可能协调一致地定义共同的议程。显然，需要更紧密地将环境问题与其他全球公共问题结合起来。
