Global Health Programme, Graduate Institute of International and Development Studies, Geneva, Switzerland.
Int J Health Policy Manag. 2015 Dec 12;5(3):201-4. doi: 10.15171/ijhpm.2015.209.
Politics play a central part in determining health and development outcomes as Gorik Ooms highlights in his recent commentary. As health becomes more global and more politicized the need grows to better understand the inherently political processes at all levels of governance, such as ideological positions, ideas, value judgments, and power. I agree that global health research should strengthen its contribution to generating such knowledge by drawing more on political science, such research is gaining ground. Even more important is - as Ooms indicates - that global health scholars better understand their own role in the political process. It is time to acknowledge that expert-based technocratic approaches are no less political. We will need to reflect and analyse the role of experts in global health governance to a greater extent and in that context explore the links between politics, expertise and democracy.
政治在决定健康和发展成果方面起着核心作用,正如 Gorik Ooms 在他最近的评论中所强调的那样。随着健康问题变得更加全球化和政治化,我们需要更好地理解治理各个层面上固有的政治过程,如意识形态立场、思想、价值判断和权力。我同意全球健康研究应该通过更多地借鉴政治学来加强其对这种知识的贡献,这种研究正在取得进展。更重要的是——正如 Ooms 所指出的——全球健康学者更好地理解他们自己在政治进程中的角色。现在是时候承认基于专家的技术官僚方法同样具有政治性了。我们将需要在更大程度上反思和分析专家在全球卫生治理中的作用,并在这种背景下探讨政治、专业知识和民主之间的联系。