实现全健康政策确实需要复杂的架构，但这还不够——评“理解公共行政在实施社会决定因素和健康不平等方面行动的作用”。
A Sophisticated Architecture Is Indeed Necessary for the Implementation of Health in All Policies but not Enough Comment on "Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities".
机构信息
EHESP School of Public Health, Paris, France.
CNRS, UMR Centre for Research on Political Action in Europe (CRAPE), Rennes, France.
出版信息
Int J Health Policy Manag. 2016 Feb 29;5(6):383-5. doi: 10.15171/ijhpm.2016.28.
Abstract
In this commentary, I argue that beyond a sophisticated supportive architecture to facilitate implementation of actions on the social determinants of health (SDOH) and health inequities, the Health in All Policies (HiAP) project faces two main barriers: lack of awareness within policy networks on the social determinants of population health, and a tendency of health actors to neglect investing in other sectors' complex problems.
摘要
在这篇评论中，我认为，除了需要建立一个复杂的支持性架构来促进实施社会决定因素（SDOH）和健康不平等方面的行动外，“所有政策中的健康”（HiAP）项目还面临两个主要障碍：政策网络内部对人口健康的社会决定因素缺乏认识，以及卫生行为者倾向于忽视投资于其他部门的复杂问题。
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