Bloomberg Faculty of Nursing University of Toronto, Toronto, ON, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Int J Health Policy Manag. 2017 Jul 1;6(7):419-421. doi: 10.15171/ijhpm.2016.145.
(TPP) policy and the severe threats to public health that it implies for 12 Pacific Rim populations from the Americas and Asia (Australia, Brunei, Canada, Chile, Japan, Malaysia, Mexico, New Zealand, Peru, Singapore, United States, and Vietnam). With careful and analytic precision the authors convincingly unearth many aspects of this piece of legislation that undermine the public health achievements of most countries involved in the TTP. Our comments complement their policy analysis with the aim of providing a positive heuristic tool to assist in the understanding of the TPP, and other upcoming treaties like the even more encompassing Transatlantic Trade and Investment Partnership (TTIP), and in so doing motivate the public health community to oppose the implementation of the relevant provisions of the agreements. The aims of this commentary on the study of Labonté et al are to show that an understanding of the health effects of the TPP is incomplete without a political analysis of policy formation, and that realist methods can be useful to uncover the mechanisms underlying TPP's political and policy processes.
（TPP）政策以及它对来自美洲和亚洲的 12 个环太平洋地区人群（澳大利亚、文莱、加拿大、智利、日本、马来西亚、墨西哥、新西兰、秘鲁、新加坡、美国和越南）的公共卫生构成的严重威胁。作者以谨慎和分析的精准度，令人信服地揭示了这项立法的许多方面，这些方面破坏了大多数参与 TPP 的国家在公共卫生方面取得的成就。我们的评论以他们的政策分析为补充，旨在提供一个积极的启发式工具，以帮助理解 TPP 以及其他即将出台的条约，如更全面的跨大西洋贸易和投资伙伴关系协定（TTIP），并借此激励公共卫生界反对执行协议的相关条款。本文对拉邦特等人的研究进行评论的目的是表明，如果不对政策形成进行政治分析，就无法全面了解 TPP 的健康影响，而现实主义方法可以有助于揭示 TPP 政治和政策过程背后的机制。
