Greer Scott L, Bekker Marleen, de Leeuw Evelyne, Wismar Matthias, Helderman Jan-Kees, Ribeiro Sofia, Stuckler David
University of Michigan, Ann Arbor, MI, USA.
European Observatory for Health Systems and Policies, Brussels, Belgium.
Eur J Public Health. 2017 Oct 1;27(suppl_4):40-43. doi: 10.1093/eurpub/ckx152.
If public health is the field that diagnoses and strives to cure social ills, then understanding political causes and cures for health problems should be an intrinsic part of the field. In this article, we argue that there is no support for the simple and common, implicit model of politics in which scientific evidence plus political will produces healthy policies. Efforts to improve the translation of evidence into policy such as knowledge transfer work only under certain circumstances. These circumstances are frequently political, and to be understood through systematic inquiry into basic features of the political economy such as institutions, partisanship and the organization of labour markets.
如果说公共卫生是诊断并努力治愈社会弊病的领域，那么理解健康问题的政治成因及解决办法就应是该领域的固有组成部分。在本文中，我们认为，那种科学证据加政治意愿就能产生健康政策的简单且常见的隐性政治模式是没有依据的。诸如知识转移等将证据转化为政策的改进努力仅在某些情况下才会起作用。这些情况往往涉及政治因素，需要通过对政治经济的基本特征（如制度、党派之争和劳动力市场组织）进行系统探究才能理解。
