Holst Jens, Razum Oliver
Fachbereich Pflege und Gesundheit, Hochschule Fulda, Fulda.
Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld.
Gesundheitswesen. 2018 Oct;80(10):923-926. doi: 10.1055/s-0043-119088. Epub 2017 Oct 25.
Global health is increasingly present on the international policy agenda and in transnational fora such as the G7 and G20 summits. This trend is as overdue as it is desirable, but the scope and content of the discussion remain rather limited. For safeguarding and improving people's health all over the world, global public health requires coordinated and coherent action. Epidemic preparedness is certainly necessary but refers only to a small segment of global health and will remain insufficient as long as the social and health-system-related causes persist. "One Health" is an important strategy for fighting antimicrobial resistance but without overcoming crucial economic determinants, it will be impossible to solve the problem. Health systems strengthening, the third major field of global health, requires a sound mix of adequate financing, infrastructure, human resources and societal factors for expanding access to health for all. All proposed and desired improvements in global health need complex crosscutting approaches for being effective and sustainable; however, the steps taken by political decision-makers are rather small and do not address essential causes. Global public health means more than tinkering with the symptoms.
全球卫生在国际政策议程以及七国集团和二十国集团峰会等跨国论坛上日益受到关注。这一趋势姗姗来迟却又令人期待,但讨论的范围和内容仍然相当有限。为了保障和改善全世界人民的健康,全球公共卫生需要协调一致的行动。疫情防范固然必要,但它只是全球卫生的一小部分,只要与社会和卫生系统相关的病因持续存在,就仍显不足。“同一健康”是应对抗菌药物耐药性的一项重要战略,但如果不克服关键的经济决定因素,就无法解决这一问题。加强卫生系统作为全球卫生的第三个主要领域,需要在充足的资金、基础设施、人力资源和社会因素之间实现良好的平衡,以便扩大全民健康覆盖。全球卫生领域所有提议和期望的改进措施都需要复杂的跨领域方法才能有效且可持续;然而,政治决策者采取的措施力度较小,并未触及根本原因。全球公共卫生绝非只是治标不治本。