Grundy John, Hoban Elizabeth, Allender Steven
Health History. 2016;18(1):89-110. doi: 10.5401/healthhist.18.1.0089.
Since 1975, Cambodia has transitioned through three distinct political periods of totalitarian, centralist, and neo liberal rule. In order to understand the challenges these political reforms present for health systems and policies, this case study charts events in health policy and political history in Cambodia between 1975 and 2014. Findings illustrate the interconnections of health and history, the balancing of tradition and modernity in health management and medical practice, and the shift in policy positions in response to political and economic reform. This historical view has the potential to enhance the capability of policy makers to not only understand the origins of current health policy positions, but also to anticipate and respond more flexibly to emerging health policy challenges.
自1975年以来,柬埔寨经历了极权主义、中央集权主义和新自由主义统治这三个截然不同的政治时期。为了理解这些政治改革给卫生系统和政策带来的挑战,本案例研究梳理了1975年至2014年间柬埔寨卫生政策和政治历史中的事件。研究结果表明了卫生与历史的相互联系、卫生管理和医疗实践中传统与现代的平衡,以及政策立场因政治和经济改革而发生的转变。这种历史视角不仅有可能增强政策制定者理解当前卫生政策立场起源的能力,还能使其更灵活地预测和应对新出现的卫生政策挑战。