Honta M
Centre Emile Durkheim, UMR CNRS 5116, université de Bordeaux, 12, avenue Camille Jullian, 33607 Pessac cedex, France.
Rev Epidemiol Sante Publique. 2019 Feb;67 Suppl 1:S13-S18. doi: 10.1016/j.respe.2018.12.059. Epub 2019 Jan 5.
In recent years, there has been a new institutional set of developments in France aimed at promoting the adoption of partnership-based, cross-sectoral and modulated health policies based on the health status of the population. Nevertheless, because addressing the challenge of health equity depends largely on the mobilization of a large number of protagonists with very heterogeneous initiatives, interests and values, the conduct of such policies potentially opens up a space for confrontation between those who wish to promote it and those who refuse, challenge, circumvent or neutralize the reconfigurations of public action and the work routines it inevitably induces. This company can therefore be marked by tensions and additional constraints for the actors. In this context, it remains largely conditional.
近年来,法国出现了一系列新的制度发展,旨在推动基于人口健康状况的伙伴关系型、跨部门和适度调整的卫生政策的采用。然而,由于应对健康公平挑战在很大程度上依赖于动员大量倡议、利益和价值观非常不同的行为主体,此类政策的实施可能为那些希望推动它的人与那些拒绝、挑战、规避或抵消公共行动重新配置及其不可避免引发的工作惯例的人之间开辟了对抗空间。因此,这种情况可能给行为主体带来紧张局势和额外限制。在这种背景下,它在很大程度上仍然是有条件的。