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COVID-19 暴露出设计不良的薄弱卫生系统:为何我们必须在这一历史性时刻重塑全球卫生。

COVID-19 reveals weak health systems by design: Why we must re-make global health in this historic moment.

机构信息

School of Medicine, University of California San Francisco, San Francisco, CA, USA.

Division of Society and Environment and Medical Anthropology, University of California Berkeley, Berkeley, CA, USA.

出版信息

Glob Public Health. 2020 Jul;15(7):1083-1089. doi: 10.1080/17441692.2020.1760915. Epub 2020 Apr 30.

Abstract

The COVID-19 pandemic demonstrates the critical need to reimagine and repair the broken systems of global health. Specifically, the pandemic demonstrates the hollowness of the global health rhetoric of equity, the weaknesses of a health security-driven global health agenda, and the negative health impacts of power differentials not only globally, but also regionally and locally. This article analyses the effects of these inequities and calls on governments, multilateral agencies, universities, and NGOs to engage in true collaboration and partnership in this historic moment. Before this pandemic spreads further - including in the Global South - with potentially extreme impact, we must work together to rectify the field and practice of global health.

摘要

新冠疫情大流行表明,我们急需重新构想和修复全球卫生系统中存在的缺陷。具体而言,这场大流行表明,全球卫生领域公平的言论是空洞的,以卫生安全为导向的全球卫生议程存在弱点,权力差异不仅在全球范围内,而且在区域和地方范围内都对健康产生了负面影响。本文分析了这些不平等现象的影响,并呼吁各国政府、多边机构、大学和非政府组织在这一历史性时刻真正开展合作与伙伴关系。在这场大流行进一步蔓延——包括在全球南方——并可能造成极端影响之前,我们必须共同努力,纠正全球卫生领域的理论和实践。

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