Faculty of Nursing Science, Université Laval, 1050, Avenue de la Médecine, Pavillon Ferdinand-Vandry, Québec, QC, G1V 0A6, Canada.
Center for Public Health Research, Université de Montréal, Montreal, Québec, Canada.
Global Health. 2021 Apr 14;17(1):46. doi: 10.1186/s12992-021-00695-3.
Health innovations are generally oriented on a techno-economic vision. In this perspective, technologies are seen as an end in themselves, and there is no arrangement between the technical and the social values of innovation. This vision prevails in sanitary crises, in which management is carried out based on the search for punctual, reactive, and technical solutions to remedy a specific problem without a systemic/holistic, sustainable, or proactive approach. This paper attempts to contribute to the literature on the epistemological orientation of innovations in the field of public health. Taking the Covid-19 and Ebola crises as examples, the primary objective is to show how innovation in health is oriented towards a techno-economic paradigm. Second, we propose a repositioning of public health innovation towards a social paradigm that will put more emphasis on the interaction between social and health dimensions in the perspective of social change. We will conclude by highlighting the roles that public health could play in allowing innovations to have more social value, especially during sanitary crises.
健康创新通常以技术经济视角为导向。从这个角度来看，技术本身就是目的，创新的技术和社会价值之间没有协调。这种观点在卫生危机中盛行，在这些危机中，管理是基于寻找即时、反应性和技术性解决方案来解决特定问题，而没有系统/整体、可持续或主动的方法。本文试图为公共卫生领域创新的认识论取向的文献做出贡献。以新冠疫情和埃博拉危机为例，主要目的是展示健康创新如何以技术经济范式为导向。其次，我们提出将公共卫生创新重新定位到社会范式，这将更加注重社会变革视角下社会和健康维度之间的相互作用。最后，我们将强调公共卫生在使创新具有更大的社会价值方面可以发挥的作用，尤其是在卫生危机期间。
