Institute of Global Health, Faculty of Medicine, University of Geneva, 9 Chemin des Mines, 1202, Geneva, Switzerland.
The Global Fund To Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland.
J Public Health Policy. 2021 Jun;42(2):331-345. doi: 10.1057/s41271-021-00280-3. Epub 2021 Apr 27.
The theme of the 8th edition of the Geneva Health Forum (GHF) was Improving access to health: learning from the field. While 'the field' often denotes people, patients, communities, and healthcare workers, we challenge the notion and its usage. A group of like-minded conference participants set up a working group to examine the term 'the field' and look at questions related to language, power, participation, and rights. By highlighting deficiencies of existing terms and jargon, we explain why language is a form of power that matters in public health. We describe global, regional, and national case studies that facilitate full participation to achieve more equitable health outcomes. By concluding with concrete recommendations, we hope to contribute to these shared goals: to correct power imbalances between health authorities and the people that they intend, and are expected, to serve. The authors are all members of the working group.
第八届日内瓦健康论坛的主题是“改善卫生服务获取:从实地学习”。虽然“实地”通常是指人、患者、社区和卫生工作者,但我们质疑这一概念及其用法。一群志同道合的会议参与者成立了一个工作组,以审查“实地”一词,并研究与语言、权力、参与和权利相关的问题。通过突出现有术语和行话的不足之处,我们解释了为什么语言是公共卫生中一种重要的权力形式。我们描述了全球、区域和国家案例研究,以促进充分参与,实现更公平的健康结果。通过提出具体建议作为结论,我们希望为这些共同目标做出贡献:纠正卫生当局与他们意图服务、并期望服务的人民之间的权力失衡。作者均为该工作组的成员。