The Graduate School, University of Maryland, Baltimore, 620 W Lexington St, Baltimore, MD 21201, USA.
Ann Glob Health. 2022 Jul 1;88(1):49. doi: 10.5334/aogh.3758. eCollection 2022.
Increasingly, health reflects an integrated outcome of a growing globalized system. Economic, political, cultural, environmental, and other global processes profoundly influence how we understand and approach health challenges. As these occur in a webbed, dynamic, and interdependent fashion, health can be viewed as a complex issue. Drawing from this understanding, in this viewpoint, I assert applying complexity theory to produce a definition of the field of global health. Complexity theory tenets such as non-linearity, transdisciplinarity, open-system analysis, and global-local phenomenology can provide a theoretical basis for a substantive understanding of global health phenomena and a richer instrumental approach to global health challenges. Harmonization between complexity theory and global health may provide the foundation to close the health equity gap put forth by the global health agenda.
健康越来越反映出全球化系统不断发展的综合结果。经济、政治、文化、环境和其他全球进程深刻影响着我们理解和应对健康挑战的方式。由于这些进程以交织、动态和相互依存的方式发生,健康可以被视为一个复杂的问题。基于这种理解,在本观点中,我主张应用复杂性理论来为全球健康领域定义。复杂性理论的原则,如非线性、跨学科性、开放系统分析和全球-地方现象学,可以为实质性理解全球健康现象和更丰富的工具方法提供理论基础,以应对全球健康挑战。复杂性理论与全球健康之间的协调可能为缩小全球卫生议程所提出的卫生公平差距提供基础。