Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Health Syst Reform. 2023 Dec 31;9(1):2207296. doi: 10.1080/23288604.2023.2207296.
This commentary presents reflections on my work over the past five decades related to the politics and policies of health systems from various perspectives. The essay is based on a plenary lecture at the Seventh Global Symposium on Health Systems Research in Bogotá, Colombia, in November 2022. The commentary examines a central concern in many of my writings-and a persistent challenge for people working to improve public health: How can the powerless influence policy? Using examples drawn from my past writings, I discuss three broad themes related to this question: the role of social protest movements, the impact of political leadership, and the relevance of political analysis. These reflections are offered in the hope of expanding the use of applied political analysis in public health, and thus contributing to improved health and health equity in the world.
这篇评论从多个角度反思了我过去五十年与卫生系统政策相关的工作。这篇文章是我在 2022 年 11 月于哥伦比亚波哥大举行的第七届全球卫生系统研究研讨会上的一次全会演讲的基础上写成的。这篇评论探讨了我许多著作中的一个核心关注点，也是许多致力于改善公共卫生的人面临的一个持续挑战：无权者如何影响政策？我使用我过去著作中的例子，讨论了与这个问题相关的三个广泛主题：社会抗议运动的作用、政治领导力的影响以及政治分析的相关性。这些思考是为了扩大应用政治分析在公共卫生中的使用，从而为改善全球健康和健康公平做出贡献。
