Family physician at San Ysidro Health in San Ysidro, United States.
Primary care physician at the Center for International Health in Saint Paul, United States.
Health Hum Rights. 2023 Jun;25(1):105-117.
Global health equity is at a historically tenuous nexus complicated by economic inequality, climate change, mass migration, racialized violence, and global pandemics. Social medicine, collective health, and structural competency are interdisciplinary fields with their own histories and fragmentary implementation in health equity movements situated both locally and globally. In this paper, we review these three fields' historical backgrounds, theoretical underpinnings, and contemporary contributions to global health equity. We believe that intentional dialogue between these fields could promote a generative discourse rooted in a shared understanding of their historical antecedents and theoretical frameworks. We also propose pedagogical tools grounded within our own critical and transformative pedagogies that offer the prospect of bringing these traditions into greater dialogue for the purpose of actualizing the human right to health.
全球健康公平正处于历史上极其脆弱的关头,这一局面受到经济不平等、气候变化、大规模移民、种族暴力和全球大流行病等因素的影响。社会医学、集体卫生和结构性能力是具有各自历史的跨学科领域,在全球和地方的健康公平运动中都存在零散的实施情况。在本文中,我们回顾了这三个领域的历史背景、理论基础以及对全球健康公平的当代贡献。我们认为,这些领域之间的有意对话可以促进一种基于对其历史渊源和理论框架的共同理解的富有成效的讨论。我们还提出了一些基于我们自己的批判和变革性教学法的教学工具,这些工具为使这些传统进行更深入的对话提供了可能,从而实现健康权。