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殖民主义、精英网络与交叉性:理解卫生政策过程中生物医学权力和公平的关键概念 评“尼日利亚卫生专业人员之间的权力动态:全球基金政策过程案例研究”。

Coloniality, Elite Networks and Intersectionality: Key Concepts in Understanding Biomedical Power and Equity in Health Policy Processes Comment on "Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process".

机构信息

Health Policy and Systems, Sambodhi Research and communications, Noida, India.

School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.

出版信息

Int J Health Policy Manag. 2023;12:7916. doi: 10.34172/ijhpm.2023.7916. Epub 2023 Apr 15.

Abstract

To understand the role of power in health policy processes in low- and middle-income country (LMIC) contexts, it is necessary to engage with global and local power structures and their historical contexts. In this commentary, we outline three dimensions that shape a dominant power in health policy processes-the biomedical power. We propose that understanding the linkages between medical power and colonialism; the close connection of public health, medicine and elite networks; and the intersectionalities that shape the powers of medical professionals can offer the means to examine the biomedical hegemony in health policy processes. Additionally we suggest that a more nuanced understanding of the interaction of local powers with global funding can offer some entry points to achieving more equitable and interdisciplinary health policy processes in LMICs.

摘要

为了理解权力在中低收入国家(LMIC)卫生政策制定过程中的作用,有必要参与到全球和地方权力结构及其历史背景中。在本评论中,我们概述了塑造卫生政策制定过程中主导权力的三个维度——生物医学权力。我们认为,理解医学权力与殖民主义之间的联系;公共卫生、医学和精英网络之间的密切联系;以及塑造医学专业人员权力的交叉性,可以提供一种手段来检验卫生政策制定过程中的生物医学霸权。此外,我们还认为,更细致地理解地方权力与全球资金的相互作用,可以为实现 LMIC 中更公平和跨学科的卫生政策制定过程提供一些切入点。

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本文引用的文献

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Framing and the formation of global health priorities.框架与全球卫生重点的形成。
Lancet. 2022 May 21;399(10339):1977-1990. doi: 10.1016/S0140-6736(22)00584-0. Epub 2022 May 17.

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