Aligning global health policy and research with sustainable development: A strategic market approach
Aligning global health policy and research with sustainable development: A strategic market approach
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DOI：
10.1002/sd.2762
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发表时间：
2023-09-13
影响因子：
12.5
通讯作者：
Haenssgen，Marco J.
中科院分区：
文献类型：
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作者：
Haenssgen，Marco J.
实现可持续发展目标3（SDG 3：健康和福祉）面临双重挑战，既有既定干预设计的收益递减，又有来自抗生素耐药性和全球生物多样性丧失等复杂的相互关联的全球健康挑战的未来收益威胁。背景敏感方法的不断发展可能有助于实现尚未开发的干预设计潜力，但当代全球卫生政策和研究仍然由个体市场风格选择模型主导。因此，本文件旨在支持制定全球卫生规划流程，这些流程在可持续发展目标中更加基础和综合。再次呼吁进行破坏性的政策变革不太可能影响全球卫生政策和研究的运作方式。因此，本文建立在一个逻辑，已经发现广泛和直观的应用在其基本的规划过程：“市场”。然而，它挑战了医疗保健市场的主导供需方法，并从战略营销的角度重新定义了它们。从人口和卫生系统的界面来看，战略市场是解决具有多方面卫生需求的人所定义的问题的场所。该框架提供了四个指导性问题来定义战略市场和六个前提，作为一个简单的知识起点和清单，以便在可持续发展目标中采取更有基础的跨部门行动。从一个最大的行为调查数据集，涵盖6683村民在中国，印度，老挝人民民主共和国和泰国的数据分析，实证证明了相关的前提。
Attaining Sustainable Development Goal 3 (SDG 3: Health and Well‐Being) faces a dual challenge of diminishing returns of established intervention designs, and a threat to future gains from complex inter‐connected global health challenges like antimicrobial resistance and global biodiversity loss. The growing movement of context‐sensitive approaches could help realise yet untapped potential for intervention designs, but contemporary global health policy and research still remain dominated by a model of individual market style choices. This paper therefore aims to support the development of global health planning processes that are more grounded and integrative across the SDGs. Reiterating calls for disruptive policy change is unlikely to impact themodus operandiof global health policy and research. This paper therefore builds on a logic that already finds widespread and intuitive application in their underlying planning processes: ‘the market’. However, it challenges the dominant supply‐and‐demand approach to healthcare markets and redefines them from a strategic marketing perspective. Translated to the interface of populations and health systems, the strategic market is a site for solving problems that are defined by people with multidimensional health needs. This framework offers four guiding questions to define the strategic market and six premises as a simple intellectual starting point and checklist for more grounded and inter‐sectorial action across the SDGs. The analysis of data from one of the largest behavioural survey data sets, covering 6683 villagers across China, India, Lao PDR and Thailand, demonstrates the relevance of the premises empirically.