Evidence and Power in EU Governance of Health Promotion: Discursive Obstacles to a "Health in All Policies" Approach
Evidence and Power in EU Governance of Health Promotion: Discursive Obstacles to a "Health in All Policies" Approach
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DOI：
10.1111/jcms.13042
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发表时间：
2020-05-06
影响因子：
2.2
通讯作者：
Godziewski, Charlotte
中科院分区：
文献类型：
--
作者：
Godziewski, Charlotte
本文探讨了欧盟委员会（EC）中“证据”的含义与所有政策中的健康（HiAP）概念之间的关系。自2006年芬兰担任欧盟轮值主席国以来，欧盟委员会经常提到HiAP，但尚未将其作为一个总体政治愿景加以实施。虽然有越来越多的文献对HiAP的技术实施，很少有工作深入到HiAP的政治障碍。本文探讨了三种方式，在欧共体的主导意义的“证据”加强新自由主义的制度特征的方式，破坏HiAP：健康的问题化加强宪法的不对称性;“欧盟附加值”的定义阻碍积极的整合;和证据的政治化加强了更好的监管元监管议程。本文认为，证据的意义在欧共体加强了新自由主义的合理性，目前在制度层面，并呼吁更多的公共卫生本体论之间的对话。
This article explores the relation between the meaning of what constitutes 'evidence' in the European Commission (EC) and the Health in All Policies (HiAP) concept. Since the 2006 Finnish EU presidency, HiAP is regularly referred to by the Commission, but has not yet been implemented as an overarching political vision. While there is a growing literature on technical implementation of HiAP, little work has delved into the political obstacles to HiAP. This article explores three ways in which the dominant meaning of 'evidence' in the EC reinforces neoliberal institutional characteristics in a way that undermines HiAP: The problematization of health reinforces constitutional asymmetry; the definition of 'EU added value' hampers positive integration; and the politicization of evidence strengthens the Better Regulation meta-regulatory agenda. The article suggests that the meaning of evidence in the EC reinforces neoliberal rationality present at institutional level, and calls for more dialogue across public health ontologies.