Framing global discourses on non-communicable diseases: a scoping review.
Framing global discourses on non-communicable diseases: a scoping review.
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DOI：
10.1186/s12913-020-05958-0
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发表时间：
2021-01-06
影响因子：
2.8
通讯作者：
Legido-Quigley H
中科院分区：
文献类型：
--
作者：
Tan MMJ;Han E;Shrestha P;Wu S;Shiraz F;Koh GC;McKee M;Legido-Quigley H
政策制定者做出的选择取决于他们的问题是如何构成的。最后，非传染性疾病(NCDs)在全球政策议程上被提上了重要位置，但仍存在许多有争议的问题。首先，它们是什么？他们的名字指的不是他们是什么，而是他们不是什么。第二，他们的界限在哪里？包括哪些疾病？第三，我们应该将其原因主要视为生物医学、行为或社会原因，还是两者兼而有之？我们未能解决这些问题被认为是我们在制定和执行有效补救措施方面进展有限的一个原因。在这一范围审查中，我们问：“从现有文献中，我们知道非传染性疾病是如何在全球政策话语中形成框架的？”我们通过回顾政策和学术话语中使用的框架来回答这个问题。我们检索了9个电子数据库，检索从成立到2019年5月31日发表的文章。我们还审查了8个国际组织的网站，以确定全球非传染性疾病政策。我们提取数据并综合研究结果，以确定关键的主题框架。我们收录了有关全球非传染性疾病政策的36篇文章和9份政策文件。我们确定了五个已经使用过的论述领域，其中有不同的观点。它们是：“扩大非传染性疾病框架，将心理健康和空气污染包括在内”；“非传染性疾病及其决定因素”；“对非传染性疾病采取基于权利的办法”；“在全球范围内实现非传染性疾病政策一致性的办法”；以及“将非传染性疾病作为可持续社会经济发展的一部分”。我们进一步确定了五个话语域中的12个框架。这一范围审查确定了仍未解决的问题，并指出需要在全球卫生政策行为者之间调整观点，以及与那些从事心理健康、孕产妇健康和儿童健康工作的人协同增效。当前的新冠肺炎大流行需要更多地考虑其对全球非传染性疾病政策的影响。未来的非传染性疾病全球战略需要明确考虑如何在不断变化的全球卫生话语中框定非传染性疾病，并确保与执行和全球卫生问题保持适当一致。全球战略需要认识到行为者在塑造政策话语方面的重要作用。网上版载有补充材料，可在10.1186/s12913-020-05958-0查阅。
The choices that policymakers make are shaped by how their problems are framed. At last, non-communicable diseases (NCDs) have risen high on the global policy agenda, but there are many disputed issues. First, what are they? Their name refers not to what they are but what they are not. Second, where do their boundaries lie? What diseases are included? Third, should we view their causes as mainly biomedical, behavioural, or social, or a combination? Our failure to resolve these issues has been invoked as a reason for our limited progress in developing and implementing effective remedies. In this scoping review, we ask “What is known from the existing literature about how NCDs are framed in the global policy discourses?” We answer it by reviewing the frames employed in policy and academic discourses. We searched nine electronic databases for articles published since inception to 31 May 2019. We also reviewed websites of eight international organisations to identify global NCDs policies. We extracted data and synthesised findings to identify key thematic frames. We included 36 articles and nine policy documents on global NCDs policies. We identified five discursive domains that have been used and where there are differing perspectives. These are: “Expanding the NCDs frame to include mental health and air pollution”; “NCDs and their determinants”; “A rights-based approach to NCDs”; “Approaches to achieving policy coherence in NCDs globally”; and “NCDs as part of Sustainable Socio-economic Development”. We further identified 12 frames within the five discursive domains. This scoping review identifies issues that remain unresolved and points to a need for alignment of perspectives among global health policy actors, as well as synergies with those working on mental health, maternal health, and child health. The current COVID-19 pandemic warrants greater consideration of its impact on global NCDs policies. Future global strategies for NCDs need to consider explicitly how NCDs are framed in a changing global health discourse and ensure adequate alignment with implementation and global health issues. There is a need for global strategies to recognise the pertinent role of actors in shaping policy discourses. The online version contains supplementary material available at 10.1186/s12913-020-05958-0.
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影响因子：
15.8
作者：
Barlow P;Labonte R;McKee M;Stuckler D
通讯作者：
Stuckler D
影响因子：
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作者：
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影响因子：
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Crow, Deserai A.;Lawlor, Andrea
通讯作者：
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影响因子：
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Heller, Olivia;Somerville, Claire;Beran, David
通讯作者：
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