Communicable disease control: a 'Global Public Good' perspective
Communicable disease control: a 'Global Public Good' perspective
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DOI：
10.1093/heapol/czh032
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发表时间：
2004-09-01
影响因子：
3.2
通讯作者：
Drager, N
中科院分区：
文献类型：
--
作者：
Smith, R;Woodward, D;Drager, N
尽管卫生日益“全球化”，但其责任仍然主要由国家承担，从而造成全球卫生问题与处理这些问题的现有机构和机制之间的潜在不匹配。“全球公益"概念被建议作为解决公共政策不同领域这种不匹配的框架。本文认为，作为一个组织原则，传染病控制（CDC）的GPG概念的应用，特别是考虑到它的潜力，以改善发展中国家的健康和福利，本文的结论是，有重大的局限性，GPG概念的有效性作为一个组织原则，全球卫生优先事项，就CDC。更具体地说，有几个CDC领域符合GPG的条件，即使在那些可以被视为GPG的领域中，也不一定适合提供可以被视为GPG的所有内容。因此，有人建议，把重点放在“集体行动”的失败上可能更有用，在这种情况下，全球公益概念可以：（1）提供一个理由，从发达国家的国内预算中筹集援助以外的资金;（2）促进发达国家对发展中国家卫生系统的投资;（3）促进发达国家和发展中国家之间的战略伙伴关系，以应对全球主要传染病;以及（4）指导建立具有全球公益性质的全球疾病预防控制方案的政治进程以及提供和资助这些方案的机制，简言之，全球公益物概念作为一项组织原则并非没有局限性和弱点，但至少在某些领域确实为改进国际一级的集体行动以改进全球疾病预防控制提供了指导。
Despite the increasing 'globalization' of health, the responsibility for it remains primarily national, generating a potential mismatch between global health problems and current institutions and mechanisms to deal with them. The 'Global Public Good' (GPG) concept has been suggested as a framework to address this mismatch in different areas of public policy. This paper considers the application of the GPG concept as an organizing principle for communicable disease control (CDC), considering in particular its potential to improve the health and welfare of the developing world.The paper concludes that there are significant limitations to the GPG concept's effectiveness as an organizing principle for global health priorities, with respect to CDC. More specifically, there are few areas of CDC which qualify as GPG, and even among those that can be considered GPGs, it is not necessarily appropriate to provide everything which can be considered a GPG. It is therefore suggested that it may be more useful to focus instead on the failure of 'collective action', where the GPG concept may then: (1) provide a rationale to raise funds additional to aid from developed countries' domestic budgets; (2) promote investment by developed countries in the health systems of developing countries; (3) promote strategic partnerships between developed and developing countries to tackle major global communicable diseases; and (4) guide the political process of establishing, and mechanisms for providing and financing, global CDC programmes with GPG characteristics, and GPGs which have benefits for CDC.In short, the GPG concept is not without limitations and weaknesses as an organizing principle, but does provide, at least in some areas, guidance in improving collective action at the international level for the improvement of global CDC.