Faking global health
Faking global health
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伪造全球健康
DOI：
10.1080/09581596.2019.1601159
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发表时间：
2019
影响因子：
2.8
通讯作者：
Susan Erikson
中科院分区：
文献类型：
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作者：
Susan Erikson
摘要从全球来看，人类健康状况正在改善。世界卫生总数据表明，过去100年来取得了巨大进步。预期寿命、疫苗接种率和卫生设施使用率更高。传染病、艾滋病毒/艾滋病、儿童和产妇死亡率较低。这些成就都是在政府精心策划或渴望提供（尽管往往不完美）医疗保健系统化的时期取得的。现在，紧缩和私有化运动塑造了世界各地的卫生服务，我们目睹了世界上最邪恶的健康问题的方法发生了巨大的意识形态转变：公共卫生努力必须“显示投资回报”。这篇评论涉及三个卫生领域的活动，这些领域的努力使全球卫生实力和成就得以显现：卫生安全;卫生创新;卫生筹资。伪全球健康作为一种分析，帮助我们衡量介于真实的成就和虚假成就、成功和失败、改善的健康结果和持续的痛苦之间的现象。我展示：1）全球卫生安全文件有时如何充当“托辞”-也就是说，尽管实际上没有，但却提供了亲密的地方准备或安全的发明; 2）全球卫生创新影响者如何经常特权远离实时人员，地点和实践的技术修复;以及3）全球卫生金融如何已经演变为使痛苦有利可图的方式。这些例子旨在启发而不是压抑，并希望使用伪健康概念作为分析的批判性分析提示可持续变化的新战略，而不仅仅是它们的外观。
ABSTRACT Globally, human health is improving. Aggregate world health data indicate enormous improvement over the last 100 years. Life expectancy, vaccination, and sanitation rates are higher. Rates of infectious disease, HIV/AIDS, child and maternal mortality are lower. These gains have all been accomplished during a time when governments orchestrated, or aspired to provide, albeit often imperfectly, the systemizations of health care. Now austerity and privatization campaigns shape health services worldwide, and we witness a massive ideological shift in approaches to the world’s wickedest health problems: Public health endeavors must ‘show return on investment.’ This commentary takes up activities in three health domains where effort goes into the appearance of global health prowess and accomplishment: health security; health innovation; and health finance. Pseudo global health, as an analytic, helps us take measure of the in-between phenomenon between real and fake accomplishment, success and failure, improved health outcomes and continued suffering. I show: 1) how global health security documents sometimes serve as ‘alibis’ – that is, contrivances offered to intimate local readiness or safety despite their actual absence; 2) how global health innovation influencers often privilege tech-fixes developed far removed from real-time people, places, and practices; and 3) how global health finance has already evolved in ways that makes suffering profitable. The examples are meant to enlighten rather than depress and are offered with the hope that critical analyses using the pseudo health concept as an analytic prompt new strategies for sustainable changes rather than merely their appearance.