Reconceptualising the commercial determinants of health: bringing institutions in.
Reconceptualising the commercial determinants of health: bringing institutions in.
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DOI：
10.1136/bmjgh-2023-013698
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发表时间：
2023-11-27
影响因子：
8.1
通讯作者：
Brooks, Eleanor
中科院分区：
文献类型：
--
作者：
Ralston, Rob;Godziewski, Charlotte;Brooks, Eleanor
“健康的商业决定因素”（CDOH）的概念是由公共卫生研究人员开发的，用于描述公司的政治经济学及其做法对健康，社会不平等和气候变化的影响。在这一分析中，我们评估的概念工作，开发了这一领域和更成熟的“健康的社会决定因素”模型的影响。我们强调流行病学和生物医学概念的主导地位的结构和机构的CDOH文献的理解，并认为，术语的“风险因素”，“司机”和“途径”反映了代理中心的方法。我们认为，结果是，有一种倾向，忽视了政治制度在塑造企业权力行使的重要性。我们的分析旨在“把机构”CDOH的研究，在所有政策和更好的监管在欧盟的健康使用的经验案例，以突出制度环境如何塑造政治合法性和问责制，反过来企业行为者的战略。制度主义的方法，我们认为，有可能发展和扩大理解CDOH机构和结构之间的黑箱打开。
The concept of the ‘commercial determinants of health’ (CDOH) has been developed by public health researchers as a way to describe the political economy of corporations and the impact of their practices on health, social inequalities and climate change. In this analysis, we assess the conceptual work that has developed this field and the influence of the more established ‘social determinants of health’ models. We highlight the dominance of epidemiologic and biomedical concepts on understandings of structure and agency in the CDOH literature and argue that the terminology of ‘risk factors’, ‘drivers’ and ‘pathways’ reflects an agent-centred approach. We suggest that, as a result, there is a tendency to overlook the importance of political institutions in shaping the exercise of corporate power. Our analysis seeks to ‘bring institutions in’ to CDOH research, using the empirical cases of Health in All Policies and Better Regulation in the European Union to highlight how institutional contexts shape political legitimacy and accountability, and in turn the strategies of corporate actors. Institutionalist approaches, we argue, have the potential to develop and expand understandings of CDOH by opening the black box between agency and structure.
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影响因子：
8.1
作者：
Knai C;Petticrew M;Capewell S;Cassidy R;Collin J;Cummins S;Eastmure E;Fafard P;Fitzgerald N;Gilmore AB;Hawkins B;Jensen JD;Katikireddi SV;Maani N;Mays N;Mwatsama M;Nakkash R;Orford JF;Rutter H;Savona N;van Schalkwyk MCI;Weishaar H
通讯作者：
Weishaar H
影响因子：
5.4
作者：
Friel, Sharon;Townsend, Belinda;Baum, Fran
通讯作者：
Baum, Fran
影响因子：
2.6
作者：
Bell, Stephen
通讯作者：
Bell, Stephen
影响因子：
5.4
作者：
Gomez, Eduardo J.
通讯作者：
Gomez, Eduardo J.
影响因子：
10.8
作者：
Lauber, Kathrin;Brooks, Eleanor
通讯作者：
Brooks, Eleanor