Global Trade and U.S. Health Policies

描述（由申请人提供）：本研究将追求三个具体目标：1）完善概念框架和方法论方法，以澄清全球贸易与美国卫生政策之间的关系; 2）评估参与美国全球化、卫生保健和公共卫生政策辩论的主要群体的决定和行动：美国政府机构，跨国银行和贸易组织，国际和国家卫生组织，跨国公司和倡导团体; 3）提出政策变化的建议，将全球化，医疗保健和公共卫生联系起来。 在AHRQ小额研究补助金计划的鼓励下，研究人员将在卫生政策的一个竞技场进行试点研究，这在以前一直没有得到审查。 经济全球化给美国的卫生政策带来了根本性的问题。世界银行和其他国际贷款机构促进了公共部门卫生和公共卫生服务的减少和私有化;这一激烈争论的方向影响了世界卫生组织、泛美卫生组织和美国国立卫生研究院的政策。跨国公司（管理式医疗机构、咨询公司、制药和医疗设备公司以及工业公司）的扩张导致了环境和职业健康的影响、失业、医疗保险福利的损失以及从美国医疗补助和医疗保险市场的退出。 从以前的研究出口管理的医疗和医疗补助管理的实施增长，拟议的工作包括对全球化和卫生政策的研究和档案文献的分析;与政府机构，跨国银行和贸易组织，国际和国家卫生组织，跨国公司和宣传团体的代表访谈;并评估这些组织在公共领域提供的报告。该项目将产生几个产品：两篇期刊文章，报纸和杂志的专栏和类似文章，一本书，以及政策研究，公共卫生，社会科学和管理的课程模块

DESCRIPTION (provided by applicant): This study will pursue three specific aims: 1) to refine a conceptual framework and methodological approach for clarifying the relationships between global trade and U.S. health policies; 2) to assess the decisions and actions of major groups participating in policy debates concerning globalization, health care, and public health in the United States: U.S. government agencies, multinational banking and trade organizations, international and national health organizations, multinational corporations, and advocacy groups; and 3) to present recommendations for policy changes that link globalization, health care, and public health. As encouraged by the AHRQ Small Research Grant Program, the investigators will conduct pilot research in an arena of health policy that previously has remained unexamined. Economic globalization raises fundamental problems for U.S. health policy. The World Bank and other international lending agencies have fostered reduction and privatization of public-sector health and public health services; this intensely debated orientation has affected policies of the World Health Organization, the Pan American Health Organization, and the U.S. National Institutes of Health. Expansion of multinational corporations (managed care organizations, consulting firms, pharmaceutical and medical equipment firms, and industrial corporations) has led to environmental and occupational health effects, unemployment, loss of health insurance benefits, and withdrawal from U.S. Medicaid and Medicare markets. Growing from previous research on the exportation of managed care and the implementation of Medicaid managed care, the proposed work includes an analysis of the research and archival literature on globalization and health policy; interviews with representatives of government agencies, multinational banking and trade organizations, international and national health organizations, multinational corporations, and advocacy groups; and assessment of these organizations' reports available in the public sphere. This project will lead to several products: two journal articles, op-ed and similar articles for newspapers and magazines, a book, and a curriculum module for policy studies, public health, social sciences, and management