From public health to political epidemiology

Arthur Brownlea
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引用次数: 19

Abstract

The term political epidemiology expresses the importance of political and bureaucratic processes in coping with epidemiological information. Political assimilability might well be the overriding consideration when the epidemiological picture of a particular health problem is confused, inadequate, contradictory or a matter of considerable economic import. Australia faces a future based increasingly upon primary resource and mineral development, especially coal, and the epidemiological bases of health impact assessment in these developments will need to be improved and processes of discussion made more open if health considerations are to be given proper scientific and evaluative treatment. Bureaucratic systems often reflect historical compromises between economic, political and environmental health concerns and may hinder some processes of health impact assessment. An Australian case study will be discussed.

从公共卫生到政治流行病学
政治流行病学一词表达了处理流行病学信息的政治和官僚程序的重要性。当某一特定健康问题的流行病学情况混乱、不充分、矛盾或具有相当大的经济重要性时,政治上的同化性很可能是压倒一切的考虑因素。澳大利亚面临着一个日益依赖初级资源和矿物开发,特别是煤炭的未来,如果要对健康方面的考虑给予适当的科学和评价处理,就需要改进这些开发中健康影响评估的流行病学基础,并使讨论过程更加公开。官僚制度往往反映了经济、政治和环境卫生问题之间的历史妥协,并可能阻碍健康影响评估的某些进程。将讨论一个澳大利亚的案例研究。
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