Journal of Health Politics, Policy and Law最新文献_第2页

Administering a Chill Pill? Better Regulation and the Potential for Regulatory Chill in European Union Health Policy. 服用镇定剂？欧盟卫生政策中更好的监管和监管寒流的潜力》。

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11257072

Eleanor Brooks, Kathrin Lauber

{"title":"Administering a Chill Pill? Better Regulation and the Potential for Regulatory Chill in European Union Health Policy.","authors":"Eleanor Brooks, Kathrin Lauber","doi":"10.1215/03616878-11257072","DOIUrl":"https://doi.org/10.1215/03616878-11257072","url":null,"abstract":"The European Union's 'good governance' programme, known as Better Regulation, seeks to improve the quality of EU legislation by controlling the policy-making process. Despite its importance, it is rarely accounted for in the EU health policy literature. Seeking to address this gap, this article introduces Better Regulation in the context of health policy-making. We conceptualise a model of regulatory chill, drawn from the literature on international trade, to interrogate the impact of Better Regulation on EU policy-making processes. Using examples from the literature and data from a series of interviews with EU officials, we explore potential pathways of response and anticipatory chill, identifying direct enforcement of Better Regulation, its utilisation by corporate actors, interpretation of its provision by officials, and feedback loops as possible routes of influence. We argue that such an approach presents methodological challenges, but also offers a valuable way of conceptualising the relevance of political institutions in general, and Better Regulation specifically, for health. As part of broader calls for attention to the political determinants of health, our findings highlight the particular, and often overlooked, importance of meta-regulatory policy frameworks.","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":"97 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140747567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

No Country for Sick Men: The Political Determinants of Health Policy in Poland. 病夫无国：波兰卫生政策的政治决定因素》。

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11257000

Rafał Riedel, Emilia Szyszkowska

引用次数: 0

HERA-lding More Integration in Health? Examining the Discursive Legitimation of the European Commission's New Health Emergency Preparedness and Response Authority. HERA-lding More Integration in Health?探讨欧盟委员会新卫生应急准备和响应机构的合法性。

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11257008

Charlotte Godziewski, Simon Rushton

{"title":"HERA-lding More Integration in Health? Examining the Discursive Legitimation of the European Commission's New Health Emergency Preparedness and Response Authority.","authors":"Charlotte Godziewski, Simon Rushton","doi":"10.1215/03616878-11257008","DOIUrl":"https://doi.org/10.1215/03616878-11257008","url":null,"abstract":"CONTEXT\u0000Since COVID-19, the European Commission (EC) has sought to expand its activities in health through the development of a 'European Health Union' and within it, the Health Emergencies Preparedness and Response Authority (HERA).\u0000\u0000\u0000METHODS\u0000We applied a discourse analysis on documents establishing HERA to investigate how the creation of this institution was legitimated by the EC. We focused on how it framed health emergencies; how it framed the added value of HERA; and how it linked HERA to existing EU activities and priorities.\u0000\u0000\u0000FINDINGS\u0000Our analysis demonstrates that security-based logics have been central to the EC's legitimation of HERA - in alignment with a 'securitization of health' occurring worldwide in recent decades. This legitimation can be understood as part of the EC's effort to promote future integration in health in the absence of new competencies.\u0000\u0000\u0000CONCLUSIONS\u0000Securitization has helped the EC raise its profile in health politically, without additional competencies, thereby laying the groundwork for potential future integration. Looking at the discursive legitimation of HERA sheds light not only on whether the EC is expanding its health powers, but also how it strategizes to do so. HERA, while constrained, allows the EC to further deepen security-driven integration in health.","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":"972 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140749095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The EU as a Political Determinant of Global Health: The Case of Research and Development Incentives for Orphan Medicines and Biotechnology. 欧盟作为全球健康的政治决定因素：欧盟作为全球健康的政治决定因素：孤儿药和生物技术研发激励案例》。

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11257032

Katrina Perehudoff, Kaja Anastazja Ippel

{"title":"The EU as a Political Determinant of Global Health: The Case of Research and Development Incentives for Orphan Medicines and Biotechnology.","authors":"Katrina Perehudoff, Kaja Anastazja Ippel","doi":"10.1215/03616878-11257032","DOIUrl":"https://doi.org/10.1215/03616878-11257032","url":null,"abstract":"CONTEXT\u0000The European Union (EU) governs global health through its constituent laws, institutions, actors and policies. However, it is unclear whether or how these political factors interact to position the Union as a political determinant of global health.\u0000\u0000\u0000METHODS\u0000A case study of the political factors (Rushton and Williams, 2012) influencing the adoption of the EU's Biotechnology Directive 98/44/EC and Orphan Medicines Regulation 141/2000.\u0000\u0000\u0000FINDINGS\u0000The European Commission (EC) generally framed both of its proposals around economical and biomedical paradigms aligned with the needs of the EU's industry and patients, whereas the European Parliament (EP) contested some of these frames and proposed amendments supporting global access to medical products. The political factors influencing the adoption (in the Directive) or rejection (in the Regulation) of the EP's amendments include: the complementarity between the EP and EC proposals; the EP's power in the intra- and inter-institutional negotiating process; the existence and support of civil society; and the alignment with Member State(s)' priorities in the Council.\u0000\u0000\u0000CONCLUSIONS\u0000In the late 1990s, the EU was an internally fragmented and politicised player concerning global health matters. These political factors should be considered for a coherent post-2022 EU strategy on global health.","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140747088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Solidarity as a Political Determinant of Health: Insights from EU Competition Policy. 团结作为健康的政治决定因素：欧盟竞争政策的启示》。

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11257016

Mary Guy

{"title":"Solidarity as a Political Determinant of Health: Insights from EU Competition Policy.","authors":"Mary Guy","doi":"10.1215/03616878-11257016","DOIUrl":"https://doi.org/10.1215/03616878-11257016","url":null,"abstract":"CONTEXT\u0000The connection between law and political determinants of health is not well-understood, but nevertheless it is suggested that the two are inseparable, and that this represents an \"upstream\" level with scope for influencing other determinants of health (particularly social). Solidarity underpins European healthcare systems and given its clear link with redistribution, can be seen as a means to address health inequities. As such, solidarity may be seen as a political determinant of health in the specific context of EU competition policy.\u0000\u0000\u0000METHODS\u0000A range of EU case law, Treaty provisions, and Commission publications relating to EU competition policy are analysed.\u0000\u0000\u0000FINDINGS\u0000Solidarity is typically juxtaposed as antithetical to competition, thus underpins exceptions to the applicability of the prohibitions on anticompetitive agreements, abuse of dominance, and state aid. Case law indicates a further dynamic between definitions of solidarity at EU and national levels.\u0000\u0000\u0000CONCLUSIONS\u0000This analysis leads to two groups of considerations when framing solidarity as a political determinant of health in the EU competition policy context: firstly, the predominance of solidarity suggests it may shape competition reforms, and secondly the EU-Member State dynamic which indicates less EU-level reach into national competition reforms in healthcare than may be expected.","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":"394 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140749973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The EU as Active and Passive Political Determinant of Forced Migrants' Health: Insights from the Case of Germany. 欧盟作为强迫移民健康的主动和被动政治决定因素：德国案例的启示。

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11256992

Mechthild Roos

{"title":"The EU as Active and Passive Political Determinant of Forced Migrants' Health: Insights from the Case of Germany.","authors":"Mechthild Roos","doi":"10.1215/03616878-11256992","DOIUrl":"https://doi.org/10.1215/03616878-11256992","url":null,"abstract":"CONTEXT\u0000This article examines the EU's function as political determinant of health (PDoH) in national-level regulation of forced migrants' access to health(care), with a focus on Germany. It sheds light on the role the EU has come to play - and been assigned - in national policymaking under the impression of different crises.\u0000\u0000\u0000METHODS\u0000By applying the concepts of claims and frames/framing, the article examines in a document analysis how and to what end(s) 'the EU' as a polity as well as specific EU legislation were invoked in German draft legislation.\u0000\u0000\u0000FINDINGS\u0000Increasing Europeanisation in the areas of health and migration has not only forced national legislators to adapt legislation in order to abide to EU rules and standards, but has also prompted governmental actors to shift responsibility for policy reforms to the EU - even in cases where not all of these reforms were legally required.\u0000\u0000\u0000CONCLUSIONS\u0000The EU's role as PDoH must be considered from two angles: the Union's active potential to determine public health through its policies and laws; and its passive, to some extent involuntary, potential to do so through the strategic invoking of EU norms, rules and (in)competences by actors across the EU multilevel-governance system.","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140746349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Political Determinants of Health and the European Union. 健康的政治决定因素与欧盟》。

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11257064

Eleanor Brooks, Charlotte Godziewski, T. Deruelle

引用次数: 0

Is Redistribution Good for Our Health? Examining the Macro-Correlation between Welfare Generosity and Health across EU Nations over the Last 40 Years. 再分配有利于我们的健康吗？研究过去 40 年欧盟各国福利慷慨程度与健康之间的宏观相关性。

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11257040

L. Scruggs, Ashley Fox, Megan M Reynolds

{"title":"Is Redistribution Good for Our Health? Examining the Macro-Correlation between Welfare Generosity and Health across EU Nations over the Last 40 Years.","authors":"L. Scruggs, Ashley Fox, Megan M Reynolds","doi":"10.1215/03616878-11257040","DOIUrl":"https://doi.org/10.1215/03616878-11257040","url":null,"abstract":"CONTEXT\u0000Social determinants of health are finally getting much needed policy attention. Yet, their political origins remain underexplored. In this paper, we advance a theory of political determinants as accruing along three pathways of welfare state effects (redistribution, poverty reduction and status preservation) and test these assumptions by examining impacts of policy generosity on life expectancy (LE) over the last 40 years.\u0000\u0000\u0000METHODS\u0000We merge new and existing welfare policy generosity data from the Comparative Welfare Entitlement Project (CWEP) with data on LE spanning 1980-2018 across 21 OECD countries. We then examine relationships between five welfare policy generosity measures and LE using cross-sectional differencing and auto-regressive lag models.\u0000\u0000\u0000FINDINGS\u0000We find consistent and positive effects for total generosity (an existing measure of social insurance generosity) on LE at birth across different model specifications in the magnitude of a 0.10-0.15-year increase in LE at birth (p < 0.05) and a measure of status preservation (0.11, p < 0.05). We find less consistent support for our redistribution and poverty reduction measures.\u0000\u0000\u0000CONCLUSIONS\u0000We conclude that in addition to generalized effects of policy generosity on health, status-preserving social insurance may be an important, and relatively overlooked, mechanism in increasing life expectancies over time in advanced democracies.","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140747927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Checkmating the Nutri-Score: Will Food Patriotism Prevent the Harmonization of Front-of-Pack Labeling Schemes within the EU? 核对营养成分：食品爱国主义会阻碍欧盟内部包装前标签制度的统一吗？

Journal of Health Politics, Policy and Law Pub Date : 2024-04-03 DOI: 10.1215/03616878-11259443

Benjamin Ewert

引用次数: 0

Pandemic Politics: The Deadly Toll of Partisanship in the Age of COVID 大流行病政治：COVID 时代党派之争的致命代价

Journal of Health Politics, Policy and Law Pub Date : 2024-02-07 DOI: 10.1215/03616878-11186119

Timothy Callaghan

引用次数: 1