COVID-19 全球健康治理与人口健康优先事项的交叉点:加拿大和 20 国集团部分国家与公平相关的经验教训》。

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
PUBLIC HEALTH REVIEWS Pub Date : 2024-01-29 eCollection Date: 2024-01-01 DOI:10.3389/phrs.2024.1606052
Muriel Mac-Seing, Erica Di Ruggiero
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引用次数: 0

摘要

背景:与 COVID-19 相关的全球健康治理(GHG)进程和所采取的公共卫生措施影响了全球人口健康的优先事项。我们调查了与 COVID-19 相关的全球健康治理与加拿大及其他 G20 国家如何重新定义人口健康优先事项之间的交叉点。我们分析了一项与加拿大相关的多层次定性研究以及对部分 G20 国家的范围审查。研究结果表明,在应对 COVID-19 时,将公平因素与资金和问责制联系起来非常重要。民族主义和治理参与者之间有限的协调造成了 COVID-19 公共卫生应对措施的分散。与 COVID-19 相关的后果并不具有系统性的负面影响,但当出现负面影响时,它们会影响到更多生活和工作在弱势和边缘化条件下的人群。政策选择和建议:针对健康的上游决定因素提出了六项政策选择,如为公平、负责任的全球和公共卫生成果提供充足的资金,以及实施以性别为重点的政策,以减少与 COVID-19 应对措施相关的不公平现象和下游的负面影响。此外,还提出了具体的计划(如尽早评估社区需求)和研究建议,以弥补已发现的差距。结论:尽管 COVID-19 大流行带来了种种后果,但我们必须立即动员并实施各种计划和研究机会以及具体的政策方案。我们共同承担着维护全球健康正义的责任。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Intersections of COVID-19 Global Health Governance and Population Health Priorities: Equity-Related Lessons Learned From Canada and Selected G20 Countries.

Background: COVID-19-related global health governance (GHG) processes and public health measures taken influenced population health priorities worldwide. We investigated the intersection between COVID-19-related GHG and how it redefined population health priorities in Canada and other G20 countries. We analysed a Canada-related multilevel qualitative study and a scoping review of selected G20 countries. Findings show the importance of linking equity considerations to funding and accountability when responding to COVID-19. Nationalism and limited coordination among governance actors contributed to fragmented COVID-19 public health responses. COVID-19-related consequences were not systematically negative, but when they were, they affected more population groups living and working in conditions of vulnerability and marginalisation. Policy options and recommendations: Six policy options are proposed addressing upstream determinants of health, such as providing sufficient funding for equitable and accountable global and public health outcomes and implementing gender-focused policies to reduce COVID-19 response-related inequities and negative consequences downstream. Specific programmatic (e.g., assessing the needs of the community early) and research recommendations are also suggested to redress identified gaps. Conclusion: Despite the consequences of the COVID-19 pandemic, programmatic and research opportunities along with concrete policy options must be mobilised and implemented without further delay. We collectively share the duty to act upon global health justice.

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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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