全球健康、地球健康、"一个健康":概念和伦理方面的挑战与关切。

Theoretical medicine and bioethics Pub Date : 2024-06-01 Epub Date: 2024-05-25 DOI:10.1007/s11017-024-09670-6
Eduardo Missoni
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引用次数: 0

摘要

Covid-19 大流行极大地显示了人类相互关联的程度、人类健康与生态系统之间的直接关系,以及全球应对措施所需的巨大伦理挑战。与此相关的是,社会直接面临着 "全球卫生 "问题,这既体现在对世界各地卫生条件和卫生系统复原力的认识上,也体现在对全球应对措施的管理及其在国家和地方层面的影响上。全球健康 "经常被用作新殖民主义方法的表面标签,但它实际上是一种跨学科方法,包括全球化与健康决定因素之间的相互作用。因此,它涉及生态系统及其转变,并意味着在确定其战略时要采用系统的 "一体健康 "非殖民化方法。Covid-19 大流行凸显了当前霸权式全球卫生系统治理的不公平和局限性;呼吁伦理学为 全球卫生提供一种新的、全面的、包容的和非殖民化的概念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global health, planetary health, One Health: conceptual and ethical challenges and concerns.

The Covid-19 pandemic has dramatically shown the level of interconnectedness of the human population, the direct relation between human health and the ecosystem, as well as the enormous ethical challenges required for a global response. Relatedly, society has been directly confronted by issues of 'Global health,' both in terms of awareness of health conditions and health systems resiliency all around the world, as well as in terms of governance of the worldwide response and its implications at national and local levels. While Global health is often used as a cosmetic label for neocolonial approaches, it is really an interdisciplinary approach consisting of the interaction between globalization and the determinants of health. Thus, it involves the ecosystem and its transformation and implies a systemic 'One Health' decolonized approach in the definition of its strategies. The Covid-19 pandemic has highlighted the inequities and the limits of the current hegemonic Global health system governance; calling for ethics to provide a renewed, comprehensive, inclusive, and decolonized conceptualization of Global health.

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