IF 2.3 4区 医学 Q2 HEALTH POLICY & SERVICES
Sara L M Davis
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引用次数: 0

摘要

2021 年,世界卫生组织发布了首个关于数字技术与健康的全球战略,呼吁成员国制定本国的数字健康战略。然而,指导这些战略制定的规范性工具并没有促使成员国考虑更广泛的政治因素,如法律和政策、治理和公民参与,会如何影响数字时代的卫生成果。在未来的数字健康战略中,必须彻底解决数字性别鸿沟、与种族有关的算法偏见、跨国私营部门参与者等问题。全球艾滋病应对行动的经验表明,通过动员不同的政府和非政府行动者系统地评估和采取行动,加强有利于健康的法律和政治环境,是可以做到这一点的。这篇文章借鉴了艾滋病应对措施,批判性地参与了近期有关数字健康决定因素的文献,提出了一种分析更广泛的政治健康决定因素的方法,包括商业健康决定因素,以及与数字健康战略相关的其他法律、政策、治理和公民参与。通过彰显政治、治理和公民参与在数字健康中的作用,这些战略可以成为动员广泛合作和宣传的工具,从而创造有利的环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Political determinants of digital health: beyond the rainbow.

In 2021, the World Health Organization issued its first global strategy on digital technologies and health, calling on member states to develop their own national digital health strategies. However, the normative tools that guide the development of these strategies do not prompt member states to consider how broader political factors, such as law and policy, governance, and civic engagement, could shape health outcomes in the digital age. The digital gender divide, algorithmic biases linked to race, transnational private sector actors, and more must be thoroughly addressed in future digital health strategies. Experiences from the global HIV response have demonstrated that it is possible to do this, by mobilizing diverse government and non-governmental actors to systematically assess and act to strengthen the legal and political environment for health. This essay draws on the HIV response to critically engage with recent literature on the digital determinants of health, proposing an approach to analyzing broader political determinants of health, including commercial determinants of health, and other laws, policies, governance, and civic engagement relevant to digital health strategies. By rendering visible the role of politics, governance, and civic engagement in digital health, strategies can be tools to mobilize broad collaborations and advocacy that creates an enabling environment.

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来源期刊
Health Promotion International
Health Promotion International Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.70
自引率
7.40%
发文量
146
期刊介绍: Health Promotion International contains refereed original articles, reviews, and debate articles on major themes and innovations in the health promotion field. In line with the remits of the series of global conferences on health promotion the journal expressly invites contributions from sectors beyond health. These may include education, employment, government, the media, industry, environmental agencies, and community networks. As the thought journal of the international health promotion movement we seek in particular theoretical, methodological and activist advances to the field. Thus, the journal provides a unique focal point for articles of high quality that describe not only theories and concepts, research projects and policy formulation, but also planned and spontaneous activities, organizational change, as well as social and environmental development.
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