政治经济学视角下“将健康融入所有政策”的当代实践:国际经验及启示“Health in All Policies” from a Political Economy Perspective: International Experience and Implications
张维,陈琴
摘要(Abstract):
“将健康融入所有政策”是新时代我国卫生与健康工作方针的重要组成部分,也是推进健康中国建设的关键实施策略。它植根于马克思主义关于影响健康的政治经济因素的分析,强调国民健康的维护不应仅仅依靠医疗和公共卫生部门,而是要将其他部门也纳入其中,因为所有部门的政策都会对健康和健康公平产生影响。近几十年来,尤其是新世纪以来,一些国家积极探索“将健康融入所有政策”的实践方式,并取得了一些积极成果。然而,由于这些国家的实践主要是基于“健康的社会决定因素”这一“去政治化”的公共卫生研究范式,缺乏对生产方式和权力关系的考察,导致政策效果受到限制。本文尝试从政治经济学视角出发,总结和归纳芬兰、澳大利亚、美国等国推行“将健康融入所有政策”的经验和教训,为我国顺利落实这一战略任务提供政策依据和参考。
关键词(KeyWords): 将健康融入所有政策;健康的社会决定因素;马克思主义;跨部门协作
基金项目(Foundation): 国家社会科学基金一般项目“马克思主义视域下‘大健康’理念的理论与实践研究”(项目编号:20BKS076)的资助
作者(Author): 张维,陈琴
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