تکامل سیاستگذاری سلامت: گذار به پارادایم حکمرانی برای سلامت

نوع مقاله: مقاله اصلی

نویسندگان

1 استاد علوم سیاسی دانشگاه تهران

2 دانشجوی دکتری سیاستگذاری عمومی دانشگاه تهران

چکیده

در چند دهه اخیر، سلامت بعنوان هدفی اجتماعی که نیاز به همکاری همه ­جانبه دارد، توسعه طیفی از سازوکارهای سیاستی را بدنبال داشته است. یافتن، معرفی و تجزیه و تحلیل سیر تحولات مفهومی سیاستگذاری سلامت، هدف اصلی این مطالعه کیفی است؛ تا چگونگی تکامل آن را نمایان سازد و مبانی اطمینان­ بخش و مرزهای اقدام شناخته شود. نتایج بررسی نشان می­دهد؛ «اقدامات بین ­بخشی برای سلامت»، «سیاستگذاری­های عمومی سالم» و اخیراَ «سلامت درهمه سیاست­ها» سه موج اصلی سیاستگذاری هستند که همراه با تغییر پارادایم سیاسی، چشم­ انداز تازه­ ای از «حکمرانی برای سلامت» را نمایان کرده ­اند. گذار به الگوی حکمرانی شدیدا شبکه ­ای، چند سطحی و چند ذینفعی، مبتنی بر بسیج «کل ­دولت» و «کل ­جامعه» برای سلامت، همان بخش مهم تعهد سیاسی و اجتماعی برای عدالت و پیشرفت پایدار است.

کلیدواژه‌ها


الف) فارسی
گراهام­اسکمبلر. هابرماس؛ (1386) نظریه انتقادی وسلامت. مترجم:حسینعلی نوذری. نشر غزال،چاپ اول.
  • وبر، ماکس؛ (۱۳۹۰). روش­شناسی علوم اجتماعی. حسن چاوشیان. تهران: مرکز.
    ب) انگلیسی
    Adam B, et al.(2014). Assessment of health risks of policies. Environmental Impact Assessment Review 48 (2014) 47–52.
  • Álvarez ASPagani MMeucci P.(2012).The clinical application of the biopsychosocial model in mental health: a research critique. American Journal of Physical Medicine & Rehabilitation:February 2012 - Volume 91 - Issue 13 - p S173–S180
  • (Australian)Management Advisory Committee (MAC) (2004). Connecting government: wholeof government responses to Australia’s priority challenges. Canberra, Commonwealth of Australia (http://www.apsc.gov.au (
  • BAUM F, LAWLESS A, DELANY T.(2014). Evaluation of Health in All Policies: concept,theory and application. Health Promotion International, Vol. 29 No. S1.
  • Bacigalupe, A  and others(2010).Learning lessons from past mistakes:How can health in all policies fulfil its promises? Journal of Epidemiology and Community Health. Volume 64, Issue 6, June 2010, Pages 504-505. 2010
  • Bailey,K.D(1994).Methods of Social Research.New York:The Free Press.
  • Barbazza E, Tello J.(2014). A review of health governance: Definitions, dimensions and tools to govern. Health Policy 116 (2014) 1–11.
  • Broeder,L et al.(2015). Health in All Policies? The case of policies to promote bicycle use in the Netherlands. Journal of Public Health Policy Vol. 36, 2, 194–211.
  • Bryman,A.(1988). Quality and Quantity in Social Research. Londan:Unwin Hyman.
  • Buckett, Kevin. "Health in All Policies Adelaide 2010.International Meeting." Public Health Bulletin SA 7.2 (2010): 1-60.
  • Capra F.(1982) The turning point. New York: Simon & Schuster; 1982.
  • Capra F.(1997) The web of life: a new understanding of living systems. New York: Anchor Book; 1997.
  • Chuengsatiansup.K.(2003).Spirituality and health: an initial proposal to incorporate spiritual health in health impact assessment. Health Systems Research Institute, Nonthaburi 11000,Thailand.Environmental Impact Assessment Review 23(2003)3 –15
  • Christensen T, Laegreid P (2006). The whole-of-government approach – regulation, performance, and public-sector reform. Bergen, Stein Rokkan Centre for Social Studies(Working paper 6–2006;http://soc.kuleuven.be).
  • Dahlgren, G & Whitehead, M(1991). Policies and Strategies to Promote Social Equity in Health. Stockholm: Institute of Futures Studies.
  • De Leeuw E, Kickbusch I, Palmer N, Spanswick L.(2015). European Healthy Cities come to terms with health network governance. Health Promotion International, 2015, Vol. 30, No. S1 i32–i44
  • Engel GL: The need for a new medical model:a challenge for biomedicine. Science 1977;196: 129–136
  • European Centre for Health Policy(ECHP): Gothenburg consensus paper, December 1999
  • Harris P, Spickett J.(2011) Health impact assessment in Australia: A review and directions for progress. Environmental Impact Assessment Review 31 (2011) 425–432.( journal homepage: www. e lsevi e r.com/locate/eiar)
  • Hay C.(2007) Does ontology trump epistemology? Notes on the directional dependence of ontology and epistemology in political analysis.Politics 2007;27:115–8
  • Kang, E; Park, H; Kim, J. Health Impact Assessment as a Strategy for Intersectoral Collaboration, Journal of Preventive & Public Health, 2011: 44(5): 201-209.
  • Kickbusch, I.(2009). Policy Innovation for Health. (http://www.springer.com/gp/book).
  • Kickbusch I, Buckett K, editors.(2010) Implementing Health in All Policies: Adelaide 2010. Adelaide, South Australia: Department of Health, Government of South Australia.
  • Kickbusch I, Gleicher D (2012). Governance for health in the 21st century: a study conducted for the WHO Regional Office for Europe. Copenhagen, WHO Regional Office for Europe(http://www.euro.who.int)
  • Kickbusch, I & Behrendt, T.(2013) Implementing a Health 2020 vision: governance for health in the 21st century. Making it happen. Copenhagen, WHO Regional Office for Europe.
  • KJÆRGARD B,et al.(2013). Health and sustainability. Health Promotion International, Vol.29 No.3.
  • Kuhn T.(1970) The structure of scientific revolutions. 2nd ed. Chicago: University of Chicago Press; 1970.
  • Goraya,A.and Scamber,G.(1998) “From old to new public health:role tensions and contradiction”.critical public health.8,2:141-51
  • Peña, Sebastián. "Health in All Policies: The emperor’s old clothes | Healthy Policies." Healthy Policies | For A Healthier World. Web. Jan. 2013. 
  • Peake S et al. (2008). Health equity through intersectoral action: an analysis of 18 country case studies.
  • Phen S, Pongthep S.(2013).A Model of Health Impact Assessment for the Sub District Municipality: A case study of the Songkhla Lake Basin. Procedia - Social and Behavioral Sciences 91(2013)429–436.( www.sciencedirect.com)
  • Protecting children’s health in a changing environment. Report of the Fifth Ministerial Conference on Environment and Health. Copenhagen,WHO Regional Office for Europe,2010
  • Puska, P.,Vartiainen, E. et al.(2009) The North Karelia Project: from North Karelia to National Action. National Institute for Health and Welfare: Finland 2009
  • Puska P, Ståhl T (2010). Health in all policies – the Finnish initiative: background, principles, and current issues. Annual Review of Public Health, 31:27.1–27.14.
  • Rudolph L,et al.(2013). HEALTH IN ALL POLICIES; A Guide for State and Local Governments.
  • Lalonde , Mv(1974): A New perspectives on health of Canadians, Ottawa, Canada
  • Langeveld et al.(2016). Use of a knowledge broker to establish healthy public policies in a city district: a developmental evaluation. BMC Public Health (2016) 16:271
  • Lawless A, Williams C, Hurley C, Wildgoose D, Sawford A, Kickbusch I(2012): Health in all polices: evaluating the South Australian approach to Intersectoral action for Health. Can J Public Health 2012, 103(Suppl1):S15–S19.
  • Lindau,Stacy Tessler. Laumann, Edward O.Levinson, Wendy.Waite, Linda J. Synthesis of Scientific Disciplines in Pursuit of Health: The Interactive Biopsychosocial Model. Perspectives in Biology and Medicine - Volume 46, Number 3 Supplement, Summer 2003, pp. S74-S86
  • Missoni, E. (2015). Degrowth and health: local action should be linked to global policies and governance for health. Sustain Sci (2015) 10:439–450
  • Ollila E (2010). Health in all policies: from rhetoric to action. Scandinavian Journal of Public Health, 39(6 Suppl):11–18.
  • Salcito,k et al.(2015). Experience and lessons from health impact assessment for human rights impact assessment. BMC International Health and Human Rights (2015) 15:24
  • Scott-Samuel A, Birley M, Ardern K. The Merseyside guidelines for health impact assessment. Liverpool: Merseyside Health Impact Assessment Steering Group; 1998.p:5
  • Taylor KW, Athens JK, Booske BC, O’Connor CE, Jones N, Remington PL. 2008 Wisconsin County Health Rankings. University of Wisconsin Population Health Institute.
  • United States Department of Health and Human Services (2010). HHS announces the nation’s new health promotion and disease prevention agenda. Washington, DC, United States Department of Health and Human Services.
  • Whitehead, M.(1990).Concepts and Principles of Equity and Health.WHO Regional Office for Europe, Copenhagen.
  • WHO (2016).9th Global Conference on Health Promotion .Shanghai, China.Nov.
  • WHO (2008).Closing the gap in a generation. Health equity through action on the social determinants of health.(http://whqlibdoc.who.int/publications (
  • WHO(2014). Health in All Policies (HiAP);Framework for Country Action.
  • WHO (1946). Constitution of the World Health Organization. Geneva, World Health Organization (http://www.who.int/governance/eb/who_constitution_en.pdf(
  • WHO (1978). Declaration of Alma-Ata. International Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978. Geneva, World Health Organization
  • WHO Regional Office for Europe (1986). Ottawa Charter for Health Promotion. Copenhagen, WHO Regional Office for Europe (http://www.euro.who.int).
  • WHO Regional Office for Europe (2013). Health 2020– a European policy framework supporting action across government and society for health and well-being. Copenhagen, WHO Regional Office for Europe (http://www.euro.who.int).
  • WHO and the Government of South Australia. (2010) The Adelaide Statement on Health in All Policies: moving towards a shared governance for health and well-being. Health Promotion International.
  • www.CountyHealthRankings.org: County Health Rankings model ©2010 UWPHI
  • https://nnphi.org/