Commercial Determinants of Health 3 Commercial determinants of health: future directions

被引:77
作者
Friel, Sharon [1 ,12 ]
Collin, Jeff [2 ]
Daube, Mike [3 ]
Depoux, Anneliese [4 ]
Freudenberg, Nicholas [5 ]
Gilmore, Anna B. [6 ]
Johns, Paula [7 ]
Laar, Amos [8 ]
Marten, Robert [9 ]
McKee, Martin [10 ]
Mialon, Melissa [11 ]
机构
[1] Australian Natl Univ, Sch Regulat & Global Governance, Menzies Ctr Hlth Governance, Acton, ACT, Australia
[2] Univ Edinburgh, Sch Polit & Social Sci, Edinburgh, Scotland
[3] Curtin Univ, Fac Hlth Sci, Perth, WA, Australia
[4] Univ Paris, Virchow Villerme Publ Hlth Ctr, Paris, France
[5] City Univ New York, Sch Publ Hlth & Hlth Policy, New York, NY USA
[6] Univ Bath, Dept Hlth, Tobacco Control Res Grp, Bath, England
[7] ACT Hlth Promot, Rio De Janeiro, Brazil
[8] Univ Ghana, Sch Publ Hlth, Legon, Ghana
[9] WHO, Alliance Hlth Policy & Syst Res, Geneva, Switzerland
[10] London Sch Hyg & Trop Med, London, England
[11] Trinity Coll Dublin, Trinity Business Sch, Dublin, Ireland
[12] Australian Natl Univ, Sch Regulat & Global Governance, Menzies Ctr Ctr Hlth Governance, Acton, ACT 2601, Australia
关键词
PUBLIC-HEALTH; INVESTMENT AGREEMENTS; POLICY COHERENCE; BUSINESS MODEL; GLOBAL HEALTH; TOBACCO; INCOME; INDUSTRY; ALCOHOL; TRADE;
D O I
10.1016/S0140-6736(23)00011-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This paper is about the future role of the commercial sector in global health and health equity. The discussion is not about the overthrow of capitalism nor a full-throated embrace of corporate partnerships. No single solution can eradicate the harms from the commercial determinants of health-the business models, practices, and products of market actors that damage health equity and human and planetary health and wellbeing. But evidence shows that progressive economic models, international frameworks, government regulation, compliance mechanisms for commercial entities, regenerative business types and models that incorporate health, social, and environmental goals, and strategic civil society mobilisation together offer possibilities of systemic, transformative change, reduce those harms arising from commercial forces, and foster human and planetary wellbeing. In our view, the most basic public health question is not whether the world has the resources or will to take such actions, but whether humanity can survive if society fails to make this effort.
引用
收藏
页码:1229 / 1240
页数:12
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