COMMERCIAL INFLUENCE AND GLOBAL NONGOVERNMENTAL PUBLIC ACTION IN HEALTH AND PHARMACEUTICAL POLICIES

被引:9
作者
Koivusalo, Meri [1 ]
Mackintosh, Maureen [2 ]
机构
[1] Natl Inst Hlth & Welf, Helsinki 00271, Finland
[2] Open Univ, Milton Keynes, Bucks, England
来源
INTERNATIONAL JOURNAL OF HEALTH SERVICES | 2011年 / 41卷 / 03期
基金
英国经济与社会研究理事会;
关键词
PRIVATE PARTNERSHIPS; ESSENTIAL MEDICINES; ACCESS; CARE; PART; GOVERNANCE; PATENTS; TRIPS;
D O I
10.2190/HS.41.3.h
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Nongovernmental public action has been effective in influencing global agenda-setting in health and pharmaceutical policies, yet its record in influencing solutions to the problems identified has been notably more limited. While trade policies have been particularly resistant to change, more substantial changes are observable in global health policies and global health governance. However, some of the directions of change may not be conducive to the democratic accountability of global health governance, to the wise use of public resources, to health systems development, or to longer-term access to health care within developing countries. The authors argue that observed changes in global health policies can be understood as accommodating to corporate concerns and priorities. Furthermore, the changing global context and the commercialization of global public action itself pose sharp challenges to the exercise of influence by global nongovernmental public actors. Nongovernmental organizations not only face a major challenge in terms of the imbalance in power and resources between themselves and corporate interest groups when seeking to influence policymaking; they also face the problem of corporate influence on public action itself.
引用
收藏
页码:539 / 563
页数:25
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