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全民健康?全民医保的过去、现在与未来。

Health for all? Pasts, presents and futures of aspirations for universal healthcare.

机构信息

Institute for Social and Cultural Anthropology, University of Vienna, Austria.

University of Oslo, Institute of Health and Society, P O Box 1130, Blindern, Oslo, 0317, Norway; Department of Social Anthropology, University of Oslo, Norway.

出版信息

Soc Sci Med. 2023 Feb;319:115660. doi: 10.1016/j.socscimed.2023.115660. Epub 2023 Jan 6.

Abstract

In this special issue, we bring together anthropological and historical work that considers successive aspirations towards 'health for all': their pasts, their futures, and their diverse meanings and iterations. Across the world, hopes for providing 'health for all' were central to nation building in the long 20th century, and for international relations, particularly after the second world war and the establishment of the WHO. Health became seen as a fundamental good by citizens of North and South and has remained a central force shaping global and national politics until today. But what does 'health for all' actually mean, and how did it come to matter? In this introduction we approach 'health for all as a situated, multi-faceted phenomenon, that - while having a shared aspiration towards universality of access and equality of care - comes into focus in partial, diverse and contentious policies, programmes, projects and practices. Beyond homogenising narratives that frame 'health for all' in terms of either success or failure, the special issue highlights the diverse iterations that 'health for all' has taken on the ground for different subjects and groups of people, exploring exclusions and limitations as well as dreams and aspirations.

摘要

在本期特刊中,我们汇集了人类学和历史学的研究成果,探讨了“人人享有健康”这一目标的延续性:它们的过去、未来,以及它们的不同含义和表现形式。在全球范围内,提供“人人享有健康”的希望是 20 世纪漫长时间里国家建设的核心,也是国际关系的核心,特别是在第二次世界大战和世界卫生组织成立之后。健康被南北双方的公民视为一种基本福利,并且一直是塑造全球和国家政治的核心力量,直到今天。但是,“人人享有健康”到底意味着什么,它又是如何产生影响的呢?在本期特刊的导言中,我们将“人人享有健康”视为一种特定的、多方面的现象,它虽然有着普及性和公平性的共同诉求,但在具体的、多样化的和有争议的政策、项目、计划和实践中才会突显出来。本期特刊不仅避免了将“人人享有健康”简化为成功或失败的单一叙事,还突出了“人人享有健康”在不同主体和人群中的多样化表现形式,探讨了其局限性和排斥性,以及梦想和渴望。

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