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Conceptualising global health: theoretical issues and their relevance for teaching

机译:全球卫生概念化:理论问题及其与教学的关联

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Background There has long been debate around the definition of the field of education, research and practice known as global health. In this article we step back from attempts at definition and instead ask what current definitions tell us about the evolution of the field, identifying gaps and points of debate and using these to inform discussions of how global health might be taught. Discussion What we now know as global health has its roots in the late 19th century, in the largely colonial, biomedical pursuit of ‘international health’. The twentieth century saw a change in emphasis of the field towards a much broader conceptualisation of global health, encompassing broader social determinants of health and a truly global focus. The disciplinary focus has broadened greatly to include economics, anthropology and political science, among others. There have been a number of attempts to define the new field of global health. We suggest there are three central areas of contention: what the object of knowledge of global health is, the types of knowledge to be used and around the purpose of knowledge in the field of global health. We draw a number of conclusions from this discussion. First, that definitions should pay attention to differences as well as commonalities in different parts of the world, and that the definitions of global health themselves depend to some extent on the position of the definer. Second, global health’s core strength lies in its interdisciplinary character, in particular the incorporation of approaches from outside biomedicine. This approach recognises that political, social and economic factors are central causes of ill health. Last, we argue that definition should avoid inclusion of values. In particular we argue that equity, a key element of many definitions of global health, is a value-laden concept and carries with it significant ideological baggage. As such, its widespread inclusion in the definitions of global health is inappropriate as it suggests that only people sharing these values may be seen as ‘doing’ global health. Nevertheless, discussion of values should be a key part of global health education. Summary Our discussions lead us to emphasise the importance of an approach to teaching global health that is flexible, interdisciplinary and acknowledges the different interpretations and values of those practising and teaching the field.
机译:背景技术关于教育,研究和实践领域的定义,即全球卫生,一直存在着争论。在本文中,我们从尝试定义的过程中退缩,而是询问当前的定义如何告诉我们该领域的发展,确定争论的差距和要点,并利用这些信息来指导有关如何教授全球健康的讨论。讨论我们现在所知的全球卫生起源于19世纪后期,主要是对“国际卫生”的殖民地生物医学追求。二十世纪,本领域的重点转向了更广泛的全球健康概念,包括更广泛的健康社会决定因素和真正的全球关注点。学科重点已大大扩展到包括经济学,人类学和政治科学等。已经进行了许多尝试来定义全球卫生的新领域。我们建议存在三个主要争论领域:全球健康知识的对象是什么,要使用的知识类型以及围绕全球健康领域知识的目的。我们从这次讨论中得出许多结论。首先,这些定义应注意世界不同地区的差异和共性,并且全球健康的定义本身在某种程度上取决于定义者的位置。其次,全球卫生的核心优势在于其跨学科的特征,特别是结合了外部生物医学的方法。这种方法认识到政治,社会和经济因素是健康不良的主要原因。最后,我们认为定义应避免包含价值。特别是,我们认为公平是全球健康许多定义中的关键要素,它是一个充满价值的概念,并带有很大的意识形态包.。因此,将其广泛包含在全球健康的定义中是不合适的,因为这表明只有具有这些价​​值观的人才能被视为“在做”全球健康。尽管如此,对价值的讨论应该成为全球健康教育的关键部分。结束语我们的讨论使我们强调灵活,跨学科的全球健康教学方法的重要性,该方法承认实践和教学领域人员的不同解释和价值观。

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