The Role of the Business Sector in Global Health Politics

Kelley Lee, Julia Smith
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Abstract

The influence of for-profit businesses in collective action across countries to protect and promote population health dates from the first International Sanitary Conferences of the nineteenth century. The restructuring of the world economy since the late twentieth century and the growth of large transnational corporations have led the business sector to become a key feature of global health politics. The business sector has subsequently moved from being a commercial producer of health-related goods and services, contractor, and charitable donor, to being a major shaper of, and even participant in, global health policymaking bodies. This chapter discusses three sites where this has occurred: collective action to regulate health-harming industries, activities to provide for public interest needs, and participation in decision-making within global health institutions. These changing forms of engagement by the business sector have elicited scholarly and policy debate regarding the appropriate relationship between public and private interests in global health.
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商业部门在全球卫生政治中的作用
营利性企业在各国保护和促进人口健康的集体行动中的影响可以追溯到19世纪第一次国际卫生会议。20世纪后期以来世界经济的结构调整和大型跨国公司的增长使商业部门成为全球卫生政治的一个关键特征。随后,商业部门从与健康有关的商品和服务的商业生产者、承包商和慈善捐助者转变为全球卫生决策机构的主要塑造者,甚至参与者。本章讨论了发生这种情况的三个地点:管制危害健康行业的集体行动、提供公共利益需求的活动以及参与全球卫生机构的决策。商业部门这些不断变化的参与形式引发了关于全球卫生中公共利益和私人利益之间适当关系的学术和政策辩论。
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