Commercial Determinants of Health and its influence on trauma care

Asela Gunawardena
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Abstract

As the World Health Organization (WHO) states, Commercial determinants of health (CDoH) are the private sector activities that affect people’s health, directly or indirectly, positively or negatively. The private sector influences the social, physical, and cultural environments through business actions and societal engagements. CDoH includes all products and services provided by private entities to gain a financial profit, market strategies, research funding, working conditions, production externalities, and political activities, such as misinformation, lobbying, and donations. Some parts of the private sector also use instrumental, structural, and discursive power to undermine public health policies that threaten profits. Therefore CDoH impacts a wide range of health outcomes, such as non-communicable diseases, communicable diseases and epidemics, injuries on roads and from weapons, violence, and mental health conditions
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健康的商业决定因素及其对创伤护理的影响
世界卫生组织(WHO)指出,健康的商业决定因素(CDoH)是直接或间接、积极或消极影响人们健康的私营部门活动。私营部门通过商业行为和社会参与影响社会、物质和文化环境。CDoH 包括私营实体为获取经济利润而提供的所有产品和服务、市场战略、研究资金、工作条件、生产外部性以及政治活动,如误导、游说和捐赠。一些私营部门还利用工具性、结构性和话语权来破坏威胁利润的公共卫生政策。因此,CDoH 影响着广泛的健康结果,如非传染性疾病、传染性疾病和流行病、道路伤害和武器伤害、暴力和精神健康状况。
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