全球健康与和平:以巴勒斯坦、乌克兰和委内瑞拉为重点的难以捉摸的道路。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Risk Management and Healthcare Policy Pub Date : 2024-12-14 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S483791
Mohammed Alkhaldi, Zeana Hamdonah, Lyne El Khatib
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引用次数: 0

摘要

健康与和平的相互关系是复杂的、多因素的,并充满了政治和经济挑战。和平与健康成果反映了与在个人和集体层面实现平衡的整体状况有关的共同基本价值观。社会不平等与卫生之间的这种因果关系要求特别注意政治不稳定和结构性暴力对冲突地区破坏卫生系统的影响。和平与健康之间的相互依存关系意味着,没有身体、心理、社会和精神健康的存在,就不可能实现和平,而在暴力条件下,整体健康也无法维持。和平与卫生作为相互条件的相互关系决定了我们对在所有冲突地区平等对待卫生外交和促进和平方面的全球团结和宣传的理解。本评论分析了在巴勒斯坦、乌克兰和委内瑞拉这三个活跃的冲突地区促进或破坏全球健康与和平的独特跨学科背景因素。使用了上下文分析、证据回顾和作者观点综合。健康与和平的联系仍然是一种理论方法,在危机中的大多数情况下缺乏实际应用。和平是一种多方面的现象,需要全球社会所有部门和利益攸关方的参与、奉献和行动,包括卫生政策制定者、科学家、专业人员和人民。即使是最低限度的“健康权”和“和平权”仍未实现,特别是在巴勒斯坦,可通过两种途径实现:(1)通过可靠的全球卫生外交实现诚实、负责和公平的问责制、透明度和政治承诺,以维护和平、消除不公正的根源和保护卫生系统;(2)在监测机制的推动下,公平和真正地实施和平卫生方针、政策和行动,促进所有冲突国家的健康、福祉、卫生安全和公平。
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Global Health and Peace: The Elusive Path with a Focus on Palestine, Ukraine, and Venezuela.

The interrelationality of health and peace is complex, multifactorial, and imbued with political and economic challenges. Peace and health outcomes reflect shared fundamental values related to the achievement of a balanced holistic condition on the individual and collective level. This causal relationship between social inequity and health requires special attention be paid to the impact of political instability and structural violence on undermining health systems in conflict zones. The mutual dependency between peace and health means that peace cannot be achieved without the existence of physical, mental, social, and spiritual health, and holistic health cannot be sustained under violent conditions. The interrelationality of peace and health as mutual conditions shapes our understanding of global solidarity and advocacy in relation to health diplomacy and peace promotion if addressed equally across all conflict zones. This commentary analyzes the unique interdisciplinary contextual factors that contribute to, or undermine the realization of global health and peace in three active conflict zones: Palestine, Ukraine, and Venezuela. Contextual analysis, review of the evidence, and synthesis of the authors' perspectives were used. The health-peace nexus remains a theoretical approach and lacks real application in most settings under crisis. Peace is a multifaceted phenomenon that necessitates the participation, dedication, and action of all sectors and stakeholders in global societies, including health policymakers, scientists, professionals, and people. Both the "right to health" and the "right to peace" even at the minimum remains unfulfilled, particularly in Palestine, and can be realized through two trajectories: (1) honest, responsible, and fair accountability, transparency, and political commitment empowered by reliable global health diplomacy for maintaining peace, eliminating the roots of injustice, and protecting health systems, and (2) equitable and real implementation of peace-health approaches, policies and actions driven by monitoring mechanisms that promote health, well-being, health security and equity for all nations under conflicts.

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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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