The multiple meanings of global health governance: a call for conceptual clarity

Globalization and Health

Adam Kamradt-Scott²  Kelley Lee¹ 

[1] Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC V5S 1S6, Canada;Centre for International Security Studies, Department of Government and International Relations, University of Sydney, Room 384, H04 Merewether Building, Sydney, NSW 2006, Australia

关键词: Global health;    Global governance;    Global health governance;   

Others  :  802453
DOI  :  10.1186/1744-8603-10-28

 received in 2013-12-30, accepted in 2014-02-20,  发布年份 2014

【 摘 要 】

Background

The term global health governance (GHG) is now widely used, with over one thousand works published in the scholarly literature, almost all since 2002. Amid this rapid growth there is considerable variation in how the term is defined and applied, generating confusion as to the boundaries of the subject, the perceived problems in practice, and the goals to be achieved through institutional reform.

Methodology

This paper is based on the results of a separate scoping study of peer reviewed GHG research from 1990 onwards which undertook keyword searches of public health and social science databases. Additional works, notably books, book chapters and scholarly articles, not currently indexed, were identified through Web of Science citation searches. After removing duplicates, book reviews, commentaries and editorials, we reviewed the remaining 250 scholarly works in terms of how the concept of GHG is applied. More specifically, we identify what is claimed as constituting GHG, how it is problematised, the institutional features of GHG, and what forms and functions are deemed ideal.

Results

After examining the broader notion of global governance and increasingly ubiquitous term “global health”, the paper identifies three ontological variations in GHG scholarship - the scope of institutional arrangements, strengths and weaknesses of existing institutions, and the ideal form and function of GHG. This has produced three common, yet distinct, meanings of GHG that have emerged – globalisation and health governance, global governance and health, and governance for global health.

Conclusions

There is a need to clarify ontological and definitional distinctions in GHG scholarship and practice, and be critically reflexive of their normative underpinnings. This will enable greater precision in describing existing institutional arrangements, as well as serve as a prerequisite for a fuller debate about the desired nature of GHG.

【 授权许可】

   
2014 Lee and Kamradt-Scott; licensee BioMed Central Ltd.

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