Making Sense of the Global Health Crisis: Policy Narratives, Conflict, and Global Health Governance.

Health has become a policy issue of global concern. Worried that the unstructured, polycentric, and pluralist nature of global health governance is undermining the ability to serve emergent global public health interests, some commentators are calling for a more systematic institutional response to...

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Published in:Journal of Health Politics, Policy & Law Vol. 37; no. 2; pp. 253 - 296
Main Author: Ney, Steven
Format: Article
Published: Duke University Press Apr2012
Subjects:
Online Access:View this record in EBSCOhost
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        atl: Making Sense of the Global Health Crisis: Policy Narratives, Conflict, and Global Health Governance.
      aug:
        au: Ney, Steven
        affil: Jacobs University Bremen
      su:
        Epidemics
        International agencies
        Medical care
        Health policy
        Policy sciences
        Pharmaceutical industry
        World health
        Data analysis software
        Medical coding
      sug:
        subj:
          Epidemics
          International agencies
          Medical care
          Health policy
          Policy sciences
          Foreign affairs
          Administration of Public Health Programs
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Pharmaceutical Preparation Manufacturing
          Pharmaceutical and medicine manufacturing
          Drugs and Druggists' Sundries Merchant Wholesalers
          Pharmaceutical industry
          World health
          Data analysis software
          Medical coding
      ab: Health has become a policy issue of global concern. Worried that the unstructured, polycentric, and pluralist nature of global health governance is undermining the ability to serve emergent global public health interests, some commentators are calling for a more systematic institutional response to the "global health crisis." Yet global health is a complex and uncertain policy issue. This article uses narrative analysis to explore how actors deal with these complexities and how uncertainties affect global health governance. By comparing three narratives in terms of their basic assumptions, the way they define problems as well as the solutions they propose, the analysis shows how the unstructured pluralism of global health policy making creates a wide scope of policy conflict over the global health crisis. This wide scope of conflict enables effective policy-oriented learning about global health issues. The article also shows how exclusionary patterns of cooperation and competition are emerging in health policy making at the global level. These patterns threaten effective learning by risking both polarization of the policy debate and unanticipated consequences of health policy. Avoiding these pitfalls, the analysis suggests, means creating global health governance regimes that promote openness and responsiveness in deliberation about the global health crisis.
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      doctype: Article
      src: R
    language: English
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