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From the bottom up: tracing the impact of four health-based social movements on health and social policies.

机译:自下而上:追踪四种基于健康的社会运动对健康和社会政策的影响。

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摘要

Although health-based social movements organized by grassroots activists have a rich history in impacting health and social policy, few systematic studies have addressed their policy change efforts or effectiveness. In this article, the authors trace how four health-based social movements-the women's health movement, ACT UP, breast cancer, and needle exchange-influenced health and social policy legislation. The activists' efforts wrested control of "authoritative knowledge" that had once been the sole domain of "experts" with advanced medical training. They used this knowledge to empower "average" people with medical information, promote self help and engage in civil disobedience, which led to changes in healthcare delivery, drug testing and approval, and increased research funds for HIV/AIDS, breast cancer, and needle exchange. The activists' efforts led to other health-based social movements that are currently, or will become, issues for health and social policy analysts in the future.
机译:尽管由基层活动家组织的以健康为基础的社会运动在影响健康和社会政策方面具有丰富的历史,但是很少有系统的研究探讨其政策改变的努力或有效性。在本文中,作者追踪了四种基于健康的社会运动-妇女的健康运动,ACT UP,乳腺癌和针头交换对健康和社会政策立法的影响。积极分子的努力夺取了对“权威知识”的控制,而“权威知识”曾经是接受高级医学培训的“专家”的唯一领域。他们利用这些知识为“普通”人群提供医疗信息,促进自助和进行公民抗命,从而导致医疗保健服务,药物测试和批准发生变化,并增加了对HIV / AIDS,乳腺癌和针灸的研究经费交换。维权人士的努力导致了其他基于健康的社会运动,这些运动目前或将来将成为健康和社会政策分析人员的问题。

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