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首页> 外文期刊>The Lancet >Health in the Arab world: A view from within 1: Governance and health in the Arab world
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Health in the Arab world: A view from within 1: Governance and health in the Arab world

机译：阿拉伯世界的健康：从1内的景色：阿拉伯世界的治理和健康

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摘要

Since late 2010, the Arab world has entered a tumultuous period of change, with populations demanding more inclusive and accountable government. The region is characterised by weak political institutions, which exclude large proportions of their populations from political representation and government services. Building on work in political science and economics, we assess the extent to which the quality of governance, or the extent of electoral democracy, relates to adult, infant, and maternal mortality, and to the perceived accessibility and improvement of health services. We compiled a dataset from the World Bank, WHO, Institute for Health Metrics and Evaluation, Arab Barometer Survey, and other sources to measure changes in demographics, health status, and governance in the Arab World from 1980 to 2010. We suggest an association between more effective government and average reductions in mortality in this period; however, there does not seem to be any relation between the extent of democracy and mortality reductions. The movements for changing governance in the region threaten access to services in the short term, forcing migration and increasing the vulnerability of some populations. In view of the patterns observed in the available data, and the published literature, we suggest that efforts to improve government effectiveness and to reduce corruption are more plausibly linked to population health improvements than are efforts to democratise. However, these patterns are based on restricted mortality data, leaving out subjective health metrics, quality of life, and diseasespecific data. To better guide efforts to transform political and economic institutions, more data are needed for healthcare access, health-care quality, health status, and access to services of marginalised groups.
机译：自2010年底以来，阿拉伯世界进入了喧嚣的变革时期，人口要求更具包容性和责任的政府。该地区的特点是政治机构薄弱，从政治代表和政府服务中排除了对其种群的大量比例。在政治科学与经济学工作中，我们评估了治理质量或选举民主程度，涉及成人，婴儿和产妇死亡率以及对卫生服务的感知可行性和改进的程度。我们编制了来自世界银行的数据集，卫生学学院，阿拉伯晴雨表调查和其他来源，以衡量1980年至2010年阿拉伯世界人口统计学，健康状况和治理的变化。我们建议与之间的联系在此期间更有效的政府和平均死亡率降低;但是，民主程度和死亡率之间似乎并没有任何关系。在短期内，该区域治理的转变的动作威胁到服务，迫使迁移并增加一些人群的脆弱性。鉴于在可用数据中观察到的模式和出版的文献，我们建议提高政府效率和减少腐败的努力与人口健康改善更加合理地与民主化的努力。但是，这些模式基于受限制的死亡率数据，留出主观健康指标，生活质量和不安的数据。为了更好地指导改变政治和经济机构的努力，医疗保健机构，保健质量，健康状况以及获得边缘化群体的服务需要更多的数据。

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  • 来源
    《The Lancet》 |2014年第9914期|共13页
  • 作者

    BatnijiR.; KhatibL.; CammettM.; SweetJ.; BasuS.; JamalA.; WiseP.; GiacamanR.;

  • 作者单位

    Center on Democracy Development and the Rule of Law Stanford University Encina Hall Stanford;

    Carnegie Middle East Center Beirut Lebanon;

    Department of Political Science Brown University Providence RI United States;

    Freeman Spogli Institute Stanford University Stanford CA United States;

    Center on Democracy Development and the Rule of Law Stanford University Encina Hall Stanford;

    Department of Political Science Princeton University Princeton NJ United States;

    Freeman Spogli Institute Stanford University Stanford CA United States;

    Institute for Community and Public Health Birzeit University Birzeit West-Bank Palestine;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
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