Speculating on health: public health meets finance in 'health impact bonds'

Rowe Rachel; Stephenson Niamh

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Speculating on health: public health meets finance in 'health impact bonds'

机译：关于健康的推测：公共健康在“健康影响债券”中符合财务要求

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Where modern public health developed techniques to calculate probability, potentiality, risk and uncertainty, contemporary finance introduces instruments that redeploy these. This article traces possibilities for interrogating the connection between health and financialisation as it is arising in one particular example - the health impact bond. It locates the development of this very recent financial innovation in an account of public health's role within governance strategies over the 20th century to the present. We examine how social impact bonds for chronic disease prevention programmes bring two previously distinct ways of thinking about and addressing risk into the same domain. Exploring the derivative-type propertiesicipants in health interventions. How public health techniques for of health impact bonds elucidates the financial processes of exchange, hedging, bundling and leveraging. As tools for speculation, the functions of health impact bonds can be delinked from any particular outcome for partknowing and acting on risks to population health will contest, rework or be subsumed within finance's speculative response to risk, is to be seen.

机译：在现代公共卫生开发了计算概率，潜力，风险和不确定性的技术的地方，当代金融引入了重新部署这些技术的工具。本文探讨了询问健康与金融化之间的联系的可能性，因为在一个特定的例子中-健康影响纽带正在出现。它以公共卫生在20世纪至今的治理策略中的作用为基础，来定位这一最新的金融创新的发展。我们研究了用于慢性病预防计划的社会影响纽带如何将以前考虑和解决风险的两种截然不同的方式带入同一领域。探索卫生干预措施中的衍生物型特性参与者。用于健康影响债券的公共卫生技术如何阐明交换，对冲，捆绑和杠杆化的财务流程。作为投机工具，可以将健康影响纽带的功能与任何特定结果脱钩，以了解和采取行动应对人口健康风险，这些竞争将导致竞争，返工或被纳入金融对风险的投机性反应之中。

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《Sociology of health & illness》 |2016年第8期|共14页
作者
Rowe Rachel; Stephenson Niamh;
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原文格式 PDF
正文语种 eng
中图分类流行病学与防疫;
关键词
finance; funding; budgeting; prevention; Chronic illness; long-term illness; risk; biopolitics;

机译：金融;资金;预算;预防;慢性病;长期疾病;风险;生物政治;

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1. Speculating on health: public health meets finance in "health impact bonds' [J] . Rowe Rachel, Stephenson Niamh Sociology of health & illness . 2016,第8期

机译：关于健康的推测：公共健康在“健康影响债券”中符合财务要求
2. Aligning public health financing with essential public health service functions and National Public Health Performance Standards. [J] . Brooks RG, Beitsch LM, Street Journal of public health management and practice: JPHMP . 2009,第4期

机译：使公共卫生筹资与基本公共卫生服务职能和国家公共卫生绩效标准保持一致。
3. Global disparities in health-systems financing: A cross-national analysis of the impact of tariff reductions and state capacity on public health expenditure in 65 low- and middle-income countries, 1996-2015 [J] . Health & place . 2020,第期

机译：卫生系统融资的全球差异：1996 - 2015年65个中等收入国家的关税减少和国家能力对公共卫生支出的影响的跨国分析
4. Guided public health eLearning: An innovative approach to increasing the understanding of public health and maximising access to public health learning opportunities [C] . Acres D. J., Buttivant H., Choi S. World Congress on Public Health . 2013

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5. The impact of publicly-financed health insurance on the use of health services and on equity: A case study of Ecuador. [D] . Waters, Hugh Richard Dudley. 1999

机译：公共财政医疗保险对医疗服务使用和公平的影响：厄瓜多尔的案例研究。
6. Impact of Publicly Financed Health Insurance Schemes on Healthcare Utilization and Financial Risk Protection in India: A Systematic Review [O] . Shankar Prinja, Akashdeep Singh Chauhan, Anup Karan, -1

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7. Beta-blocker therapy for secondary prevention of myocardial infarction in elderly diabetic patients11The analyses upon which this publication is based were performed under Contract No. 500-96-P549, entitled “Utilization and Quality Control Peer Review Organization for the State of Connecticut,” sponsored by the Health Care Financing Administration, Department of Health and Human Services. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products or organizations imply endorsement by the U.S. Government. The authors assume full responsibility for the accuracy and completeness of the ideas presented. This article is a direct result of the Health Care Quality Improvement Program initiated by the Health Care Financing Administration, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of this Contractor. Ideas and contributions to the author concerning experience in engaging with issues presented are welcomed. Results from the national cooperative cardiovascular project [O] . Chen Jersey, Marciniak Thomas A, Radford Martha J, 1999

机译：Beta受体阻滞剂对老年糖尿病患者的心肌梗死的二级预防11本出版物的依据是根据题为“康涅狄格州利用和质量控制同行评审组织”的第500-96-P549号合同进行的由卫生与公共服务部卫生筹资管理局提供。本出版物的内容不一定反映卫生和公共服务部的观点或政策，提及商品名称，商业产品或组织也不一定表示得到美国政府的认可。作者对所提出想法的准确性和完整性承担全部责任。本文是卫生保健筹资管理局发起的“卫生保健质量改善计划”的直接结果，该计划鼓励确定通过对护理模式进行分析而得出的质量改善项目，因此该承包商不需要任何特殊资金。欢迎作者提出解决问题的经验和想法。国家心血管合作计划的结果
8. Shaping a Culture of Public Health Preparedness and Medical Emergency Response; How the Department of Health and Human Services is Transforming to Meet Tomorrow's Health Threats [R] . McDonald, M. S. 2007

机译：塑造公共卫生文化和医疗应急响应文化;卫生和人类服务部如何转变以应对明天的健康威胁

Speculating on health: public health meets finance in 'health impact bonds'

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