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Globalization and social determinants of health:
Analytic and strategic review paper -revised March 11, 2006
Ronald Labonte Ted Schrecker
Prepared for the Health Systems Knowledge Network of the World Health
Organisation’s Commission on Social Determinants of Health
On behalf of the Globalization Knowledge Network
Available online as PDF file [51p.] at:
http://www.who.int/social_determinants/resources/globalization.pdf
Analytic and strategic paper prepared by the Instituteof Population Health:
defining globalization, the nature of the evidence base, how the global
market place affects social determinants of health, environment and
resources, next steps.
The outline of the paper is as follows.
·Section I puts forward a definition of globalization and describes key
strategic and methodological issues, emphasizing that globalization is
unlike the topics of most other KNs, and demands a distinctive perspective
and approach.
·Section II describes a number of key ‘clusters’ of pathways leading from
globalization to changes in SDH. In our view the most important pathways
have been generically identified, but the list is not exhaustive and is
subject to refinement in the course of the Globalization KN’s work.
·Section III provides a similarly generic inventory of potential
“interventions,” although in the context of globalization an intervention
must be understood much more broadly than in a clinical or community public
health setting. Reflecting a desire to complement the work of other KNs
concerned with micro- and meso-level policies, special attention is paid to
the potential for innovations in global governance.
·Finally, Section IV provides a list of the specific research synthesis
papers that will comprise a key element of the KN’s activities
* * * *
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