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Democracy and health

Democracy and health Q J Med 2005; 98:299–304 doi:10.1093/qjmed/hci042 Commentary J.P. RUGER From the Yale University School of Medicine, Department of Epidemiology and Public Health, New Haven, USA Political institutions and health Scholars of population and global health have values); institutions (e.g. centralized or fragmented, grappled for decades with the complex relationship presidential or parliamentary, responsiveness to between health and its determinants. This growing citizenry, political parties); state capacity (technical literature has taught us much about proximal and and administrative capacity, level of corruption); distal health determinants, especially those in the and philosophy, to more nuts-and-bolts poli- socio-economic realm. Economics as it relates to tical process factors, such as personal politics health, in particular, has received considerable and (e.g. political leadership, powerful personalities, recent investigation, but mounting evidence sug- presidential tactics), political strategy and interest gests that a country’s economic status alone cannot group representation (e.g. its strength or weakness entirely explain differences in health and health in a political system). More recent influences on 2–8 policy. Thus, societies with similar levels of health policy include re-election incentives, finan- economic development, such as Afghanistan cial contributions (e.g. in the US), and the depth 12,13 and the Indian state of Kerala, can have http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png QJM: An International Journal of Medicine Oxford University Press

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References (45)

Publisher
Oxford University Press
Copyright
The Author 2005. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
ISSN
1460-2725
eISSN
1460-2393
DOI
10.1093/qjmed/hci042
pmid
15781480
Publisher site
See Article on Publisher Site

Abstract

Q J Med 2005; 98:299–304 doi:10.1093/qjmed/hci042 Commentary J.P. RUGER From the Yale University School of Medicine, Department of Epidemiology and Public Health, New Haven, USA Political institutions and health Scholars of population and global health have values); institutions (e.g. centralized or fragmented, grappled for decades with the complex relationship presidential or parliamentary, responsiveness to between health and its determinants. This growing citizenry, political parties); state capacity (technical literature has taught us much about proximal and and administrative capacity, level of corruption); distal health determinants, especially those in the and philosophy, to more nuts-and-bolts poli- socio-economic realm. Economics as it relates to tical process factors, such as personal politics health, in particular, has received considerable and (e.g. political leadership, powerful personalities, recent investigation, but mounting evidence sug- presidential tactics), political strategy and interest gests that a country’s economic status alone cannot group representation (e.g. its strength or weakness entirely explain differences in health and health in a political system). More recent influences on 2–8 policy. Thus, societies with similar levels of health policy include re-election incentives, finan- economic development, such as Afghanistan cial contributions (e.g. in the US), and the depth 12,13 and the Indian state of Kerala, can have

Journal

QJM: An International Journal of MedicineOxford University Press

Published: Apr 1, 2005

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