2021-11-28-世界卫生组织-Governing_health_innovation_for_the_common_good_-_The_WHO_Council_on_the_Economics_of_Health_for_All_-_Council_Brief_No._1_15页_615kb
报告摘要
WHO Council on the Economics of Health for All - Council Brief No. 1
Summary
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A triumph for science, but COVID-19 vaccine distribution showed widespread inaccessibility despite public support.
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Health innovation must be governed for the common good to achieve Health for All, reduce inequities, build resilience, and address global challenges.
Core Principles
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Measurement & Value: Measure Health for All holistically; value finance and partnerships aligned with the common good; strengthen public sector capacities.
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Finance & Innovation: Secure strategic, transformative finance for long-term health needs; govern innovation towards Health for All.
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Knowledge Governance: Reshape IP governance—treat health knowledge as a collective good; promote transparent sharing of R&D data and technology.
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Manufacturing & Capacity: Build resilient, diverse manufacturing infrastructure; develop strong public capacities in health innovation.
Key Problems & Proposed Solutions
| Status Quo Issue | Council's Solution |
|---|---|
| Misaligned R&D priorities (focus on high-income diseases) | Embark on purpose-driven innovation; correct mission priorities |
| Strong monopolies + profit maximization | Tackle limited stakeholder value reflection; restrict excessive profit |
| Constrained knowledge sharing due to strict IP + secrecy | Reshape IP governance + promote open science |
| Highly concentrated manufacturing (oligopoly) | Build diverse manufacturing capacity |
| Public investments generating private rewards with little social return | Attach conditions to public investments + foster public-private symbiosis |
Long-Term Vision & Short-Term Actions
- Long-Term: Establish an inclusive, equitable health innovation ecosystem capable of delivering timely access worldwide.
- Short-Term: Act to reduce COVID-19 inequities publicly and transparently in governing access.
Recommendations
- Move beyond market-fixing to co-shaping/cocreating health innovations for Health for All.
- End practices that privatize knowledge and control technology; support local innovation and production capacity.
- Adopt a "People's Prescription" approach ensuring affordable, high-quality public sector medicines and vaccines for all.
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