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Report 550012007/2005 The health impacts of globalisation: a conceptual framework

M.M.T.E. Huynen, ICIS, Maastricht University, Maastricht P. Martens, ICIS, Maastricht University, Maastricht H.B.M. Hilderink, Netherlands Environmental Assessment Agency (MNP), Bilthoven Contact: M.Huynen@ICIS.unimaas.nl

ICIS, Maastricht University Kapoenstraat 23 6211 KV Maastricht P.O. Box 616 6200 MD Maastricht The Netherlands Phone number: ++ 31 43 3882662 Fax: ++ 31 43 3884916 website: www.icis.unimaas.nl

Netherlands Environmental Assessment Agency (MNP) A. van Leeuwenhoeklaan 9 3721 MA Bilthoven P.O. Box 303 3720 AH Bilthoven The Netherlands Phone number: ++31-30-2749111 Fax: ++31-30-2742971 Website: www.mnp.nl

This investigation has been performed by order and for the account of MNP, within the framework of project S/550012, Population and Health.

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Netherlands Environmental Assessment Agency

Acknowledgements
We would like to thank all colleagues at the International Centre for Integrative Studies (ICIS) and the Netherlands Environmental Assessment Agency (MNP) for the fruitful discussions leading to this paper. This work is financially supported by MNP-RIVM within the project ‘Population & Health’.

Netherlands Environmental Assessment Agency

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Abstract
The health impacts of globalisation: a conceptual framework This paper describes a conceptual framework for the health implications of the globalisation process in the following three steps: 1) defining the concept of population health and identifying its main determinants; 2) defining the concept of globalisation and identifying its main features; and 3) constructing the conceptual model of globalisation and population health. The main health determinants are identified and structured by means of a conceptual model, which is based on an analysis of existing health models. The nature of the determinants (institutional, socio-cultural, economic, and environmental) and their level of causality (proximate, distal, and contextual) are combined into a basic framework that conceptualises the complex multi-causality of population health. Contemporary globalisation is defined as an intensification of cross-national cultural, economic, political, social and technological interactions that lead to the establishment of transnational structures and the global integration of cultural, economic, environmental, political and social processes at various levels. The following features of globalisation are distinguished: global governance structures, global markets, global communication and diffusion of information, global mobility, cross-cultural interaction, and global environmental changes. The conceptual framework, subsequently, links features of globalisation with health determinants and specifies how distal and proximate health determinants are affected by globalisation. This study has resulted in valuable insights in health effects resulting from globalisation. The described conceptual framework could give a meaningful contribution to further empirical research by serving as a ‘think-model’ and is a useful tool to structure future explorations of the health implications of globalisation by means of scenario analysis. Keywords: Population health, globalisation, health determinants, conceptual model

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Netherlands Environmental Assessment Agency

Rapport in het kort
De gezondheidseffecten van mondialisering: een conceptueel raamwerk Dit rapport beschrijft een conceptueel model met betrekking tot de gezondheidseffecten van mondialisering in drie stappen: 1) definiëring van het concept volksgezondheid en identificatie van de belangrijkste gezondheidsdeterminanten; 2) definiëring van het concept mondialisering en identificatie van de belangrijkste aspecten van mondialisering; en 3) ontwikkeling van het conceptuele model voor mondialisering en gezondheid. De belangrijkste gezondheidsdeterminanten zijn geïdentificeerd en...
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