Does health securitization affect the role of global surgery?

Aim More and more frequently outbreaks of infectious diseases force the international community to urgent health action and lead to an increasing security focus on global health. Considering the limiting character of resource allocation, all other medical conditions must compete with the top spot of health security matters, as we currently see with the outbreak of COVID-19. Surgery is an integral part of universal health offering life-saving therapy for a variety of illnesses. Amidst the increasing nexus of infectious diseases and health security and in the view of Public Health Emergencies of International Concern (PHEIC), is there a risk of global surgery falling behind? Subject and Methods While the global undersupply of surgical care is well recorded, contextual explanations are absent. Our research introduces the constructivist concept of securitization according to the Copenhagen School to explain the structural handicap of global surgery and by that presents a structural explanation. We investigate the securitizing potential of surgical diseases in comparison to infectious diseases. Results Surgical conditions are non-contagious without the risk for disease outbreaks, hardly preventable and their treatment is often infrastructurally demanding. These key features mark their low securitizing potential. Additionally, as PHEIC is the only securitizing institution in the realm of health, infectious diseases have a privileged role in health security. Conclusion Surgery substantially lacks securitizing potential in comparison to communicable diseases and by that is structurally given an inferior position in a securitized health order..

Medienart:

Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Journal of public health - 30(2020), 4 vom: 30. Juli, Seite 925-930

Sprache:

Englisch

Beteiligte Personen:

Metelmann, Isabella B. [VerfasserIn]
Flessa, Steffen [VerfasserIn]
Busemann, Alexandra [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.10$jGesundheitswesen: Allgemeines

Themen:

Global surgery
Health security
Infectious diseases
Securitization

Anmerkungen:

© The Author(s) 2020

doi:

10.1007/s10389-020-01347-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2078278610