Title: Global Health Policy--The Big Picture
题目：全球健康政策－－宏观规划
Author 作者: Andrea Tenner

General Information 一般资料:
-The global health world is faced with an unprecedented challenge of a trio of threats:
全球健康领域正在面临前所未有的三个威胁：
Infections, undernutrition, reproductive health issues
感染病，营养不良，生殖问题
Rising global burden of non-communicable diseases and risk factors
任意增长的非传播性疾病及其危险因素
3. Challenges arising from globalization (climate change and trade politics)
全球化的挑战（气候的变化和贸易政策）
-Definitions of global health are variable and can emphasize anything from types of health problems, populations of interest, geographic area or a specific mission.  This makes governance and analysis difficult.
全球健康的定义差异很大，但都强调包括健康问题的类型，人群利益，地理位置，或一个特别论题的任何内容。这就造成管理和分析上的困难。
-During the past decade there has been an explosion of more than 175 initiatives, funds, agencies, and donors.  Health is increasingly influenced by decisions made in other global policymaking areas.
在过去十年中爆炸性的涌出了超过175个的举措，资金，机构和捐助者。健康受全球其他领域所作出的决定的影响越来越明显。
-The major governance challenges for global health are:
全球健康管理方面的主要挑战为：
Defining national sovereignty in the context of deepening health interdependence
在深化医药卫生相互依存的背景下定义国家主权
Maximizing cross-sector interdependence
跨部门的相互依存最大化
3. Developing clear mechanisms of accountability for non-state actors
为非国家行为制定明确的责任制
Relevance to the US physician 与美国医生关系:
The Global Health System and its governance affects our ability to work effectively within the US and how we structure efforts to expand the reach of timely, effective emergency care worldwide.
全球健康体系和治理影响我们在美国的工作效率和我们应如何规划和努力扩展及时有效的全球紧急医疗体系。
Bottom Line 要点:
The Global Health System has become more complex. Any development of Emergency Care Systems must take into account the complexity of actors in the field of global health.
全球健康体系已经变得更加复杂。在筹建任何紧急救护系统时必须要考虑到全球健康领域所有参与者的复杂性。
References 参考文献：

An interactive graphic can be found at: http://www.nejm.org/doi/full/10.1056/NEJMra1109339?query=featured_home     
Frenk, J. and Moon, S. Governance Challenges in Global Health. NEJM 2013; 368: 936 – 942.