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The Global Institutionalization of Health as a Social ConcernOrganizational and Discursive TrendsWorld Bank, kinoue{at}stanfordalumni.org
Stanford University, drori{at}stanford.edu Drawing from sociological neoinstitutionalism, this article considers the emergence and evolution of the global health system. Tracing the dates of the founding of health-related international organizations shows a clear pattern of institutionalization over time. First, the article shows a clear trend of organizational structuration and expansion: with the oldest health-related international organizations tracing their origins to the 17th century, the global organizational field today includes some 2600 health-related organizations. Second, the field has clearly changed over time in the framing of health as a social concern: delineating the goals and aims of these health-related international organizations, the article reveals four general approaches to international health (as an act of charity, as a professional activity, as a means for development and as a basic human right) and a historic thematic shift from charity to human rights-based notions of health between 1650 and 1997. Such shifts are theorized within the framework of the neoinstitutional perspective.
Key Words: globalization • health • international organizations • neoinstitutional theory
International Sociology, Vol. 21, No. 2,
199-219 (2006) This article has been cited by other articles:
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