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Health (London). 2019 Feb 13:1363459319829195. doi: 10.1177/1363459319829195. [Epub ahead of print]

Traveling health-promoting infrastructures: A meta-ethnographic analysis.

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Copenhagen University Hospital, Denmark; University of Copenhagen, Denmark.
Copenhagen University Hospital, Denmark.
Bispebjerg and Frederiksberg Hospital, Denmark; Copenhagen University Hospital, Denmark; University of Copenhagen, Denmark.
University of Copenhagen, Denmark.


In recent years, it has become increasingly important to understand the global circulation of healthcare innovations in nations' attempts to solve contemporary health challenges. This article is a systematic review and meta-ethnography-inspired analysis that explores the global circulation of health-related standards, protocols, procedures, and regulations, or what we term health-promoting infrastructures (HPIs). The notion of HPIs is defined as built networks that allow for the circulation of health expertise with the intention of promoting solutions that address global health problems. We conducted systematic searches in six relevant electronic databases and ended up with a set of 13 studies. The review shows that it takes arduous work to prepare and facilitate the travel of HPIs and to mold them into meaningful local forms. In conclusion, we argue that HPIs can helpfully be thought of as scripted forms, which are globally available in always sited efforts to address specific problems.


globalization; healthcare; infrastructures; meta-ethnography; standards


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