医疗保健不是关于健康的
James O Woolliscroft1,2, Larry D Gruppen1, Jasna Markovac2
1Department of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
FASEB bioAdvances
|June 8, 2023
概括
改善美国人口健康需要从疾病治疗转向改善健康. 这包括认识到健康的社会决定因素的影响,并扩大医疗保健问责制超出医疗专业人员范围.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 健康的社会决定因素
背景情况:
- 目前的医疗保健计划专注于获取,在减少疾病负担方面取得了令人失望的结果.
- 医疗保健系统主要侧重于疾病逆转,而不是改善健康.
- 了解疾病发展需要承认个体行为,环境和遗传学之间的复杂相互作用.
研究的目的:
- 倡导医疗保健的范式转变,从疾病管理到健康改善.
- 强调健康的社会决定因素在疾病发展中的关键作用.
- 为改善人口健康提出涉及多方利益相关者的多学科方法.
主要方法:
- 分析当前医疗保健系统的局限性.
- 审查科学对健康和疾病病因学的理解.
- 探索一个案例研究,展示一个多方位的方法 (Allentown, PA).
主要成果:
- 仅仅是获得医疗保健的举措对改善人口健康状况是不够的.
- 外在因素,包括社会决定因素,显著影响疾病的发展.
- 为了有效的人口健康战略,需要更广泛的利益相关者联盟.
结论:
- 为了促进人口健康,必须采用多方面的方法.
- 医疗保健系统必须不断发展,以优先考虑健康改善和整合社会决定因素.
- 扩大医疗职业以外的问责制对于更健康的人口至关重要.
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