为什么美国需要一个多方面的健康定义
Kevin Fiscella1, Ronald M Epstein1,2,3
1Department of Family Medicine, University of Rochester Medical Center, Rochester, NY 14620, United States.
Health affairs scholar
|May 17, 2024
概括
美国缺乏明确的健康定义,依赖于缺乏对社会和环境因素投资的生物医学模型. 采用整体健康定义可以改善福祉,促进健康公平.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 健康的社会经济决定因素
背景情况:
- 美国缺乏对健康的明确定义,导致研究和医疗保健中的隐性生物医学模型.
- 这种对生物医学的关注导致对儿童早期发展和健康的社会决定因素等关键领域的投资不足.
- 目前的方法使慢性疾病和高医疗保健成本延续.
研究的目的:
- 分析隐含的生物医学健康定义对美国健康结果的影响.
- 倡导采用一个整体的健康定义.
- 探索多方面的健康定义如何促进健康公平.
主要方法:
- 美国健康定义的概念分析.
- 对研究和医疗保健的审查,对健康的运营.
- 检查健康概念化和人口健康结果之间的关系.
主要成果:
- 隐含的生物医学健康定义导致对终身健康的投资不足,包括行为和环境因素.
- 这种投资不足有助于慢性疾病的循环和不断上升的医疗保健成本.
- 一个整体的定义,包括发展,代理和福祉,为改善健康和公平提供了一条道路.
结论:
- 转向对健康的整体定义对于解决美国不良健康状况至关重要.
- 联邦机构应采用多方面的健康定义,以改变医疗保健并促进健康公平.
- 实施整体方法可以促进个体的繁荣,并减少系统性健康差异.
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