公共卫生的医疗化:一个叙事审查
1Warwick Medical School, University of Warwick, Coventry, CV4 7AL, United Kingdom.
Public health
|June 14, 2025
概括
公共卫生正变得过度医疗化,专注于生物医学解决方案,而不是社会和环境因素. 这种转变忽视了健康不平等的根本原因,需要恢复全面的,以预防为重点的战略.
科学领域:
- 公共卫生 公共卫生
- 健康的社会决定因素
- 生物医学科学 生物医学科学
背景情况:
- 公共卫生领域越来越受到医学方法的影响.
- 从解决系统性社会和环境决定因素到生物医学模型,有显著的转变.
研究的目的:
- 批判性地检查公共卫生的医疗化.
- 分析这一趋势对解决上游健康决定因素的影响.
主要方法:
- 40项同行评审研究的叙述性综述.
- 专题分析以确定反复出现的主题和影响.
主要成果:
- 医疗化导致过度依赖技术解决方案和健康的个性化.
- 社区主导和跨学科的方法被边缘化.
- 伦理和公平问题出现,缩小了公共卫生的有效性.
结论:
- 迫切需要将公共卫生与解决系统性决定因素的使命重新协调.
- 促进跨学科合作,预防和社会改革.
- 整合生物医学和结构方法,以实现弹性和公平的健康结果.
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