Buchanan I
Health Promotion Unit, Rochdale, UK.
Health Care Anal. 1994 Feb;2(1):31-5. doi: 10.1007/BF02251333.
In the development of health promotion theory to date insufficient attention has been paid to the question 'What is the end to which health promotion is directed?' A distinction can be made between purpose (end) and process (means to end) and if no clear account of purpose exists to illuminate how process contributions relate to its achievement, then health promotion's claim to be a practical discipline is weak. Although 'well-being' is frequently cited as the essence of health promotion, a view of 'well-being' which goes much beyond the intuitive has yet to emerge. Retention of 'well-being' as purpose requires a specific account which allows health promotion's claim to practicality to be clearly demonstrated. In discussing the form such an account would need to take, purely hedonistic conceptions of 'well-being' are discounted and the development of an 'objective' account, in which 'capacity for self direction' would form the key focus, is suggested.
在迄今为止健康促进理论的发展过程中，对于“健康促进所指向的目标是什么？”这一问题关注不足。目的（目标）和过程（实现目标的手段）是有区别的，如果对于目的没有清晰的阐述来阐明过程贡献如何与其实现相关联，那么健康促进作为一门实践学科的主张就很薄弱。尽管“幸福”经常被视为健康促进的本质，但一种超越直觉的“幸福”观尚未出现。将“幸福”作为目的需要一种特定的阐述，以便能够清晰地证明健康促进的实用性主张。在讨论这种阐述应采取的形式时，纯粹享乐主义的“幸福”概念被排除在外，并建议发展一种“客观”的阐述，其中“自我导向能力”将成为关键焦点。
