Frenk J, Bobadilla J L, Stern C, Frejka T, Lozano R
National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Health Transit Rev. 1991 Apr;1(1):21-38.
This article presents the basic elements for developing a theory of the health transition. Such elements include the definition of concepts, the specification of a framework on the determinants of health status, the analysis of the mechanisms through which health change occurs in populations, the characterization of the attributes that allow us to identify different transition models, and the enumeration of the possible consequences of the transition. The propositions are presented with a sufficient level of generality as to make them applicable to different contexts; at the same time, an attempt is made to provide them with the necessary specificity to account for different national experiences, thus opening a space for future comparative research efforts. Through the systematization exercise presented in this article, we hope to contribute to the progress of a topic that has grown in importance during recent years. Such importance is due to the enormous potential that health transition theory has for understanding and transforming the growing complexity of our times.
本文介绍了构建健康转型理论的基本要素。这些要素包括概念的定义、健康状况决定因素框架的具体说明、人群健康变化发生机制的分析、使我们能够识别不同转型模式的属性特征,以及转型可能产生的后果列举。这些命题具有足够的普遍性,以便适用于不同背景;同时,试图为它们提供必要的特殊性,以解释不同国家的经验,从而为未来的比较研究努力开辟空间。通过本文所呈现的系统化工作,我们希望为一个近年来重要性不断增加的主题的发展做出贡献。这种重要性源于健康转型理论在理解和改变我们这个时代日益复杂的情况方面所具有的巨大潜力。