Dunn J R, Hayes M V
Centre for Health Services and Policy Research, University of British Columbia, Vancouver.
Can J Public Health. 1999 Nov-Dec;90 Suppl 1(Suppl 1):S7-10. doi: 10.1007/BF03403570.
Despite its undeniable currency in research and policy circles, there remains considerable confusion about what 'population health' is. We propose a lexicon for population health in the hope of clarifying issues and advancing this important research emphasis and policy agenda. It distinguishes population health in its literal meaning from a population health perspective, population health research, a population health framework, and a population health approach to policy. Population health is more than just thinking in aggregate terms or about identifying vulnerable or at-risk subpopulations. A population health perspective is fundamentally concerned with the social nature of health influences. The social structures that shape health experiences transcend the characteristics or actions of any one individual, providing population health with analytic advantages over individualistic-oriented approaches to health and to health policy.
尽管“人口健康”在研究和政策领域有着不可否认的影响力,但对于它究竟是什么,仍然存在相当大的困惑。我们提出了一个关于人口健康的词汇表,希望能澄清相关问题,并推动这一重要的研究重点和政策议程。它区分了人口健康的字面含义、人口健康视角、人口健康研究、人口健康框架以及人口健康政策方法。人口健康不仅仅是从总体角度思考或识别弱势群体或高危亚群体。人口健康视角从根本上关注健康影响的社会性质。塑造健康体验的社会结构超越了任何一个个体的特征或行为,这使得人口健康相对于以个人主义为导向的健康和健康政策方法具有分析优势。