Lollar Donald J
Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA 30341, USA.
Public Health Rep. 2002 Mar-Apr;117(2):131-6. doi: 10.1093/phr/117.2.131.
The public health community has traditionally paid little attention to the health needs of people with disabilities. Recent activities, however, on the part of federal and international organizations mark a shift toward engaging the health concerns of this large and growing population. First, the World Health Organization published the International Classification of Functioning, Disability, and Health (ICF), a companion to the International Classification of Diseases. The ICF describes both a conceptual framework and a classification system, providing the foundation for public health science and policy. Second, a vision for the future of public health and disability is outlined in Healthy People 2010 that, for the first time, includes people with disabilities as a targeted population. The article briefly describes activities and emerging opportunities for a public health focus on people with disabilities with the ICF as a foundation and Healthy People 2010 as a vision. Public health has traditionally responded to emerging needs; people with disabilities are a group whose health needs should be targeted.
传统上，公共卫生界很少关注残疾人的健康需求。然而，联邦和国际组织近期开展的活动标志着一种转变，即开始关注这一规模庞大且不断增长的人群的健康问题。首先，世界卫生组织发布了《国际功能、残疾和健康分类》（ICF），它是《国际疾病分类》的配套文件。ICF既描述了一个概念框架，也提供了一个分类系统，为公共卫生科学和政策奠定了基础。其次，《2010年美国人健康指标》概述了公共卫生与残疾问题的未来愿景，首次将残疾人列为目标人群。本文以ICF为基础、以《2010年美国人健康指标》为愿景，简要描述了公共卫生关注残疾人的活动及新出现的机遇。传统上，公共卫生一直在应对新出现的需求；残疾人是一个其健康需求应成为目标的群体。
