Heller R F, Heller T D, Pattison S
Evidence for Population Health Unit, School of Epidemiology and Health Sciences, Medical School, University of Manchester, Oxford Road, Manchester M13 9PT, UK.
Public Health. 2003 Jan;117(1):62-5. doi: 10.1016/S0033-3506(02)00007-0.
The practice of public health has been criticized as being too involved with a narrow, managerial agenda focused on health care rather than the wider horizons of public good. Public accountability is central to the practice of public health, but is not mentioned in current definitions. We offer a new definition that recognizes the centrality of the public, and which should help public health professionals interpret their own role: 'Use of theory, experience and evidence derived through the population sciences to improve the health of the population, in a way that best meets the implicit and explicit needs of the community (the public)'.
公共卫生实践一直受到批评，因其过于专注于狭隘的管理议程，该议程侧重于医疗保健，而非更广泛的公共利益视野。公共问责制是公共卫生实践的核心，但在当前的定义中并未提及。我们提出了一个新的定义，该定义认识到公众的核心地位，并且应该有助于公共卫生专业人员诠释他们自己的角色：“运用通过人口科学得出的理论、经验和证据，以最能满足社区（公众）隐含和明确需求的方式，改善人群的健康状况”。
