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):66-71. doi: 10.1016/s0033-3506(02)00008-2.
The practice of public health involves the application of evidence to improving population health, and should be accountable to the public. Accountability to the public can be considered either at the individual doctor-patient interface or through population-level policy making. The public, at both patient and population levels, should join the professionals at each stage of the 'population health evidence cycle'-in asking for, collecting, understanding and using evidence. A greater appreciation of the non-professional, public perspective would represent a substantial commitment to transforming our understanding and needs for different kinds of evidence required to improve the health of the population.
公共卫生实践涉及运用证据来改善人群健康，并且应当对公众负责。对公众负责既可以在个体医患层面来考量，也可以通过制定人群层面的政策来实现。在患者和人群这两个层面，公众都应当在“人群健康证据循环”的每个阶段与专业人员一道——提出、收集、理解和使用证据。更多地从非专业的公众视角出发，将意味着在转变我们对改善人群健康所需的不同类型证据的理解和需求方面做出重大努力。
