Keck C W
Akron Health Department, OH 44308.
Am J Public Health. 1992 Sep;82(9):1206-9. doi: 10.2105/ajph.82.9.1206.
Significant change in thought and action will be required for our health system to become capable of serving all citizens effectively. Reliance on market forces and political expediency to shape health policy has focused attention inappropriately on finding ways to pay for illness care rather than maximizing health status. This misdirection of thought and effort has led many of us to search for ways to assure that health policy decisions are consistently based on both science and an ethic of humane concern. Courageous and disciplined local leadership will be needed to motivate policymakers to focus on the task of creating a healthy public. Linkage of academicians and practitioners with the public in a manner than empowers communities to assess and prioritize their own health problems could foster a strong community-based demand for ethical and humane decision making. Constituent demand for improved health status could provide the support politicians need if they are to legislate a national health program that emphasizes health promotion and disease prevention as well as illness care.
要使我们的卫生系统有能力有效地为全体公民服务，思想和行动上需有重大改变。依靠市场力量和政治权宜之计来制定卫生政策，已不适当地将注意力集中在寻找支付疾病护理费用的方法上，而不是将健康状况最大化。这种思维和努力的错误导向，使我们许多人寻求确保卫生政策决策始终基于科学和人文关怀伦理的方法。需要有勇敢且自律的地方领导力，激励政策制定者专注于创建健康公众的任务。以一种使社区有能力评估自身健康问题并确定其优先次序的方式，将学者和从业者与公众联系起来，可能会促进基于社区的对符合伦理和人道的决策的强烈需求。如果政治家要立法制定一项强调健康促进、疾病预防以及疾病护理的国家卫生计划，选民对改善健康状况的需求可以为他们提供所需的支持。
