Gostin Lawrence O, Boufford Jo Ivey, Martinez Rose Marie
Georgetown University, USA.
Health Aff (Millwood). 2004 Jul-Aug;23(4):96-107. doi: 10.1377/hlthaff.23.4.96.
The expansive vision of modern public health, "healthy people in healthy communities," is politically charged. This paper offers a justification for this broad vision and offers concrete proposals. By pointing to the poor condition of public health agencies; urging a transition to an intersectoral public health system; promoting the adoption of bold changes in U.S. physical, social, and economic conditions; and endorsing a values shift to a commitment to collective interest in healthier communities, we hope to take a dramatic step toward achieving these aspirations for "healthy people in healthy communities."
现代公共卫生的广阔愿景，即“健康社区中的健康人群”，具有政治意味。本文为这一宽泛的愿景提供了正当理由，并提出了具体建议。通过指出公共卫生机构的糟糕状况；敦促向跨部门公共卫生系统转型；推动在美国的物质、社会和经济状况方面进行大胆变革；以及支持价值观转变，致力于在更健康的社区中追求集体利益，我们希望朝着实现“健康社区中的健康人群”这些愿望迈出巨大的一步。
