Epping-Jordan JoAnne E
World Health Organization, Geneva 27, Switzerland.
Ann Behav Med. 2004 Oct;28(2):81-7. doi: 10.1207/s15324796abm2802_2.
In recent years, there has been a dramatic rise in the global prevalence of chronic conditions. Cancer, diabetes, cardiovascular diseases chronic lung disorders, and their common behavioral risk factors are escalating rapidly in developing countries, many of which are still struggling with infectious diseases and poor health system infrastructures.
This article examines the role that behavioral medicine can play to improve global health.
The World Health Organization's Innovative Care for Chronic Conditions Framework provides a model for identifying areas for behavioral medicine influence, including patient-provider interactions, organization of health care, community mobilization, and national policy and financing.
Behavioral medicine has a large role to play in international health. Examples from around the world are provided.
Because behavior is the product of multilevel, multifactoral determinants, there are many areas of influence for behavioral medicine specialists who want to contribute to global health. By focusing attention internationally, with special attention toward the needs of developing countries, the field of behavioral medicine will be not only responding to its global responsibilities but also repositioning itself to be increasingly relevant for the 21st century.
近年来,全球慢性病患病率急剧上升。癌症、糖尿病、心血管疾病、慢性肺部疾病及其常见行为危险因素在发展中国家迅速增加,其中许多国家仍在与传染病和薄弱的卫生系统基础设施作斗争。
本文探讨行为医学在改善全球健康方面可发挥的作用。
世界卫生组织的慢性病创新照护框架提供了一个模型,用于确定行为医学可产生影响的领域,包括医患互动、医疗保健组织、社区动员以及国家政策和融资。
行为医学在国际卫生领域可发挥重要作用。文中列举了世界各地的实例。
由于行为是多层次、多因素决定因素的产物,对于希望为全球健康做出贡献的行为医学专家而言,存在诸多可施加影响的领域。通过将注意力集中于国际层面,特别关注发展中国家的需求,行为医学领域不仅将履行其全球责任,还将重新定位自身,使其在21世纪更具相关性。