Griffiths S, Jewell T, Donnelly P
School of Public Health, Chinese University of Hong Kong, Room 508, 5/F School of Public Health, Prince of Wales Hospital Shatin N.T., Hong Kong.
Public Health. 2005 Oct;119(10):907-13. doi: 10.1016/j.puhe.2005.01.010.
This paper outlines a conceptual model for public health practice by proposing the three domains as a framework to organize and to deliver public health programmes. The model builds on the recognition that public health is everybody's business and therefore, needs a common definitional base. Different levels of skill and a wide range of contributions are needed if public health programmes are to make the most impact. The different domains of practice help to construct a basis for understanding the necessary elements of the public health system and their interactions. Using teenage pregnancy as a case study of a public health programme highlights the characteristics of the model. It demonstrates not only the importance of the role of directors of public health in taking a population-based overview, but also the need for multi-sectoral, multidisciplinary working. The relevance of the public health approach not only to primary care but also to the hospital-based sector becomes apparent, as does its relevance to communities, voluntary sector and local government. Integration of the three domains, a common definition and the framework for the public health system will support effective delivery of health improvement.
本文通过提出将三个领域作为组织和实施公共卫生项目的框架，概述了一个公共卫生实践的概念模型。该模型基于这样一种认识，即公共卫生是每个人的事，因此需要一个共同的定义基础。如果公共卫生项目要产生最大影响，就需要不同水平的技能和广泛的贡献。不同的实践领域有助于构建一个理解公共卫生系统必要要素及其相互作用的基础。以青少年怀孕作为公共卫生项目的案例研究突出了该模型的特点。它不仅表明了公共卫生主管在进行基于人群的总体审视方面的重要作用，还表明了多部门、多学科合作的必要性。公共卫生方法不仅与初级保健相关，而且与医院部门相关，这一点变得很明显，其与社区、志愿部门和地方政府的相关性也是如此。三个领域的整合、一个共同的定义以及公共卫生系统的框架将支持有效促进健康。
