Guinta M A, Allegrante J P
Center for Health Promotion, Teachers College, Columbia University, New York, NY 10027.
Am J Public Health. 1992 Jul;82(7):1033-41. doi: 10.2105/ajph.82.7.1033.
The President's Committee on Health Education was created by Richard M. Nixon in September 1971 and submitted its final report in September 1973. The committee resulted from the convergence of (1) a perceived national domestic policy need in response to escalating medical costs, (2) Nixon's personal and political ambitions, and (3) the dynamic political context of the late 1960s and early 1970s. Its work led to both private and public initiatives designed to influence the public's health through education; its findings and recommendations also laid the foundation for the National Consumer Health Information and Health Promotion Act of 1976 and thus contributed significantly to the development of subsequent national policy in health promotion and disease prevention. This paper places the work and contributions of the committee into historical perspective by analyzing the committee's origins and methods and the underlying politics that shaped its work and final report. The impact of the President's Committee is traced from the emergence of health education in the early 1970s as a potentially cost-effective alternative to medical care to the pivotal role health education now plays in health promotion and disease prevention efforts.
总统健康教育委员会由理查德·M·尼克松于1971年9月设立,并于1973年9月提交了最终报告。该委员会的成立源于以下几个因素的交汇:(1)应对不断攀升的医疗成本这一被视为国家国内政策的需求;(2)尼克松的个人及政治抱负;(3)20世纪60年代末70年代初充满活力的政治环境。其工作催生了旨在通过教育影响公众健康的公私举措;其调查结果和建议也为1976年的《国家消费者健康信息与健康促进法》奠定了基础,从而为后续国家健康促进和疾病预防政策的发展做出了重大贡献。本文通过分析该委员会的起源、方法以及塑造其工作和最终报告的潜在政治因素,将该委员会的工作和贡献置于历史背景中进行考量。总统委员会的影响可追溯到20世纪70年代初健康教育作为一种潜在的具有成本效益的医疗替代方案的出现,直至健康教育如今在健康促进和疾病预防工作中所发挥的关键作用。