Sullivan L W
Department of Health and Human Services, Washington, DC 20201.
Med Educ. 1992 May;26(3):175-7. doi: 10.1111/j.1365-2923.1992.tb00150.x.
Health promotion and disease prevention programmes improve the health status of populations, preserve freedom, and empower individuals. Yet, despite important advances in many countries, including a more health-conscious public, it would be beneficial in the United States and in other countries to have a comprehensive plan to make health promotion and disease prevention personal and societal priorities. I have called this climate a 'culture of character', a climate of individual responsibility to encourage healthy behaviour. I want to encourage the readers of Medical Education to participate in the formulation of plans to implement greater health promotion and disease prevention efforts. Such a climate of personal responsibility could be created if doctors, educators and policy-makers agreed on some workable, positive goals and steps that would help meet realistic national goals over a defined period of time. If there were such agreement, then doctors could more clearly focus their own efforts with their patients, in concert with other health professionals, and with policy-makers who have the same goal--healthier people.
健康促进和疾病预防计划可改善人群的健康状况、维护自由并增强个人能力。然而，尽管包括公众健康意识增强在内的许多国家都取得了重要进展，但在美国和其他国家制定一项全面计划，将健康促进和疾病预防作为个人及社会优先事项仍将是有益的。我将这种氛围称为“品格文化”，即一种鼓励健康行为的个人责任氛围。我希望鼓励《医学教育》的读者参与制定计划，以加大健康促进和疾病预防力度。如果医生、教育工作者和政策制定者就一些可行的积极目标和步骤达成一致，这些目标和步骤将有助于在规定时间内实现切实可行的国家目标，那么就可以营造出这种个人责任氛围。如果达成了这样的共识，那么医生就可以与其他健康专业人员以及有着相同目标（让人们更健康）的政策制定者协同合作，更明确地将自身努力聚焦于患者。
