Bauer Georg, Davies John Kenneth, Pelikan Juergen
Institute of Social and Preventive Medicine, University of Zurich Zurich, Switzerland.
Health Promot Int. 2006 Jun;21(2):153-9. doi: 10.1093/heapro/dak002. Epub 2006 Jan 9.
The European Community Health Promotion Indicator Development Model has been developed as the basis for establishing a European set of indicators for monitoring health promotion interventions. This paper offers the model more generally as a common frame of reference for broader public health practice and indicator development. The model builds around the physical, mental and social health of individuals and shows how health develops by interaction between individual and environmental health determinants. It demonstrates that health development can be analysed from a salutogenic and a pathogenic perspective and explains how the differing starting points of different intervention approaches such as health promotion and health care are related to these two perspectives. Finally, a classification system for pathogenic and salutogenic public health outcome indicators is derived from the model and has been applied to the current core list of the European Community Health Indicator system. The model and its application highlight the need for systematic salutogenic indicator development in the field of public health and for strengthening the health promotion perspective in the future.
欧洲共同体健康促进指标发展模型已被开发出来，作为建立一套欧洲健康促进干预监测指标的基础。本文更广泛地提供该模型，作为更广泛的公共卫生实践和指标发展的共同参考框架。该模型围绕个体的身体、心理和社会健康构建，展示了健康如何通过个体与环境健康决定因素之间的相互作用而发展。它表明，可以从健康促进和致病两个角度分析健康发展，并解释了诸如健康促进和医疗保健等不同干预方法的不同出发点与这两个角度的关系。最后，从该模型中得出了致病和健康促进公共卫生结果指标的分类系统，并已应用于欧洲共同体健康指标系统的当前核心清单。该模型及其应用突出了公共卫生领域系统的健康促进指标发展的必要性，以及未来加强健康促进视角的必要性。
