Doyle Y G, Furey A, Flowers J
South East London Strategic Health Authority and European Centre on Health of Societies in Transition, London School of Hygiene and Tropical medicine, Waterloo, London, UK.
J Epidemiol Community Health. 2006 May;60(5):396-8. doi: 10.1136/jech.2005.042770.
Twenty years after Geoffrey Rose published his classic paper, the central messages remain highly relevant to modern public health policy and practice. The individual and population approaches are fundamentally different but both are needed. Recent examples of powerful population approaches prove Rose's point that norms can change benefiting the most deprived. Individual approaches have also succeeded but their protection of the most deprived communities is limited. Consumerism in health and over-reliance on individual approaches risk widening health inequalities.
杰弗里·罗斯发表其经典论文二十年后,其核心观点对于现代公共卫生政策与实践仍然高度相关。个体方法和群体方法有着根本区别,但两者都不可或缺。近期强有力的群体方法实例证明了罗斯的观点,即规范能够改变,从而惠及最贫困人群。个体方法也取得了成功,但其对最贫困社区的保护作用有限。健康领域的消费主义以及对个体方法的过度依赖,可能会加剧健康不平等。