Lantz Paula M, Lichtenstein Richard L, Pollack Harold A
University of Michigan, Ann Arbor, MI, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1253-7. doi: 10.1377/hlthaff.26.5.1253.
Because of a strong tendency to "medicalize" health status problems and to assume that their primary solution involves medical care, policymakers often focus on increased financial and geographic access to personal health services in policies aimed at populations that are vulnerable to poor health. This approach has produced real public health gains, but it has neglected key social and economic causes of health vulnerability and disparities. Although access to care is a necessary component of population health, concerted policy action in income security, education, housing, nutrition/food security, and the environment is also critical in efforts to improve health among socially disadvantaged populations.
由于存在将健康状况问题“医学化”的强烈倾向，并假定其主要解决方案涉及医疗保健，政策制定者在针对健康状况易受影响人群的政策中，往往将重点放在增加获得个人健康服务的资金和地理途径上。这种方法已经带来了实实在在的公共卫生成果，但它忽视了健康易受影响和差异的关键社会和经济原因。虽然获得医疗服务是人群健康的必要组成部分，但在收入保障、教育、住房、营养/食品安全和环境方面采取协调一致的政策行动，对于改善社会弱势群体的健康状况也至关重要。
