Shaikh Babar T
Liverpool School of Tropical Medicine, University of Liverpool, Pembroke Place, Liverpool, UK.
J Pak Med Assoc. 2008 Jan;58(1):33-6.
The concept of studying health seeking behaviours has evolved with the course of time and has ultimately become a tool for understanding how people employ the health care systems in their respective socio-cultural, economic and demographic circumstances. All these behaviours actually define social position of health and provide a better understanding of the disease process. It is therefore imperative to study the impacts of all the determinants, such as ethnicity, education of the mother, gender of child, lifestyles, or economics of a community. All the same, biomedical knowledge alone cannot guarantee better health. Health practitioners, managers and policy makers ought to reflect on social determinants while delivering services, designing health promotion interventions and developing policies. To build a responsive health system, there is a strong need to understand the health seeking behaviours on the demand side and that is the only way to expect improved health outcomes. This paper trails the history of pledges and promises, from Alma Ata declaration to Millennium Development Goals, to consider the importance of social determinants for a healthy public policy and health system development.
对寻求健康行为的研究概念随着时间的推移而演变，最终成为一种工具，用于理解人们在各自的社会文化、经济和人口环境中如何利用医疗保健系统。所有这些行为实际上定义了健康的社会地位，并能更好地理解疾病过程。因此，研究所有决定因素的影响至关重要，比如种族、母亲的教育程度、孩子的性别、生活方式或社区的经济状况。同样，仅靠生物医学知识并不能保证更好的健康。医疗从业者、管理人员和政策制定者在提供服务、设计健康促进干预措施和制定政策时，应该考虑社会决定因素。为了建立一个响应迅速的卫生系统，非常有必要了解需求方的寻求健康行为，这是期望改善健康结果的唯一途径。本文追溯了从《阿拉木图宣言》到千年发展目标的承诺和诺言的历史，以探讨社会决定因素对制定健康公共政策和发展卫生系统的重要性。
