Health Economics Unit, School of Public Health and Family Medicine, Medical Campus, University of Cape Town, Cape Town, South Africa.
J Epidemiol Community Health. 2011 Feb;65(2):116-8. doi: 10.1136/jech.2008.082818. Epub 2009 Nov 24.
In the article by Starfield and colleagues, it was suggested that the concept of prevention has gone astray. This article aims to extend their ideas.
Our methods are to take the Starfield et al article and argue that it is possible and useful to see prevention in a wider context, going beyond prevention in healthcare and viewing prevention as a social good.
This wider view results in some questioning of the nature of the benefits of prevention. At the same time, it suggests that the values of informed citizens might be more often elicited to help establish the principles underpinning the concept of prevention.
There is a need for further debate involving various disciplines to examine the concept of prevention in greater depth.
在 Starfield 及其同事的文章中，他们提出预防的概念已经偏离正轨。本文旨在扩展他们的观点。
我们的方法是采用 Starfield 等人的文章，并认为从更广泛的角度看待预防是可行且有用的，超越医疗保健中的预防，将预防视为一种社会公益。
这种更广泛的观点导致对预防益处的性质产生了一些质疑。同时，它表明，知情公民的价值观可能更经常被激发出来，以帮助确立预防概念的基本原则。
需要进一步涉及多个学科的辩论，以更深入地研究预防的概念。
