American Lung Association in California, Oakland, CA, USA.
J Urban Health. 2011 Feb;88 Suppl 1(Suppl 1):16-29. doi: 10.1007/s11524-010-9515-8.
Addressing asthma from a public health perspective is a relatively new concept for which the literature provides little guidance. A public health approach seeks to decrease the burden of asthma and improve health outcomes at the population level, such as communities, cities, or states, by reaching large numbers of individuals with effective interventions and at reasonable cost. Projects designed to achieve a measureable impact at the population level are fundamentally different from projects or interventions designed to improve outcomes among individuals. This paper uses the experience of the Controlling Asthma in American Cities Project and a review of the relevant literature to explore some of the unique questions and considerations that are implicit when planning large-scale asthma projects intended to improve population outcomes. The paper is intended to inform decision making by local and state government agencies, managed care organizations, health systems, community coalitions, and funders. Analysis of asthma and other chronic disease projects aiming to achieve population-level impact is an area for continued public health research.
从公共卫生的角度来解决哮喘问题，这是一个相对较新的概念，文献对此提供的指导很少。公共卫生方法旨在通过为大量人群提供有效的干预措施并以合理的成本来减轻哮喘负担，并改善人群层面的健康结果，例如社区、城市或州。旨在对人群层面产生可衡量影响的项目，与旨在改善个体结果的项目或干预措施有着根本的不同。本文利用《美国城市哮喘控制项目》的经验以及对相关文献的回顾，探讨了在规划旨在改善人群结果的大规模哮喘项目时所隐含的一些独特问题和考虑因素。本文旨在为地方和州政府机构、管理式医疗组织、卫生系统、社区联盟和资助者提供决策信息。旨在实现人群层面影响的哮喘和其他慢性病项目的分析，是公共卫生研究的一个持续领域。
