School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia.
Med J Aust. 2011 Jan 3;194(1):38-40. doi: 10.5694/j.1326-5377.2011.tb04144.x.
The national health reform agenda appears to have omitted public health. In this article, I outline how public health is different from primary care, and why a holistic approach to reform should include public health. The current reform agenda is very much focused on addressing the problems in acute care and the hospital system, with the focus on primary care being a means to this end. Until the health system is addressed as a whole, with all its essential components integrated and interlinked, truly successful reform of the health system, with genuine long-term vision and sustainability, will not be possible.
国家卫生改革议程似乎忽略了公共卫生。本文概述了公共卫生与初级保健的不同之处，以及为什么整体改革方法应包括公共卫生。当前的改革议程非常关注解决急性护理和医院系统中的问题，关注初级保健是实现这一目标的手段。除非整个卫生系统得到解决，其所有基本组成部分得到整合和相互关联，否则，真正具有长期愿景和可持续性的卫生系统的成功改革将是不可能的。
