Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Am J Public Health. 2011 Aug;101(8):1386-90. doi: 10.2105/AJPH.2011.300147. Epub 2011 Jun 16.
A confluence of stimuli is propelling academic public health to embrace the prevention of chronic disease in developing countries as its new frontier. These stimuli are a growing recognition of the epidemic, academia's call to reestablish public health as a mover of societal tectonics rather than a handmaiden to medicine's focus on the individual, and the turmoil in the US health system that makes change permissible. To enable graduating professionals to participate in the assault on chronic diseases, schools of public health must allocate budgets and other resources to this effort. The barriers to chronic disease prevention and risk factor modulation are cultural and political; confronting them will require public health to work with a wide variety of disciplines. Chronic disease will likely become the dominant global public health issue soon. In addressing this issue, academia needs to lead, not follow.
多种因素促使学术公共卫生将发展中国家的慢性病预防作为新的前沿领域。这些因素包括对该流行病的认识不断提高,学术界呼吁重新确立公共卫生在社会结构变化中的推动作用,而不是作为医学关注个体的附属,以及美国医疗体系的动荡使得变革成为可能。为了使即将毕业的专业人员能够参与慢性病的防治,公共卫生学校必须为此项工作分配预算和其他资源。慢性病预防和风险因素调节的障碍是文化和政治方面的;应对这些障碍需要公共卫生与各种学科合作。慢性病很可能很快成为全球主要的公共卫生问题。在解决这个问题时,学术界需要发挥领导作用,而不是跟随。