Centre for Global Health & School of Psychology, Trinity College Dublin, Ireland.
Trop Med Int Health. 2012 Jan;17(1):139-41. doi: 10.1111/j.1365-3156.2011.02876.x. Epub 2011 Sep 7.
We propose the concept of Inclusive Health to encapsulate the Health for All ethos; to build on the rights-based approach to health; to promote the idea of inclusion as a verb, where a more proactive approach to addressing distinctive and different barriers to inclusion is needed; and to recognise that new initiatives in human resources for health can offer exciting and innovative ways of healthcare delivery. While Inclusive Education has become a widely recognised and accepted concept, Health for All is still contested, and new thinking is required to develop its agenda in line with contemporary developments. Inclusive Health refers both to who gets health care and to who provides it; and its ethos resonates strongly with Jefferson's assertion that 'there is nothing more unequal, than the equal treatment of unequal people'. We situate the timeliness of the Inclusive Health concept with reference to recent developments in the recognition of the rights of people with disability, in the new guidelines for community-based rehabilitation and in the World Report on Disability. These developments offer a more inclusive approach to health and, more broadly, its inter-connected aspects of wellbeing. A concept which more proactively integrates United Nations conventions that recognise the importance of difference - disability, ethnicity, gender, children - could be of benefit for global healthcare policy and practice.
我们提出包容性健康的概念，以包含全民健康的理念；以基于权利的健康方法为基础；促进包容作为动词的理念，在这种理念中，需要采取更积极主动的方法来解决包容的独特和不同障碍；并认识到卫生人力资源方面的新举措可以为医疗保健的提供带来令人兴奋和创新的方式。虽然包容性教育已经成为一个广泛认可和接受的概念，但全民健康仍然存在争议，需要新的思维来根据当代发展制定其议程。包容性健康既指谁能获得医疗保健，也指谁能提供医疗保健；它的理念与杰斐逊的断言“没有什么比平等对待不平等的人更不平等的了”产生了强烈共鸣。我们将包容性健康概念的及时性与最近在承认残疾人人权方面的发展、社区康复新准则和世界残疾报告联系起来。这些发展为健康以及更广泛的福祉的相互关联方面提供了更具包容性的方法。一个更积极地整合联合国各项公约的概念，这些公约认识到差异（残疾、种族、性别、儿童）的重要性，这可能对全球医疗保健政策和实践有益。
