Vallgårda Signild
Signild Vallgårda, Professor, Unit of Health Services Research, Department of Public Health, University of Copenhagen , Øster Farimagsgade 5, 1014 Copenhagen K, Denmark ; E-mail:
Med Hist. 2011 Jan;55(1):27-40. doi: 10.1017/s0025727300006037.
The increasingly used concept new public health indicates that a fundamental change has occurred in the goals and methods of disease prevention and health promotion. The change is often said to imply less expert-driven governing of citizens. In this article, governing technologies in the field of public health in Denmark and Sweden are analysed to investigate whether substantial changes have taken place in the governing efforts. In the endeavours unfolded in relation to health examinations for children and pregnant women during the last eighty years, no apparent evidence exists of a significant change in governing technologies. Regulatory, expert-driven and empowering technologies have been used during the whole period; additionally, appeals to autonomy, responsibility and obedience as well as to trust in authorities co-exist throughout the period. The fundamental change is the huge increase in the health authorities' governing ambitions.
新公共卫生这一越来越常用的概念表明，疾病预防和健康促进的目标及方法已发生了根本性变化。人们常说这种变化意味着对公民的治理减少了专家主导。本文分析了丹麦和瑞典公共卫生领域的治理技术，以调查治理工作是否发生了实质性变化。在过去八十年里针对儿童和孕妇健康检查所开展的工作中，没有明显证据表明治理技术发生了重大变化。在整个时期都使用了监管、专家主导和赋权技术；此外，在整个时期，对自主性、责任感和服从性以及对当局信任的呼吁也并存。根本性变化在于卫生当局治理野心的大幅增加。
