Zieliński Andrzej
Przegl Epidemiol. 2014;68(3):475-9, 577-81.
Developed by Geoffrey Rose strategy of preventive medicine caused a major breakthrough in thinking about the effectiveness of preventive measures. The distinction between actions within the high-risk groups against activities at the level of the whole population raised awareness of public health workers that focus on highly vulnerable individuals may lead to underestimation of the problem of cases among individuals out high risk groups, who due to their numbers in the population, participate to a greater number of cases. The author of this study points to the importance of this distinctions, but also highlights some methodological problems of Rose theory. It is postulated efficiency-oriented approach to prevention that takes into account integrated action which includes activities at the level of the whole population, but also an attempt to deliver individualized messages to smaller groups and ant to individuals including those beyond high-risk groups. In the author's opinion this is of particular importance in the context of strong social stratification.
杰弗里·罗斯提出的预防医学策略在对预防措施有效性的思考上带来了重大突破。针对高危人群的行动与针对整个人口层面活动的区分，让公共卫生工作者意识到，专注于高度易受影响个体可能会导致低估高危群体之外个体中的病例问题，而这些个体由于在人口中的数量，导致了更多的病例。本研究的作者指出了这种区分的重要性，但也强调了罗斯理论的一些方法学问题。假定预防采取以效率为导向的方法，这种方法考虑到综合行动，包括整个人口层面的活动，同时也试图向较小群体以及包括高危群体之外的个体传递个性化信息。在作者看来，在社会分层强烈的背景下，这一点尤为重要。
