Cohen Deborah, Huynh Tai, Sebold Anne, Harvey Jean, Neudorf Cory, Brown Adalsteinn
Canadian Population Health Initiative (CPHI), Canadian Institute for Health Information (CIHI), Ottawa, ON, Canada; Institute of Population Health, University of Ottawa, Ottawa, ON, Canada.
Centre for Innovation in Complex Care, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
SAGE Open Med. 2014 Feb 7;2:2050312114522618. doi: 10.1177/2050312114522618. eCollection 2014.
The population health approach is increasingly recognized for its role in health system reform; however, its broad scope and definition have been criticized for being a barrier to clear communication. This qualitative study examined the way senior healthcare leaders in Canada conceptualize and operationalize the population health approach in planning and decision-making.
Core elements of the population health approach included focusing on health and wellness rather than illness, taking a population rather than individual orientation, understanding needs and solutions through community outreach, addressing health disparities/health in vulnerable groups, addressing the social determinants of health and inter-sectoral action and partnerships.
The population health approach is increasingly recognized for its role in reducing healthcare demand and contributing to health system sustainability. This study demonstrated the growing need to clarify terminology among multiform partners to establish a foundation for future healthcare integration and inter-sectoral action.
人群健康方法在卫生系统改革中的作用日益得到认可；然而，其广泛的范围和定义因被认为是清晰沟通的障碍而受到批评。这项定性研究考察了加拿大高级医疗保健领导者在规划和决策中对人群健康方法的概念化和实施方式。
人群健康方法的核心要素包括关注健康和福祉而非疾病，采取人群导向而非个体导向，通过社区外展了解需求和解决方案，解决弱势群体中的健康差距/健康问题，解决健康的社会决定因素以及跨部门行动和伙伴关系。
人群健康方法在减少医疗保健需求和促进卫生系统可持续性方面的作用日益得到认可。这项研究表明，越来越需要在多样的合作伙伴之间澄清术语，为未来的医疗保健整合和跨部门行动奠定基础。
