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我们需要行动起来解决健康的社会决定因素问题——但我们也想要这样做吗?评“理解公共行政在实施健康的社会决定因素和健康不平等问题行动中的作用”。

We Need Action on Social Determinants of Health - but Do We Want It, too? Comment on "Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities".

机构信息

Centre for Health Equity Training Research and Evaluation (CHETRE), University of New South Wales, Sydney, NSW, Australia.

South Western Sydney Local Health District, Liverpool, NSW, Australia.

出版信息

Int J Health Policy Manag. 2016 Feb 27;5(6):379-82. doi: 10.15171/ijhpm.2016.25.

Abstract

Recently a number of calls have been made to mobilise the arsenal of political science insights to investigate - and point to improvements in - the social determinants of health (SDH), and health equity. Recently, in this journal, such a rallying appeal was made for the field of public administration. This commentary argues that, although scholarly potential should justifiably be redirected to resolve these critical issues for humanity, a key ingredient in taking action may have been neglected. This factor is 'community.' Community health has been a standard element of the public health and health promotion, even political, repertoire for decades now. But this commentary claims that communities are insufficiently charged, equipped or appreciated to play the role that scholarship attributes (or occasionally avoids to identify) to them. Community is too important to not fully engage and understand. Rhetorical tools and inquiries can support their quintessential role.

摘要

最近,人们呼吁调动政治学的知识武器,以研究和改善健康的社会决定因素(SDH)和健康公平。最近,在本期刊中,也有人呼吁公共行政领域进行这样的呼吁。本评论认为,尽管学术潜力理应重新定向,以解决人类的这些关键问题,但采取行动的一个关键因素可能被忽视了。这个因素就是“社区”。社区卫生几十年来一直是公共卫生和健康促进、甚至是政治领域的标准要素。但本评论声称,社区没有得到充分的激励、装备或重视,无法发挥学术研究赋予(或偶尔避免确定)给它们的作用。社区太重要了,不容忽视或不充分理解。修辞工具和探究可以支持它们的核心作用。

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