Bhattacharya Dru, Bhatt Jay
1 Department of Population Health Sciences, University of San Francisco , San Francisco, California.
2 Northwestern Memorial Hospital , Chicago, Illinois.
Popul Health Manag. 2017 Oct;20(5):383-388. doi: 10.1089/pop.2016.0148. Epub 2017 Feb 13.
In 2016, Keyes and Galea issued 9 foundational principles of population health science and invited further deliberations by specialists to advance the field. This article presents 7 foundational principles of population health policy whose intersection with health care, public health, preventive medicine, and now population health, presents unique challenges. These principles are in response to a number of overarching questions that have arisen in over a decade of the authors' collective practice in the public and private sectors, and having taught policy within programs of medicine, law, nursing, and public health at the graduate and executive levels. The principles address an audience of practitioners and policy makers, mindful of the pressing health care challenges of our time, including: rising health-related expenditures, an aging population, workforce shortages, health disparities, and a backdrop of inequities rooted in social determinants that have not been adequately translated into formal policies or practices among the key stakeholders in population health. These principles are meant to empower stakeholders-whether it is the planner or the practitioner, the decision maker or the dedicated caregiver-and inform the development of practical tools, research, and education.
2016年，凯斯和加利亚发布了人口健康科学的9项基本原则，并邀请专家进行进一步讨论以推动该领域发展。本文提出了人口健康政策的7项基本原则，这些原则与医疗保健、公共卫生、预防医学以及现在的人口健康的交叉领域带来了独特的挑战。这些原则是对作者在公共和私营部门十多年的集体实践中出现的一些首要问题的回应，作者还在医学、法律、护理和公共卫生项目的研究生和高管层面教授政策。这些原则面向从业者和政策制定者，关注我们这个时代紧迫的医疗保健挑战，包括：与健康相关的支出不断增加、人口老龄化、劳动力短缺、健康差距，以及社会决定因素中存在的不平等背景，而这些不平等在人口健康的关键利益相关者中尚未充分转化为正式政策或实践。这些原则旨在赋予利益相关者权力——无论是规划者还是从业者、决策者还是敬业的护理人员——并为实用工具、研究和教育的发展提供信息。
