Nikiforuk G, Nikiforuk M
J Dent Educ. 1979 Mar;43(3):147-52.
The need to extend the search for health beyond the current efforts to control disease is emphasized by citing the deficienceis of the current health care model systems. The escalating costs of health care delivery, the emphasis of the current system on treating episodic illnesses rather than chronic disabilities, and the fact that the health care system has less of an impact on health status than socio-economic and life style factors represent major deficiencies in health care delivery. Further, the fragmentation and specialization in education and health care, the exclusion of behavioral science teaching, and the teaching of behavioral determinants of diseases are additional deficiencies of health professions education. The need to develop clear and explicit national health policies, including monitoring of health both of people and communities using indices that relate not only to diseases but also to the qualitative aspect of life, is viewed as an essential prerequisite for the health care system. The assignment of much greater priority to the training of a community health worker and health educator is stressed.
通过列举当前医疗保健模式系统的缺陷，强调了将健康搜索范围扩展到当前控制疾病努力之外的必要性。医疗保健服务成本不断攀升，当前系统侧重于治疗偶发性疾病而非慢性残疾，以及医疗保健系统对健康状况的影响小于社会经济和生活方式因素，这些都是医疗保健服务中的主要缺陷。此外，教育和医疗保健中的碎片化和专业化、行为科学教学的缺失以及疾病行为决定因素的教学，是卫生专业教育的其他缺陷。制定明确的国家卫生政策，包括使用不仅与疾病相关而且与生活质量方面相关的指标对个人和社区的健康进行监测，被视为医疗保健系统的基本前提。强调应将社区卫生工作者和健康教育工作者的培训置于更高的优先地位。
