Department of Architecture, University of the West of England, Coldharbour Lane, Bristol BS16 1QY, UK.
Health Promot Int. 2019 Dec 1;34(6):1241-1249. doi: 10.1093/heapro/day064.
In 1991, Dahlgren and Whitehead produced a highly influential model of the determinants of health that has since been used by numerous national and international public health organizations globally. The purpose of the model is to enable interventions that improve health to be addressed at four key policy levels. It is not a model of health or disease; instead the model is structured around health policy decision-making. However the model needs an update, since it was devised there has been a digital revolution that has transformed every aspect of: human life, our cities, society and the fundamental principles upon which the global economy operates. The article examines the impact of Information and Communication Technologies (ICT) on the determinants of health. ICT has given rise to a new Information Age that is implicated in many of the major global health issues today. Addressing contemporary health issues requires intervention at the level of ICT, particularly as health communication online is central to the delivery and dissemination of public health policies.
1991 年，Dahlgren 和 Whitehead 提出了一个极具影响力的健康决定因素模型，此后被全球众多国家和国际公共卫生组织广泛使用。该模型的目的是使能够改善健康的干预措施能够在四个关键政策层面上得到解决。它不是健康或疾病的模型；相反，该模型是围绕着卫生政策决策来构建的。然而，该模型需要更新，因为自它被设计以来，已经发生了一场数字革命，这场革命改变了人类生活、城市、社会以及全球经济运作的基本原则的方方面面。本文探讨了信息和通信技术（ICT）对健康决定因素的影响。信息通信技术催生了一个新的信息时代，它与当今许多重大的全球卫生问题有关。解决当代卫生问题需要在信息通信技术层面进行干预，特别是因为在线健康传播是公共卫生政策实施和传播的核心。
