Physical Therapy Program, University of Colorado Anschutz Medical Campus, Education 2 South, 13121 East 17th Avenue, Aurora, CO 80045 (USA).
Pro-Activity Associates, Lebanon, New Jersey.
Phys Ther. 2019 Aug 1;99(8):1039-1047. doi: 10.1093/ptj/pzz048.
Chronic, noncommunicable diseases have replaced acute, infectious diseases as the leading causes of global mortality and morbidity. Efforts among physical therapists to address noncommunicable diseases have primarily focused on the promotion of healthy behaviors among individual clients. However, the strongest predictors of chronic disease are tied to where we live, work, learn, and play, our families, and our communities. Population health frameworks can help us better understand the complex interrelations between individuals' health condition and their social and physical environment over time and also inform the development of effective programs and policies that improve the health of individuals and communities. The objectives of this article are to: (1) define population health, prevention, and health promotion; (2) provide a current perspective on the utility of population health frameworks in physical therapy; and (3) identify opportunities for the expanded use of population health frameworks in physical therapist practice, research, and education.
慢性非传染性疾病已经取代急性传染病,成为全球死亡和发病的主要原因。物理治疗师在努力应对非传染性疾病时,主要侧重于促进个体客户的健康行为。然而,慢性病最强的预测因素与我们生活、工作、学习和娱乐的地方、我们的家庭和我们的社区有关。人口健康框架可以帮助我们更好地理解个人健康状况与其社会和物理环境之间随时间的复杂相互关系,并为制定改善个人和社区健康的有效计划和政策提供信息。本文的目的是:(1) 定义人口健康、预防和健康促进;(2) 提供当前视角,说明人口健康框架在物理治疗中的效用;(3) 确定在物理治疗师实践、研究和教育中扩大使用人口健康框架的机会。