Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Dr Gómez, Dr Kleinman, Dr Pronk, and Dr Wrenn Gordon); Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, US Department of Health and Human Services, Rockville, Maryland (Ms Ochiai, Ms Blakey, and Ms Johnson [former staff]); and Health ConTexts, LLC, Silver Spring, Maryland (Ms Brewer).
J Public Health Manag Pract. 2021;27(Suppl 6):S249-S257. doi: 10.1097/PHH.0000000000001297.
The evolution of Healthy People reflects growing awareness of health inequities over the life course. Each decade, the initiative has gained understanding of how the nation can achieve health and well-being. To inform Healthy People 2030's visionary goal of achieving health equity in the coming decade, the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Secretary's Advisory Committee) provided the US Department of Health and Human Services with guidance on key terms, frameworks, and measurement for health equity. Conditions in the environments in which people are born, live, learn, work, play, worship, and age influence health and well-being outcomes, functioning, and quality-of-life outcomes and risks and are mostly responsible for health inequities. No single individual, organization, community, or sector has sole ownership, accountability, or capacity to sustain the health and well-being of an entire population. The COVID-19 pandemic in the United States highlights underlying inequities and disparities in health and health care across segments of the population. Contributing factors that were known prior to the pandemic have led to major discrepancies in rates of infection and death. To reduce health disparities and advance health equity, systems approaches-designed to shift interconnected aspects of public health problems-are needed.
《健康人》的发展反映了人们对整个生命周期内健康不平等现象的认识不断提高。每十年，该倡议都加深了对国家如何实现健康和福祉的理解。为了为实现健康公平的 2030 年愿景提供信息，卫生与公众服务部的健康促进和疾病预防目标 2030 年秘书顾问委员会（秘书顾问委员会）就健康公平的关键术语、框架和衡量标准向美国卫生与公众服务部提供了指导。人们出生、生活、学习、工作、玩耍、礼拜和衰老的环境条件影响健康和福祉结果、功能和生活质量结果以及风险，并且是造成健康不平等的主要原因。没有任何一个个人、组织、社区或部门拥有维持整个人口健康和福祉的唯一所有权、责任或能力。美国的 COVID-19 大流行凸显了人口各部分在健康和医疗保健方面的基本不平等和差异。在大流行之前已知的因素导致感染和死亡的比率存在很大差异。为了减少健康差距和促进健康公平，需要采取系统方法——旨在改变公共卫生问题的相互关联方面。
