Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Mr Teitelbaum and Dr Richmond, Dr Kleinman, and Dr Pronk), 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 McGowan [former staff], Ms Ochiai, and Ms Blakey); and Health ConTexts, LLC, Silver Spring, Maryland (Ms Brewer).
J Public Health Manag Pract. 2021;27(Suppl 6):S265-S273. doi: 10.1097/PHH.0000000000001358.
Laws and policies are critical determinants of health and well-being. They can encourage positive behaviors and discourage harmful behaviors, and they can enhance or worsen health, health equity, health disparities, and health literacy. Recognizing their contribution to conditions in the environments in which people are born, live, learn, work, play, worship, and age, and people's experiences of these conditions, the US Department of Health and Human Services considered the roles of law and policy throughout its development of Healthy People 2030. Laws and policies often interrelate, but they have different purposes. A law is an established procedure, standard, or system of rules that members of a society must follow. A policy is a decision or set of decisions meant to address a long-term purpose or problem. Healthy People 2030 offers an opportunity for users in diverse sectors and at all levels to use laws and policies to support or inform the initiative's implementation, address health disparities and health inequities, and improve health and well-being in this decade. Introducing new laws and policies or rescinding existing ones to achieve Healthy People 2030 goals offers a chance to rigorously assess outcomes and weigh the balance of good outcomes against unintended consequences.
法律和政策是健康和福祉的重要决定因素。它们可以鼓励积极的行为,遏制有害的行为,还可以改善或恶化健康、健康公平、健康差距和健康素养。美国卫生与公众服务部认识到法律和政策对人们出生、生活、学习、工作、娱乐、礼拜和衰老的环境条件以及人们对这些条件的体验的贡献,因此在制定《2030 年健康人》时考虑了法律和政策的作用。法律和政策通常相互关联,但目的不同。法律是社会成员必须遵守的既定程序、标准或规则体系。政策是为解决长期目标或问题而做出的一系列决策。《2030 年健康人》为不同部门和各级用户提供了一个机会,利用法律和政策来支持或为该倡议的实施提供信息,解决健康差距和健康不公平问题,改善本十年的健康和福祉。制定新的法律和政策或撤销现有的法律和政策以实现《2030 年健康人》的目标,为严格评估结果和权衡良好结果与意外后果提供了机会。