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重新定义健康促进以覆盖未覆盖人群:南亚和东南亚实现变革性转变的机会。

Redefining health promotion to reach the unreached: opportunities for transformative change in South and South-East Asia.

机构信息

Voluntary Health Association of India, New Delhi, India.

Independent Commission on Development and Health in New Delhi, India.

出版信息

Glob Health Promot. 2021 Dec;28(4):104-108. doi: 10.1177/17579759211057577. Epub 2021 Dec 10.

Abstract

The pandemic has exposed the vulnerability of our civilization and reinforced the importance of living in harmony with nature, not rampaging it in a conquering mode. South and South-East Asia have a vital role to play in achieving the global goal of 'Health for All' as the regions have a significantly large share of global income and multidimensional poor compared to other regions. Clearly, the progress in health and development outcomes of these regions cannot be achieved without addressing social determinants of health and ensuring active public participation. These regions must collectively address the social determinants of health following a realistic health promotion model. It is indeed a favourable time to look beyond the so-called predominantly reductionist biomedical model of health care to a more holistic model of health, that places humans and the environment at the centre, and emphasizes the importance of promoting health and wellbeing.

摘要

这场大流行暴露了我们文明的脆弱性,也强化了我们必须与自然和谐相处的重要性,而不是以征服的方式对其横加破坏。南亚和东南亚在实现“人人享有健康”的全球目标方面可以发挥重要作用,因为与其他区域相比,这些区域的全球收入和多维贫困人口占比都很大。显然,如果不解决健康的社会决定因素并确保公众积极参与,就无法实现这些区域在卫生和发展成果方面的进展。这些区域必须共同采取切合实际的增进健康模式,解决健康的社会决定因素问题。现在确实是一个契机,可以超越所谓的主要还原论生物医学保健模式,转而采用一种更全面的健康模式,将人类和环境置于中心位置,并强调促进健康和福祉的重要性。

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