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将健康促进和可持续发展作为政策框架的福祉。

Wellbeing as a policy framework for health promotion and sustainable development.

机构信息

Department of Health and Community Studies, Western Washington University, Bellingham, WA, USA.

Enhanced Wellbeing, Division of Universal Health Coverage and Healthier Populations, Department of Health Promotion, World Health Organization, Geneva, Switzerland.

出版信息

Health Promot Int. 2021 Dec 13;36(Supplement_1):i64-i69. doi: 10.1093/heapro/daab066.

Abstract

For years Gross Domestic Product (GDP) has served as a key indicator of human progress and "successful" societies. Unfortunately, GDP has failed to robustly capture the human experience or predict resilience through crises; and obscures the presence of inequity -- a key determinant of suffering. It is clear the global community needs a new organizing principle: one that envisions and measures progress by focusing on the conditions that support health, resilience, and overall wellbeing. This paper examines key health promotion concepts and approaches, juxtaposed with philosophical underpinnings of the concept of wellbeing, alternative measurement strategies, and examples of wellbeing policy initiatives. In doing so, the paper highlights the relevance of wellbeing policy frameworks to health promotion, the utility of health promotion strategies for implementing wellbeing policy frameworks, and controversies and pitfalls that require consideration. The paper concludes by outlining how health promotion is uniquely poised to contribute to wellbeing policy frameworks that promote the sources of human and planetary thriving through sustainable development, and that promoting a wellbeing agenda can strengthen efforts to promote health by addressing social determinants and ensuring universal access to resources that support coping with emerging challenges and strengthen resilience.

摘要

多年来,国内生产总值(GDP)一直是衡量人类进步和“成功”社会的关键指标。不幸的是,GDP 未能稳健地捕捉人类的体验,也未能预测危机中的弹性;而且掩盖了不平等的存在——这是痛苦的一个关键决定因素。显然,全球社会需要一个新的组织原则:一个通过关注支持健康、弹性和整体福祉的条件来设想和衡量进展的原则。本文研究了关键的健康促进概念和方法,以及福祉概念的哲学基础、替代衡量策略和福祉政策举措的例子。通过这样做,本文强调了福祉政策框架与健康促进的相关性,健康促进策略在实施福祉政策框架方面的实用性,以及需要考虑的争议和陷阱。本文最后概述了健康促进如何通过可持续发展促进促进人类和地球繁荣的福祉政策框架做出独特贡献,以及通过解决社会决定因素和确保普遍获得资源来促进福祉议程,以应对新出现的挑战并增强弹性,从而可以加强促进健康的努力。

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