Ford School of Public Policy and School of Public Health, University of Michigan.
University of Colorado Anschutz Medical Campus.
Milbank Q. 2023 Apr;101(S1):61-82. doi: 10.1111/1468-0009.12619.
Policy Points Medicalization is a historical process by which personal, behavioral, and social issues are increasingly viewed through a biomedical lens and "diagnosed and treated" as individual pathologies and problems by medical authorities. Medicalization in the United States has led to a conflation of "health" and "health care" and a confusion between individual social needs versus the social, political, and economic determinants of health. The essential and important work of population health science, public health practice, and health policy writ large is being thwarted by a medicalized view of health and an overemphasis on personal health services and the health care delivery system as the major focal point for addressing societal health issues and health inequality. Increased recognition of the negative consequences of a medicalized view of health is essential, with a focus on education and training of clinicians and health care managers, journalists, and policymakers.
政策要点 医学化是一个历史过程,在此过程中,个人、行为和社会问题越来越多地从生物医学角度来看待,并由医学权威将其“诊断和治疗”为个体病理和问题。美国的医学化导致了“健康”和“医疗保健”的混淆,以及个人社会需求与健康的社会、政治和经济决定因素之间的混淆。人口健康科学、公共卫生实践和广义的卫生政策的基本和重要工作正受到对健康的医学化观点以及对个人卫生服务和医疗保健提供系统的过分强调的阻碍,而后者被视为解决社会健康问题和健康不平等的主要焦点。必须更加认识到对健康的医学化观点的负面影响,重点是对临床医生和医疗保健管理人员、记者和政策制定者进行教育和培训。