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初级保健和公共卫生——对于国家卫生安全和人口健康都至关重要。

Primary Care and Public Health - Both Essential for National Health Security and Population Health.

机构信息

From the Adjunct Professor of Medicine, University of Maryland School of Medicine, Baltimore, MD (HH), Clinical Research Fellow, London School of Hygiene and Tropical Medicine, London, England (LA).

出版信息

J Am Board Fam Med. 2024 Nov;37(Supplement1):S8-S11. doi: 10.3122/jabfm.2023.230377R1.

Abstract

The COVID-19 pandemic was a stress test that revealed critical weaknesses in the foundation of the US health care delivery system, which left unresolved will ultimately lead to catastrophic population health consequences. Primary care and public health are the most fragile and important parts of that foundation. Collapse of either of these disciplines would lead to cascading failures harming the health of individuals and the health security of the nation. Primary care and public health are inextricably entwined as the cornerstones of health security and population health, and there is an urgent need to adequately fund both.As policy makers debate the importance of enhanced funding for either primary care or public health it would be good to consider the ways in which these disciplines are critical to securing the health of the nation as well as the ways in which they complement one another. Funding for both opens the door for greater integration that could build on the nascent synergies resulting in even stronger, more efficient and more sustainable foundation for the overall health care delivery system. Every day and in every corner of the world primary care and public health are already relying on each other in many ways. However, this relationship most often functions without formal acknowledgment. To better understand this intimate relationship, it is useful to first describe the core components of each.

摘要

新冠疫情是对美国医疗体系基础的一次压力测试,暴露出了其中的关键性弱点。这些弱点如果得不到解决,最终将导致灾难性的人口健康后果。初级保健和公共卫生是该体系基础中最脆弱和最重要的部分。这两个学科中的任何一个崩溃,都将导致连锁反应,损害个人的健康和国家的健康安全。初级保健和公共卫生是健康安全和人口健康的基石,它们紧密交织在一起,因此迫切需要为这两者提供充足的资金。当政策制定者们在讨论增加对初级保健或公共卫生的投入的重要性时,最好考虑一下这两个学科对保障国家健康的重要性,以及它们相互补充的方式。为这两者提供资金,为更大程度的整合打开了大门,这种整合可以利用新出现的协同作用,为整个医疗体系提供更强大、更高效和更可持续的基础。在世界的每一个角落,初级保健和公共卫生每天都在以多种方式相互依赖。然而,这种关系通常是在没有正式承认的情况下运作的。为了更好地理解这种密切的关系,首先描述一下每个学科的核心组成部分是很有用的。

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