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公共卫生、初级医疗保健与卫生领域的“公司化”

Public health, primary healthcare, and "corporatization" of health.

作者信息

Bhattacharya Jayanta

机构信息

Family Practitioner, Independent Researcher of History of Medicine, Primary Care and Public Health.

出版信息

J Family Med Prim Care. 2025 Mar;14(3):813-819. doi: 10.4103/jfmpc.jfmpc_1892_24. Epub 2025 Mar 25.

Abstract

The revitalization, maintenance and carrying forward the issue of public health is a key question for the production and development of human capital in any country irrespective of its economic, technological and other developments. The proper functioning of a robust public health program depends solely on the active, vigorous primary healthcare system. Different postcolonial countries with completely different geographical locations had developed their own systems of primary healthcare and tried to put their best human and economic resources to the development of primary care. Primary healthcare is the first meeting point of the patient (ailing person) and the doctor. Moreover, it is also the gateway which will guide the patient where to go for the next level of consultation. Reversely, commercial determinants of health have been materialized through "corporatization of health" - the glaring evidence can be had from the growing push for formula milk industry. We are not against capitalism, but against the evil effects of it.

摘要

振兴、维护和推进公共卫生问题是任何国家人力资本生产与发展的关键问题,无论其经济、技术及其他方面的发展状况如何。健全的公共卫生项目的正常运作完全依赖于积极、有力的初级医疗保健系统。地理位置截然不同的不同后殖民国家都发展了各自的初级医疗保健体系,并试图将其最优秀的人力和经济资源投入到初级保健的发展中。初级医疗保健是患者(患病之人)与医生的首次接触点。此外,它也是引导患者前往下一级咨询机构的通道。相反,健康的商业决定因素已通过“健康的公司化”得以体现——配方奶行业日益增长的推动力就是明显的证据。我们并不反对资本主义,而是反对其负面影响。

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