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预防——被遗忘的改革。

Prevention--the forgotten reform.

作者信息

Comninellis N

机构信息

Department of community and family medicine, University of Missouri-Kansas City School of Medicine.

出版信息

Mo Med. 1993 Nov;90(11):707-10.

PMID:8277935
Abstract

Almost everyone agrees that America needs a more efficient and equitable health care system. But reforms in these areas alone are not sufficient, for they do little to address the great nation-wide burden of illness that demands expensive care in the first place. Reinforced prevention is the forgotten component in health care reform. There is false security in relying upon individual behavior change alone to reduce the burden of illness. Instead, we need a broader vision of public health strategy in which key health-oriented policies become law, and are more effective. It is time to call on our President and Congress to uphold their responsibility to protect health through such policies, and thus stem some of the root causes of our crisis.

摘要

几乎每个人都认同美国需要一个更高效、更公平的医疗体系。但仅在这些方面进行改革是不够的,因为它们几乎无法解决全国范围内沉重的疾病负担,而正是这种负担首先需要昂贵的医疗护理。强化预防是医疗改革中被遗忘的部分。仅仅依靠个人行为改变来减轻疾病负担是一种虚假的安全感。相反,我们需要更广阔的公共卫生战略视野,让关键的以健康为导向的政策成为法律,并且更有成效。现在是时候呼吁我们的总统和国会履行他们的责任,通过此类政策来保护健康,从而遏制我们危机的一些根源。

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