Clarke H F, Beddome G, Whyte N B
Registered Nurses Association of British Columbia, Vancouver, Canada.
Image J Nurs Sch. 1993 Winter;25(4):305-10. doi: 10.1111/j.1547-5069.1993.tb00264.x.
Health care over the past decade has undergone important changes that have implications for public health nursing. The focus of public health has expanded, as a result of the World Health Organization establishing the goal of "Health for All by the Year 2000," with its strategy of primary health care. To be active participants in this expansion, public health nurses must be more explicit about their current contributions to health care systems; develop nursing frameworks consistent with the systems' changing goals; and articulate their visions of the future. It is clear that the medical paradigm of health care services needs to change to one of primary health care. Based on results of a recent public health nursing research study, a conceptual framework for the future practice of public health nursing was developed.
在过去十年中，医疗保健领域发生了重大变化，这些变化对公共卫生护理产生了影响。由于世界卫生组织制定了“2000年人人健康”的目标及其初级卫生保健战略，公共卫生的重点已经扩大。为了积极参与这一扩展，公共卫生护士必须更明确地说明他们目前对医疗保健系统的贡献；制定与系统不断变化的目标相一致的护理框架；并阐明他们对未来的愿景。显然，医疗保健服务的医学模式需要转变为初级卫生保健模式。基于最近一项公共卫生护理研究的结果，制定了一个公共卫生护理未来实践的概念框架。
