Laporte R E, Barinas E, Chang Y F, Libman I
Department of Epidemiology, University of Pittsburgh, PA 15261, USA.
Ann Epidemiol. 1996 Mar;6(2):162-7. doi: 10.1016/1047-2797(95)00133-6.
Epidemiology and public health need to change for the upcoming problems of the 21st century and beyond. We outline a four-point approach to produce this change. The first one is to take a systems approach to disease. The second approach discussed is the use of new techniques to "count" disease using capture-recapture. The third represents the application of telecommunications, especially the Internet, to public health. The fourth and final component represents the application, at the local health department level, of a total quality approach, as espoused by Deming, for the prevention of disease.
流行病学和公共卫生需要为21世纪及以后即将出现的问题做出改变。我们概述了实现这一改变的四点方法。第一点是采用系统方法来研究疾病。讨论的第二种方法是使用新技术，即捕获再捕获法来“统计”疾病。第三点是将电信技术，尤其是互联网，应用于公共卫生领域。第四点也是最后一点，是在地方卫生部门层面应用由戴明倡导的全面质量管理方法来预防疾病。
