Fülgraff G
Institut für Gesundheitswissenschaften, Technische Universität Berlin.
Gesundheitswesen. 1996 Sep;58 Suppl 2:105-9.
In a state of the art paper a four step approach is made in order to investigate the question why public health research is necessary at all. 1. Expectations concerning public health research: The classical topics of public health research will continue to be relevant. Additionally, health promotion especially for low income and other risk groups should become important. For this purpose public health should try to relate to politics. Considering available resources and the quality of services goals should be determined as regulative criterias for the health system. Public health research will only remain relevant in the future if it turns from the traditional approach of public health medicine to what is called the new public health paradigm and if it adds the system approach to the population approach. 2. Target groups of public health research are policy makers and institutions as well as persons in the health care system. It has to be checked if these target groups are reached. Policy impact is more important than science impact. 3. Expectations to public health research concern the transfer of public health into other areas of science, the establishment of new institutions and teaching programmes and its inter-disciplinarity. Deficits exist in the selection of relevant topics and in the innovative power of projects. 4. Proposals for further public health actions refer to politically dominant issues which are to be defined by consensus conferences.
在一篇前沿论文中，为了探究为何公共卫生研究是完全必要的这一问题，采取了四步方法。1. 对公共卫生研究的期望：公共卫生研究的经典主题将继续具有相关性。此外，尤其针对低收入群体和其他风险群体的健康促进应变得重要起来。为此，公共卫生应努力与政治建立联系。考虑到可用资源和服务质量，应将目标确定为卫生系统的规范性标准。公共卫生研究只有从传统的公共卫生医学方法转向所谓的新公共卫生范式，并将系统方法添加到人群方法中，才会在未来继续具有相关性。2. 公共卫生研究的目标群体是政策制定者、机构以及医疗保健系统中的人员。必须检查是否触及了这些目标群体。政策影响比科学影响更重要。3. 对公共卫生研究的期望涉及将公共卫生转化到其他科学领域、建立新机构和教学项目以及其跨学科性。在相关主题的选择和项目的创新能力方面存在不足。4. 进一步开展公共卫生行动的建议涉及政治上占主导地位的问题，这些问题将由共识会议来界定。
