Shchepin O P, Filatov V B, Nechaev V S, Martynova N M, Pogorelov Ia D
Vestn Ross Akad Med Nauk. 1998(10):38-41.
A concept of paradigm is applied to the analysis of the national public health system. Whether it can be used as a methodological regulator in public health management is considered. Evidence is provided for the theoretical premises of constructing a paradigm of the public health system, its philosophical bases, the notional system, methodology, and the technological framework. The theoretical and practical aspects of public health paradigm, such as identification, interpretation, and rationalization are used to analyze at the conceptual and practical level, as well as search for new ways of reforming the public health system by the paradigm approach as a deeper development of the existing paradigm or its modification. This can become a foundation for the realignments of the theoretical and practical bases of the national public health system. The formation of the new paradigm of the public health system is to take place not in a revolutionary, but in a developmental mode. Priority should be given not to radical transformations and drastic changing of the key concepts, but to the fluent increasing of new knowledge and their inclusion of the theory and practice of public health. The promises of using the paradigm methodology, allowing the internal and external principles of the operation and function of the public health system to be integrated. In this context, the paradigm approach may be used as a methodological tool for analyzing person-society-state-economy-management relations within the framework of the public health system.
范式概念被应用于国家公共卫生系统的分析。探讨了其是否可作为公共卫生管理中的一种方法调节手段。为构建公共卫生系统范式的理论前提、哲学基础、概念体系、方法论及技术框架提供了依据。运用公共卫生范式的理论与实践层面，如识别、阐释和合理化，在概念和实践层面进行分析，并寻求通过范式方法改革公共卫生系统的新途径，将其作为现有范式的深入发展或修正。这可为国家公共卫生系统理论与实践基础的重新调整奠定基础。公共卫生系统新范式的形成不应以革命的方式，而应以发展的方式进行。不应优先考虑关键概念的激进变革和剧烈变化，而应注重新知识的流畅增加及其融入公共卫生理论与实践。运用范式方法有望整合公共卫生系统运行和功能的内部与外部原则。在此背景下，范式方法可作为一种分析公共卫生系统框架内人-社会-国家-经济-管理关系的方法工具。
