Health reform and the health of the public. Forging community health partnerships.

作者: Edward L. Baker

DOI: 10.1001/JAMA.1994.03520160060044

关键词: International healthEconomic growthSocial determinants of healthEnvironmental healthHealth policyMedicineCommunity healthHealth promotionPublic healthHealth care reformHealth care

摘要: REGARDLESS of the direction or timing reform health care financing system, nation's status may not substantially improve without simultaneous public system. Reducing administrative complexity and redundancy and, most important, assuring that all US citizens have access to quality medical will do little influence true determinants ill health: unsafe environments, unhealthy personal behaviors, biologic, genetic, socioeconomic factors.1-3These account for more than 1 million deaths per year untold levels preventable morbidity expensive (avoidable) in United States.4Thus, concept system should be restricted primarily care; it also encompass strengthening practice stimulating new systems integration among organizations within a community whose missions an impact on public, many

参考文章(33)
P. Lee, D. Paxman, REINVENTING PUBLIC HEALTH Annual Review of Public Health. ,vol. 18, pp. 1- 35 ,(1997) , 10.1146/ANNUREV.PUBLHEALTH.18.1.1
Jonathan Fielding, Neal Halfon, Where Is the Health in Health System Reform JAMA. ,vol. 272, pp. 1292- 1296 ,(1994) , 10.1001/JAMA.1994.03520160076047
Robert Neelly Bellah, Ann Swidler, William M. Sullivan, Steven M. Tipton, Richard Madsen, Habits of the Heart: Individualism and Commitment in American Life ,(1985)
Marcia Angell, Privilege and Health -- What Is the Connection? The New England Journal of Medicine. ,vol. 329, pp. 126- 127 ,(1993) , 10.1056/NEJM199307083290210
Wendy Borow, Medical Television JAMA. ,vol. 270, pp. 1601- 1602 ,(1993) , 10.1001/JAMA.1993.03510130107040
R. Berkelman, R. Bryan, M. Osterholm, J. LeDuc, J. Hughes, Infectious disease surveillance: a crumbling foundation. Science. ,vol. 264, pp. 368- 370 ,(1994) , 10.1126/SCIENCE.8153621
P. Abelson, Toxic terror; phantom risks Science. ,vol. 261, pp. 407- 407 ,(1993) , 10.1126/SCIENCE.8305008
Larry Gordon, Public health is more important than health care. Journal of Public Health Policy. ,vol. 14, pp. 261- 264 ,(1993) , 10.2307/3343038