A living systems perspective on health

A living systems perspective on health
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DOI:
10.1016/j.mehy.2013.11.040
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发表时间:
2014-02-01
期刊:
影响因子:
4.7
通讯作者:
Forrest, Christopher B.
Forrest, Christopher B.
中科院分区:
医学4区
文献类型:
--
作者:
Forrest, Christopher B.

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缺乏定义健康的理论基础使其成为一个难以捉摸的概念,难以衡量。这一缺陷阻碍了对健康科学作为一个领域的内容的清晰描述。在这篇手稿中,我用生命系统理论的角度来区分健康的部分和紧急属性。我把健康的部分称为“资产”,包括能量、恢复、心智、繁殖和能力的维度。健康资产在整个人的层面上相互作用,形成综合和应急能力,使适应环境挑战、满足需求、实现生活目标和生存。健康的人寿命长,能适应环境并在环境中茁壮成长。随着对卫生资产之间的相互关系、它们的影响、它们的后果以及它们如何相互作用以产生综合功能能力的了解越来越多,一个有理论基础和有经验依据的卫生本体论将会出现。(C) 2013 Elsevier Ltd.版权所有。
Absence of a theoretical basis for defining health has made it an elusive concept and problematic to measure. This deficiency has precluded a clear delineation of the content of health science as a field. In this manuscript I use a living systems theoretical perspective to distinguish the parts and emergent properties of health. I term the parts of health, "assets," which include the dimensions of energetics, restoration, mind, reproduction, and capabilities. Health assets interact at the level of the whole person to form integrated and emergent capacities that enable adaptation to environmental challenges, satisfaction of needs, attainment of life goals, and survival. Healthy individuals live long and adapt to and thrive within their environments. As more is learned about the interrelationships among health assets, their influences, their consequences, and how they interact to produce integrated functional capacities, a theoretically grounded and empirically informed ontology of health will emerge. (C) 2013 Elsevier Ltd. All rights reserved.