Health capability: conceptualization and operationalization.
Health capability: conceptualization and operationalization.
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DOI：
10.2105/ajph.2008.143651
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发表时间：
2010-01
影响因子：
12.7
通讯作者：
Ruger JP
中科院分区：
文献类型：
--
作者：
Ruger JP
当前的生物伦理学和公共卫生伦理学理论方法提出了各种各样的理由作为医疗保健和公共卫生的基础，但没有一个抓住一个基本的现实：人们寻求良好的健康和追求它的能力。我所支持的方法通过一个称为健康能力的概念来抓住这两个方向。从概念上讲，健康能力说明了影响健康的条件和一个人作出健康选择的能力。通过尊重个人面临的健康后果及其卫生机构，卫生能力为在家长式作风和自主权之间找到平衡提供了希望。我提供了一个卫生能力的概念模型，并提出了卫生能力的概况，以确定和解决卫生能力的差距。
Current theoretical approaches to bioethics and public health ethics propose varied justifications as the basis for health care and public health, yet none captures a fundamental reality: people seek good health and the ability to pursue it. Existing models do not effectively address these twin goals. The approach I espouse captures both of these orientations through a concept here called health capability. Conceptually, health capability illuminates the conditions that affect health and one’s ability to make health choices. By respecting the health consequences individuals face and their health agency, health capability offers promise for finding a balance between paternalism and autonomy. I offer a conceptual model of health capability and present a health capability profile to identify and address health capability gaps.