Two pathways to prevention
Two pathways to prevention
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DOI：
10.1037//0003-066x.55.4.382
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发表时间：
2000-04-01
影响因子：
16.4
通讯作者：
Kaplan, RM
中科院分区：
文献类型：
--
作者：
Kaplan, RM
健康促进和疾病预防计划正在成为当代卫生保健的重要组成部分。通过疾病预防提高人口健康水平至少有两条途径。第一种途径需要对疾病进行早期诊断和治疗。第二种途径促进健康的生活方式，并忽视了在建议干预之前必须诊断病情的要求。多项评估的数据表明，依赖诊断的预防工作产生的好处有限，而一级预防工作可能会产生巨大的好处。目前的卫生政策更加强调二级预防。通过促进健康行为，将相对更多的资源用于初级预防，可以更好地实现改善人口健康的目标。
Health promotion and disease prevention programs are becoming important components of contemporary health care. There are at least 2 pathways to the enhancement of population health status through disease prevention. The first pathway requires the early diagnosis and treatment of disease. The second pathway promotes healthy lifestyles and disregards the requirement that a condition must be diagnosed before intervention is recommended, Data from several evaluations suggest that prevention efforts that rely, on diagnosis have produced somewhat limited benefits, whereas primary prevention efforts may have substantial benefits. Current health policy places greater emphasis on secondary prevention. The objectives of improved population health might be better achieved by devoting relatively more resources to primary prevention through the promotion of healthy behaviors.