A new definition of health? An open letter of autochthonous peoples and medical anthropologists to the WHO
A new definition of health? An open letter of autochthonous peoples and medical anthropologists to the WHO
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DOI：
10.1016/j.ejim.2016.06.027
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发表时间：
2017-01-01
影响因子：
8
通讯作者：
Herve, C.
中科院分区：
文献类型：
--
作者：
Charlier, P.;Coppens, Y.;Herve, C.
目前，对于任何从业者(医院和自由主义者)和研究人员(包括公共卫生)来说，世卫组织对健康的定义已经过时：首先，它似乎更像是乌托邦，而不是务实；然后，事实证明，它不适合世界上大部分人口。显然有必要完善这一定义或提出更具相关性或歧视性的额外标准。从这个角度来看，土著人民在阐述健康的新定义时能提供什么？在这篇文章中，来自不同文化来源(亚马逊、巴塔哥尼亚、巴布亚新几内亚、因纽特人、北美印第安人、撒哈拉以南非洲、印度、中国、美拉尼西亚和波利尼西亚)的原住民领导人或代表、人类学家和医生试图确定和解释世卫组织应重新纳入其健康新定义的几个关键概念：自然中的人类平衡、公认的灵性和适应。在应用COP21决定的间隙，原住民领袖、人类学家和医学博士解释了为什么这三个概念是基本和普遍的健康决定因素，需要包括在世卫组织的健康新定义中。(C)2016年欧洲内科医学联合会。爱思唯尔出版，版权所有。
Currently, formany practitioners (hospital and liberals) and researchers (including public health), the WHO definition of health is outdated: first it seems more utopian than pragmatic; then, it proves unsuitable for a large part of the world population. There is clearly a need to refine this definition or propose additional criteria to be more relevant or discriminating. In this perspective, what can indigenous people offer in the elaboration of a new definition of health?In this article, leaders or representatives of autochthonous peoples, anthropologists and physicians from many cultural origins (Amazonia, Patagonia, Papua New-Guinea, Inuit, North-American Indian, sub-Saharan Africa, India, China, Melanesia and Polynesia) have tried to identify and explain several key concepts that WHO should reintegrate into its new definition of health: human equilibrium in nature, accepted spirituality and adaptation. On the sidelines of the application of COP21 decisions that should give back to man his place into the environment, autochthonous people leaders, anthropologists and MDs explain why these three concepts are fundamental and universal health determinants, and need to be included in a new WHO definition of health. (C) 2016 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.