The effect of changes in the financing and organization of health services on health promotion and disease prevention.

S Sofaer, E Kenney
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Abstract

In sum, we are in the midst of a revolution in health care delivery. We have opportunities now to promote health and prevent disease that may disappear very quickly if action is not taken to encourage the participation in HP/DP of all health care professionals and health care delivery organizations. Some have argued that since these professionals have not been trained in health promotion and disease prevention, and have not shown sufficient commitment to its values, they should be passed over, written off. Given the huge resource base the health care delivery system represents, this may be a shortsighted approach. It could be argued equally that, like all major institutions in our society, the health care delivery system has a responsibility to participate in health promotion and disease prevention. More, given their fundamental concern with health, the health care delivery system should be taking the lead.

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卫生服务筹资和组织方面的变化对促进健康和预防疾病的影响。
总之,我们正处于一场医疗保健服务的革命之中。我们现在有机会促进健康和预防疾病,如果不采取行动鼓励所有卫生保健专业人员和卫生保健提供组织参与HP/DP,这些疾病可能会很快消失。一些人认为,由于这些专业人员没有接受过促进健康和预防疾病方面的培训,也没有表现出对其价值观的充分承诺,他们应该被忽略或注销。鉴于卫生保健提供系统所代表的巨大资源基础,这可能是一种目光短浅的做法。我们同样可以认为,像我们社会中的所有主要机构一样,医疗保健提供系统有责任参与健康促进和疾病预防。此外,鉴于他们对健康的根本关切,卫生保健提供系统应起带头作用。
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