通过健康教育实现健康的可持续发展:基于生态公共卫生原则的大学在课程开发中的角色

Alice M. Li
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摘要

由于传统医疗保健专业人员在医疗保健职能中的作用正在强烈地建立在过去流行病学转型时期以疾病为导向的“生物医学”模式的基础上。流行病过渡不同阶段特有的疾病模式的逐渐转变绝不是简单的,正如根据以下时代所预测的那样:(一)瘟疫和饥荒、(二)先前的大流行病、(三)退行性疾病和人为疾病以及(四)延迟性退行性疾病。然而,现在出现了对21世纪最新转变的预见,其中环境和气候介导的健康风险日益成为健康影响的优先事项,具有实际和潜在的灾难性和高度复杂的动态,对各种各样的健康影响产生直接和间接影响。因此,建立生态公共卫生是现代公共卫生的关键。本文提出医疗保健专业人员应将生态公共卫生教育纳入可持续生活方式的整体愿景和行动议程,以实现可持续的健康发展。大学通过卫生教育议程整合和转变这些认识论能力,从而在课程制定方面发挥作用,因为支持可持续卫生发展的能力建设是完全不可或缺的。
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Sustainable Health Development through Health Education: Universities’ Role in Curriculum Development with Ecological Public Health Principles
As the traditional healthcare professionals’ role in the functions of healthcare setting is being established intensely based on ‘Bio-medical’ Model of disease-oriented focuses from the past epidemiological transition in the epochs. The gradual shift in disease patterns characteristic of different stages of epidemiological transition are by no means simple, as projected from the Age of (i) Pestilence and famine, (ii) Preceding Pandemics, (iii) Degenerative and Man-Made Diseases, and (iv) Delayed Degenerative Diseases. However, the foresight of the latest transition in this 21st Century is now emerged, in which environmental and climate mediated health risks have increasingly become a priority for the health implications with actual and potential catastrophic and highly complex dynamics of direct and indirect effects on widely diverse health impacts. In this regards, the establishment of ecological public health is crucial to modern public health. This paper proposed a newly emerging role for healthcare professionals to integrate ecological public health education as holistic vision and action agenda towards sustainable ways of living for sustainable health development. The role of Universities in curriculum development by integrating and transforming these epistemology competencies through health education agenda, as capacity building in support of sustainable health development is entirely indispensable.
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