Rethinking the Meaning of Public Health

Journal of Law, Medicine and Ethics - Tập 30 Số 2 - Trang 144-149 - 2002
Mark A. Rothstein

Tóm tắt

Public health is a dynamic field. Outbreaks of new diseases, as well as changing patterns of population growth, economic development, and lifestyle trends all may threaten public health and thus demand a public health response. As the practice of public health evolves, there is an ongoing need to reassess its scientific, ethical, legal, and social underpinnings. Such a reappraisal must consider the disagreement among public health officials, public health scholars, elected officials, and the public about the proper role of public health and the distinctions, for example, between public health and clinical care, and public health and health promotion.In this article I will attempt to characterize the main points of contention as well as offer my own views regarding the proper scope of public health. Greater clarity and consensus on the meaning of public health are likely to lead to more efficient and effective public health interventions as well as increased public and political support for public health activities.

Từ khóa


Tài liệu tham khảo

11. Id. at 37 (quoting unidentified interviewee).

Beauchamp, 1999, New Ethics for the Public's Health, 25

13. Jacobson v. Massachusetts, 197 U.S. 11, 25, 26 (1905).

10. Id. at 7.

9. Committee for the Study of the Future of Public Health, Institute of Medicine, The Future of Public Health (Washington, D.C.: National Academy Press, 1988): at 19.

19. See Rothstein, M.A. , “Genetics and the Work Force of the Next Hundred Years,” Columbia Business Law Review, 2000 (2000): 371–402.

6. Id. at 1191.

17. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Public Health's Infrastructure: A Status Report (2001): at 12, available at <http://www.phppo.cdc.gov/documents/phireport2_16.pdf> (last visited Mar. 21, 2002).

10.1542/peds.107.5.1158

Amick, 1995, Society and Health, 10.1093/oso/9780195085068.001.0001

Breakey, 1997, “It's Time for the Public Health Community to Declare War on Homelessness,”, American Journal of Public Health, 87, 153, 10.2105/AJPH.87.2.153

Levy, 1998, “Creating the Future of Public Health: Values, Vision, and Leadership,”, American Journal of Public Health, 88, 188, 10.2105/AJPH.88.2.188

2. University of Washington School of Public Health and Community Medicine, Department of Heath Services, Public Health & Related Definitions, at <http://depts.washington.edu/hserv/research/phdefinitions.shtml> (last revised Apr. 13, 1998) (statement of Morris Schaefer).

Rothstein, 2000, “Genetics and Public Health in the 21st Century: Using Genetic Information to Improve Health and Prevent Disease” (book review), N. Engl. J. Med., 343, 1580, 10.1056/NEJM200011233432120

Gostin, 2000, “Public Health Law in a New Century Part I: Law as a Tool to Advance the Community's Health,”, JAMA, 283, 2837, 10.1001/jama.283.21.2837

Kerkhoff, 1987, Ethical Dilemmas in Health Promotion

15. Id.

10.1016/S0140-6736(98)01327-0

Rothstein, 1989, Medical Screening and the Employee Health Cost Crisis

Gostin, 2001, “Public Health, Ethics, and Human Rights: A Tribute to the Late Jonathan Mann,”, Journal of Law, Medicine and Ethics, 29, 121, 10.1111/j.1748-720X.2001.tb00330.x

Meyer, 2000, “Social Issues as Public Health: Promise and Peril,”, American Journal of Public Health, 90, 1189, 10.2105/AJPH.90.8.1189

Thông tin
Thông tin xuất bản

Journal of Law, Medicine and Ethics

Tập 30 Số 2

144-149

Thông tin tác giả