新时代公众健康核心理念确认与界定研究  

Confirmation and definition of core concepts of public health in the new era: a literature study

作　　者：蔡伟芹[1,2,3] 左姣 李程跃 马安宁[1,3] 王象斌 郝模[2,3] CAI Wei-qin;ZUO Jiao;LI Cheng-yue(School of Public Health and Management,Weifang Medical University,Weifang,Shandong Province 261053,China;不详)

机构地区：[1]潍坊医学院管理学院,山东潍坊261053 [2]复旦大学卫生发展战略研究中心 [3]健康相关重大社会风险预警协同创新中心 [4]潍坊市卫生健康委员会

出　　处：《中国公共卫生》2021年第4期698-701,共4页Chinese Journal of Public Health

基　　金：上海市加强公共卫生体系建设三年行动计划(2015年—2017年)项目(GWIV–32);国家自然科学基金(71273191,71673202);“健康山东”重大社会风险预测与治理协同创新中心重点资助项目(XT1405001)。

摘　　要：目的系统梳理公众健康核心理念,明确公众健康核心理念的历史内涵与逻辑关系,为新时代界定公共卫生定义与内涵提供理论依据和最新理念。方法采用复合检索式,系统检索Web of science核心合集和中国知网(CNKI),初筛后共获得386篇公众健康核心理念相关文献。采用内容分析法和共词聚类,对核心理念进行整理与归类;运用概念图法明确核心理念之间的逻辑关系。结果共得到12大类40条公众健康核心理念。最早的核心理念是1946年世界卫生组织(WHO)成立时提出的"健康是一项基本人权"。提出主体主要是WHO,其次是联合国以及美国、中国等典型国家。通过绘制概念图发现,公众健康核心理念之间具有明确且清晰的逻辑关系。结论公众健康核心理念层出不穷,不断指导各国公众健康领域的理论和实践,因此,亟需将最新健康理念纳入公共卫生定义与内涵的界定中,丰富和开拓人们对公共卫生的理解和认识。Objective To elaborate the core concepts of public health by clarifying the historical connotation and logicality of the concepts and to provide references for defining the definition and connotation of public health in the new era.Methods We retrieved 386 relevant studies published up to January 31, 2018 through systematically searching the Web of Science and China National Knowledge Infrastructure. Content analysis and co-word clustering were used in sorting and categorizing the information on the public health core concepts;concept map was adopted to assess logical relationships among the core concepts. Results A total of 40 public health core concepts in 12 domains were generalized from the retrieved studies. The first core idea was ‘Health is a basic human right’ presented by the World Health Organization(WHO)in 1946. The major advocate of some of the public health core concepts is World Health Organization, followed by the United Nations and several countries including the United States and China. Concept map analysis clearly demonstrated logical relationships among the core concepts of public health. Conclusion The public health core concepts were established one after another and the concepts have guided the development of public health practice in various countries. Therefore, it is urgent to integrate the latest health concepts into the definition and connotation of public health for health promotion among the public.

关 键 词：公众健康 健康理念 核心理念 概念图 

分 类 号：R197.1[医药卫生—卫生事业管理]