The practical irrelevance of distinguishing between public health and population health

Jose Moreno-Montoya
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Abstract

Recently Idrovo AJ editorialized on an ongoing debate about the differentiation between public health and population health1 , regarding environmental health determinants. While he argued for the distinctiveness of these terms, or at least, of those points of view, it can be contended that from a practical standpoint, such distinctions are not needed. As has been reported before, several authors have declared population health as a relatively new term, with no agreement as to whether it refers to a concept of health or a field of study of health determinants and promoting the debate, sometimes heated, about whether population health and public health are identical or different2. This response to the editor aims to highlight the practical irrelevance of differentiating between public health and population health, emphasizing their shared goals, methodologies, and outcomes.Considering the goals, public health and population health share a fundamental objective: to enhance the health and well-being of communities and populations. The overarching aim is to prevent disease, prolong life, and promote health through various interventions, including policy3 . Both disciplines prioritize the assessment of health needs, the development of strategies for intervention, and the evaluation of health outcomes at the community or population level. As such, differentiating between the two becomes redundant when considering their core mission. However, some authors have emphasized about population health in terms of health determination specifically, about how system-level variables influence the health of populations4.
区分公共卫生和人口健康的实际不相关性
最近,Idrovo AJ发表了一篇关于环境健康决定因素的公共卫生和人口健康区别的持续辩论的社论。虽然他主张这些术语的独特性,或者至少是那些观点的独特性,但从实践的角度来看,我们可以辩称,这种区别是不必要的。正如以前所报告的那样,一些作者宣称人口健康是一个相对较新的术语,但对于它是指健康概念还是指健康决定因素的研究领域却没有达成一致意见,并推动了关于人口健康与公共健康是相同还是不同的辩论,这种辩论有时很激烈。对编辑的这一答复旨在强调区分公共卫生和人口卫生的实际不相关性,强调它们的共同目标、方法和结果。考虑到这些目标,公共卫生和人口卫生有一个共同的基本目标:增进社区和人口的健康和福祉。总体目标是通过包括政策在内的各种干预措施预防疾病、延长寿命和促进健康。这两个学科都优先考虑健康需求的评估、干预策略的制定以及社区或人口层面的健康结果评估。因此,在考虑它们的核心使命时,区分两者变得多余。然而,一些作者特别强调从健康决定的角度来研究人口健康,即系统层面的变量如何影响人口健康4。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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