发达国家公共卫生的历史与发展

S. Szreter
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引用次数: 0

摘要

人们通常将公共卫生的起源定位于早期抗击流行病和规范城市生活所伴随的卫生环境的努力,并在这些措施与政治、行政实践、公法和医学不断变化的病因学相关的逐渐演变中追溯其历史。这样的历史叙述提供了重要的见解和理解,但在一个重要的意义上,它也被限制了。公共卫生在经济发展进程中发挥了响应作用。然而,从长期来看,公共卫生与全球经济发展之间关系的性质可能会出现非常不同的情况,包括现代经济转型的整个过程,其起源是英国早期现代社会和经济(1600 - 1800年)的单一矩阵。本章将表明,促进社会秩序、安全和人口健康的国家政策实际上早于现代世界经济转型起源的过程,并至关重要地支撑了这一过程——在近代早期的英国。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The history and development of public health in developed countries
It has been conventional to locate the origins of public health in early efforts to combat epidemics and to regulate the sanitary environment accompanying urban life and to trace its history in the gradual evolution of such measures in relation to politics, administrative practices, public laws, and medical science’s changing aetiology. Such an historical account provides important insights and understanding but it is also de-limited in one significant sense. Public health is cast in a responsive role in relation to the processes of economic development. However, the nature of the relationship between public health and global economic development can appear very differently when it is viewed over the long-term, encompassing the whole process of modern economic transformation from the singular matrix of its origins in the early modern society and economy of England, c.1600–1800. This chapter will show that state policies to promote the social order, security, and health of the population in fact pre-date and crucially underpinned the process through which the modern world’s economic transformation originated—in early modern England.
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