Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-26T07:44:57.710Z Has data issue: false hasContentIssue false

Rethinking the Meaning of Public Health

Published online by Cambridge University Press:  01 January 2021

Extract

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.

Type
Article
Copyright
Copyright © American Society of Law, Medicine and Ethics 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

See, e.g., Amick, B.C. IIIet al., eds., Society and Health (New York: Oxford University Press, 1995);.Marks, S.P., “Jonathan Mann's Legacy to the 21st Century: The Human Rights Imperative for Public Health,” Journal of Law, Medicine & Ethics, 29 (2001): 131–38;.Marmot, M. Wilkinson, R.G., eds., Social Determinants of Health (New York: Oxford University Press, 1999).Google Scholar
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).+(last+revised+Apr.+13,+1998)+(statement+of+Morris+Schaefer).>Google Scholar
Breakey, W.R., “It's Time for the Public Health Community to Declare War on Homelessness,” American Journal of Public Health, 87 (1997): 153–55, at 153.CrossRefGoogle Scholar
Rothman, K.J. Adami, H-O. Trichopoulos, D., “Should the Mission of Epidemiology Include the Eradication of Poverty?,” Lancet, 352 (1998): 810–13, at 812.Google Scholar
Meyer, I.H. Schwartz, S., “Social Issues as Public Health: Promise and Peril,” American Journal of Public Health, 90 (2000): 1189–91, at 1189.Google Scholar
Id. at 1191.Google Scholar
Gostin, L.O., “Public Health, Ethics, and Human Rights: A Tribute to the Late Jonathan Mann,” Journal of Law, Medicine & Ethics, 29 (2001): 121–30, at 123.Google Scholar
Beauchamp, D.E. Steinbock, B., “Population Perspective,” in Beauchamp, D.E. Steinbock, B., eds., New Ethics for the Public's Health (New York: Oxford University Press, 1999): At 25.Google Scholar
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.Google Scholar
Id. at 37 (quoting unidentified interviewee).Google Scholar
See Gostin, L.O., “Public Health Law in a New Century Part I: Law as a Tool to Advance the Community's Health,” JAMA, 283 (2000): 2837–41.CrossRefGoogle Scholar
Jacobson v. Massachusetts, 197 U.S. 11, 25, 26 (1905).Google Scholar
Levy, B.S., “Creating the Future of Public Health: Values, Vision, and Leadership,” American Journal of Public Health, 88 (1998): 188–92, at 189.CrossRefGoogle Scholar
See Rothstein, M.A., “Genetics and Public Health in the 21st Century: Using Genetic Information to Improve Health and Prevent Disease” (book review), N. Engl. J. Med., 343 (2000): 1580.CrossRefGoogle Scholar
Feudtner, C. Marcuse, E.K., “Ethics and Immunization Policy: Promoting Dialogue to Sustain Consensus,” Pediatrics, 107 (2001): 1158–64.CrossRefGoogle Scholar
See Rothstein, M.A., “Genetics and the Work Force of the Next Hundred Years,” Columbia Business Law Review, 2000 (2000): 371402.Google Scholar
See Rothstein, M.A., Medical Screening and the Employee Health Cost Crisis (Washington, D.C.: Bureau of National Affairs, 1989): at 132–40.Google Scholar
Kerkhoff, A.H.M., “Origin of Modern Public Health and Preventive Medicine,” in Doxiadis, S., ed., Ethical Dilemmas in Health Promotion (New York: John Wiley & Sons, 1987).Google Scholar