The McKeown thesis: A historical controversy and its enduring influence

被引:110
作者
Colgrove, J [1 ]
机构
[1] Columbia Univ, Mailman Sch Publ Hlth, Program Hist & Eth Publ Hlth & Med, Div Sociomed Sci, New York, NY 10032 USA
关键词
D O I
10.2105/AJPH.92.5.725
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The historical analyses of Thomas McKeown attributed the modern rise in the world population from the 1700s to the present to broad economic and social changes rather than to targeted public health or medical interventions. His work generated considerable controversy in the 1970s and 1980s, and it continues to stimulate support, criticism, and commentary to the present day, in spite of his conclusions' having been largely discredited by subsequent research. The ongoing resonance of his work is due primarily to the importance of the question that underlay it: Are public health ends better served by targeted interventions or by broad-based efforts to redistribute the social, political, and economic resources that determine the health of populations?.
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页码:725 / 729
页数:5
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