站在公共卫生的历史转折点上参考.pptVIP

* * * * * One of the lessons over the last 250 years has been the effect of improved prosperity and accompanying socioeconomic changes on the health and well-being of individuals and populations. ? This slide from the work of Tom McKeown shows the decline in mortality from tuberculosis in Great Britain from 1838 to 1970. There is a substantial decline in mortality from tuberculosis before there was effective medical treatment through the use of the antibiotic streptomycin and BCG vaccination. Why the decline in mortality before the Second World War? How did the improved prosperity and changes in the socioeconomic characteristics of Western countries contribute to this decline in mortality? * * 病因研究最多 干预效果研究导致了循证医学概念的产生 * * 病因研究最多 干预效果研究导致了循证医学概念的产生 * * 病因研究最多 干预效果研究导致了循证医学概念的产生 病因研究最多 干预效果研究导致了循证医学概念的产生 * * * * * 病因研究最多 干预效果研究导致了循证医学概念的产生 * * * * 頁眉 * * * * * * * As you can see this model is similar to the E and S model but its focus is a bit different. Current ecological models are similar, include multiple determinants, describe the complex relationship between these determinants – actions and interactions etc. (see web of life). 頁眉 * 頁眉 * 頁眉 * 頁眉 * *