The Population Health Approach in Historical Perspective
Simon Szreter, PhD
Simon Szreter is with St Johns College, University of Cambridge, England. He is also co-editor of www.historyandpolicy.org.
Correspondence: Requests for reprints should be sent to Simon Szreter, PhD, St Johns College, Cambridge CB2 1TP, United Kingdom (e-mail: srss{at}cam.ac.uk).
The origin of the population health approach is an historicdebate over the relationship between economic growth and humanhealth.
In Britain and France, the Industrial Revolution disrupted populationhealth and stimulated pioneering epidemiological studies, informingthe early preventive public health movement. A century-longprocess of political adjustment between the forces of liberaldemocracy and propertied interests ensued.
The 20th-century welfare states resulted as complex politicalmechanisms for converting economic growth into enhanced populationhealth. However, the rise of a "neoliberal" agenda, denigratingthe role of government, has once again brought to the fore theimportance of prevention and a population health approach tomap and publicize the health impacts of this new phase of "global"economic growth.
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