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<p>The responsibility of preventative healthcare has traditionally been assigned to health care providers, tasked towards behavioural changes and risk reduction in individuals. This narrow approach overlooks the broader context and systemic causes of health problems, increases health differences and can lead to stigmatization and unnecessary dependency on care. Health is not determined only by the individual, but also by their interaction with other individuals and the environment. Like genetic predisposition, the environment is a&#xa0;biological determinant of health and deserves recognition as such. Besides personalized interventions, a&#xa0;future proof approach requires structural measures to improve the living environment and reduce societal inequalities. Despite this increasing realization, established interests and structural barriers impede changes to the status quo. This leads to the persistence of the misguidedly righteous reflex to target individuals in vulnerable positions, with limited and sometimes counterproductive consequences. There is a&#xa0;lack of courage and perseverance to support practices which promote equity. Prevention needs to orient away from targeted care and instead move towards societal transformation. Prevention deserves the same level of esteem as curation in the health care industry, which in turn is a&#xa0;boundary condition for a&#xa0;righteous and future proof public health system.</p>

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Preventie herzien: van medische interventie naar maatschappelijke opdracht

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月8日

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  • Yvonne Vanneste,
  • Anton Schreuder,
  • Ronald de Meij,
  • Ingrid Staal

摘要

The responsibility of preventative healthcare has traditionally been assigned to health care providers, tasked towards behavioural changes and risk reduction in individuals. This narrow approach overlooks the broader context and systemic causes of health problems, increases health differences and can lead to stigmatization and unnecessary dependency on care. Health is not determined only by the individual, but also by their interaction with other individuals and the environment. Like genetic predisposition, the environment is a biological determinant of health and deserves recognition as such. Besides personalized interventions, a future proof approach requires structural measures to improve the living environment and reduce societal inequalities. Despite this increasing realization, established interests and structural barriers impede changes to the status quo. This leads to the persistence of the misguidedly righteous reflex to target individuals in vulnerable positions, with limited and sometimes counterproductive consequences. There is a lack of courage and perseverance to support practices which promote equity. Prevention needs to orient away from targeted care and instead move towards societal transformation. Prevention deserves the same level of esteem as curation in the health care industry, which in turn is a boundary condition for a righteous and future proof public health system.