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Now, it seemed that it shouldn't be so complicated to design a doctor's visit around what people actually need to be healthy.
現(xiàn)在，看起來設計個醫(yī)生的訪問去了解人們要保持健康需要什么并不復雜。
So I created Health Leads, an organization enabling thousands of physicians and other caregivers to ask their patients,
所以我創(chuàng)建了健康領導者，用這個組織讓成千上萬的醫(yī)生和其他護理人員去詢問他們病人，
"What do you need to be healthy?" and then prescribe those things
“你需要什么來保持健康？”然后給他們開這些東西
fruits and vegetables, heat in the winter, electricity to refrigerate their medication
水果和蔬菜，冬天供暖，制冷保鮮藥物的電力，
and we then navigated patients to those resources in their communities. The model works.
然后我們引導病人到他們社區(qū)的這些資源。這個模式有效。
A Mass General Hospital study found that navigating patients to essential resources is associated with improvements in blood pressure and cholesterol
麻省總醫(yī)院的一項研究發(fā)現(xiàn)，將病人引導到必要的資源與血壓和膽固醇水平的改善相關，
levels similar to introducing a new drug, but without all the side effects.
相當于引入新藥物的效果，而且沒有任何副作用。
So two decades later, what's changed?
那么20年后，什么改變了？
It's now widely recognized that just 20 percent of health outcomes are tied to medical care,
現(xiàn)在人們普遍認為只有20%的健康結果跟醫(yī)療保健相關，
whereas up to 70 percent are tied to healthy behaviors and what's called the social determinants of health
而高達70%與健康行為和被稱為社會決定因素聯(lián)系在一起，
basically, everything that happens to us for that vast majority of time when we're not in the doctor's office or the hospital.
基本上，我們絕大多數(shù)時間發(fā)生的一切都不在醫(yī)生的辦公室或者醫(yī)院中。
Health care executives now routinely remind us that our zip code matters more than our genetic code.
衛(wèi)生保健主管們現(xiàn)在經(jīng)常提醒我們，我們的郵政編碼比我們的遺傳密碼更重要。
And one health care publication even recently had the audacity to describe the social determinants of health as "the feel-good buzzword of the year."
最近有一份衛(wèi)生保健出版物大膽地將健康的社會決定因素描述為“年度讓人感覺良好的流行詞”。
