恩格斯的《英国工人阶级状况》一书,揭示了工业革命与社会化大生产带来的一系列社会卫生问题。从社会医学角度看,其著作是马克思主义关于医疗保健问题的开创性研究,恩格斯关于工人健康问题的论述对西欧社会医学的发展产生了深刻影响。健康是人全面发展的基础,关系千家万户的幸福。160多年过去了,恩格斯的社会医学思想对我国当前医药卫生体制改革、人民群众健康幸福与卫生事业科学发展,仍有重要的现实指导意义。 Engels’s “The Situation of the British Working Class” reveals a series of social health problems brought about by the industrial revolution and the social mass production. From the perspective of social medicine, his work is a pioneering study of Marxism on health care. Engels’s discourse on worker health has a profound impact on the development of social medicine in Western Europe. Health is the basis for the all-round development of human beings and the happiness of all families. More than 160 years have passed. Engels’s social medical thoughts still have important practical significance for the current reform of the medical and health system, the people’s health, happiness and the scientific development of public health.