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Lecture 2

HLTC43 Lecture 2.pdf

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Health Studies
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Scott Sams

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HLTC43 Lecture 2 Wednesday, May 22, 2013 10:02 AM Cue Column: Note-Taking Area: ConceptualizingHealth Policy Purpose: To introduceways of thinkingaboutthe scope of health and its implications for health policy and to introducepublicpolicy-making. ○ Diff ways to understand health Lessons from today’sclass: 1. Health often narrowly defined as health care, but is much broader than that. 2. Different ways of understandinghealth (paradigms) have implicationsfor publicpolicy making. 3. Public policy making is applied problem solving driven by both technical and political dimensions. How is health defined? • Health sciences ○ Clinical HC intervention ○ DRs, nurses, HC setting ○ Focus: treatments  Effect of treatment on health of indi ○ Health policy:  Org and delivery of HCS • Social sciences ○ Health of pop to living conditions ○ Broader scope  Understand all determinants ○ How econ and poli influenceHCS  How does that influencehealth pop ○ Type of practiceand health outcomes  Beliefs and what actuallyhappens  Implicationsto ppl's health • Redefinition of health ○ Determinants of health + diff publicpolicy which health can be maintained ○ How gov't change reflects this • Stages of Canadian government involvement in health (1) Public health measures  Immigration ==> process tied to urbanization □ Ppl moving in to cities  Poor sanitation etc. ==> outbreaks  Emerged to deal w/ outbreaks  Argument (POV): clean water policies donemore to improve health status than health interventions □ More ppl saved by clean water thanpenicillin etc. (2) Universal health care coverage  Right to universal HS for Cdns □ Most that are deemed medically necessary  Reason for intro: □ Ppl still had to pay for HS □ Poor ppl disadv □ Collectively can improve health pop (3) Health promotion  Extend responsibility beyond gov't to indi □ Assume more responsibility for own health □ Medical care is reactive (3) Health promotion  Extend responsibility beyond gov't to indi □ Assume more responsibility for own health □ Medical care is reactive  How to prevent it  Make person responsible for themselves □ Ex.: obesity, smoking (4) Health inequalities  Health w/ non-healthfactors  Who's better off --> rich □ $ can by access □ Poor might have troublepaying for food(stress) □ Living conditions/enviro==> housing  Lifestyle  Left/right poli division □ Right ==> indi focus; freedom to accum wealth  Health follows well; trickle down □ Left ==> health outcomesbenefit entire pop  **this pointbecomes poli debate** □ How do you see society in general □ Filters down to health outcomes What are the major health paradigms and how do they differ? • Paradigms: ○ Medical  Health = absence of disease/disability  Categorized w/ diff diseases/psycho risk factors □ Professional intervention  Detect disease and treatment by med practitioners ○ Behavioural/lifestyle  Individualizedconceptionof health □ Disease prevention lifestyle  Med problems seen as something of your doing □ "Your fault"  Prevention ==> campaigns □ Or can increase tax on those items □ Social marketing on advocacy □ Promote lifestyle changes (positive)  Not treatment ○ Socio-environmental  Risk conditionsfac
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