IDSB04H3 Lecture : Chapter 4
24 Dec 2010
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Lecture 2 chapter 4: the political economy of health and development. Models of understanding health and disease: biomedical model. Primarily in terms of the absence of disease. Largely curative, preventive (vaccine, screening, genetic testing) and considers the role of behavioral determinants of health (heredity, lifestyle) Cure: surgery (anesthesia, asepsis); behavior change, pharmacotherapy: behavioral model. Results either as reward of health living or inevitable outcome of poor choices. Cure: different choices regarding diet, stressful situations, exercise. Primary focus on regulation or changing of personal conduct: political economy approach political social, cultural, economic, societal structures effect health. Views health linked to sdoh: individual, household, community, workplace, social class, national and global political economic content. Cure: public policy, redistribution of resources, societal welfare, political mobilization. kz7 broader societal relations and structures de-kyz . Case study: working conditions, poverty and tuberculosis in south african mines. Migration model, poor working conditions, poor ventilation crowding.
