SOCIOL 3HH3 Lecture Notes - Lecture 4: Social Epidemiology, John Mckinley, Social Medicine

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Medical models alone did not create health: biomed is effective for acute disease & chronic. But does indicate that pop health requires analysis of the root of the problem cause of this physical ill health. Image of an orthodox med physician at the river (last lect) Suggests constant flow of sick people keeps docs so busy that they have no time to see who is upstream pushing the people into the water. Orthodox med predom focused on downstream care: but to create health you have to take an upstream perspective why these people are in the river in the first place. Focus on social determinants of health: prevention and maintenance. Stop people from getting ill: this will event reduce the strain on the med care system cause it will produce the amount of people demanding help, social context of health. Objective: to make visible the connections in soc that give rise to disease.

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