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CA (168,340)
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IDSB04H3 (79)
Chapter 4

Chapter 4 notes

5 Pages
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Department
International Development Studies
Course Code
IDSB04H3
Professor
Anne- Emanuelle Birn

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Models for understanding Health and Disease
Three basic approaches for explaining how health and illness occur
Biomedical model
- Views health and illness at an individual level
- Health is understood in terms of absence of disease rather than as an
integrated sense of well being.
- It is a curative and preventive approach
- Much of the appeal in this approach come from dramatic technological
advances in medical treatment over the last century such as surgery.
- The biomedical approach will ask the patient to take medical drugs instead
of changing his behavior to a healthier one. (Bus Driver example)
Behavioral Model
-Views health and illness primarily as consequence of individual or
household actions and beliefs.
-Results either as a reward for healthy living or an outcome for poor lifestyle
- Primarily focuses on changing of personal attitudes through education and
social counseling in order to achieve desirable health outcomes
- According to this approach a patient should make better health choices and
take care of the body by taking proper rest instead of getting drugged up
(Bus Driver example)
Political Economy model
-Considers the political, social, cultural and economic contexts in which
disease and illness arise
-Also examines the ways in which societal structures interact with particular
conditions that lead to good or ill health
-This approach views health as a function of linked determinants that
operate at multiple levels: individual, household, community, workplace,
social capital, nation and global political.
- These determinants need to addressed in order to improve health
conditions, through public policy that improves working conditions,
transportation, medical and social care etc.
-has the greatest explanatory capacity out of the three models.
www.notesolution.com
- Political Economy framework also explains if the argument is healthier or
wealthier
Please Read Fig. 4-2, Pg. 138
Political Economy of Health Approach
Major beliefs/tenets
-According to this approach economic forces largely determine social
structures
- Economic power correlates with social and political power
- This approach analyzes the ways in which political, economic and social
structures affect and interact with health conditions in local national and
international contexts.
- its based on the notion that political and economic factors are intertwined
with individual and social factors
- In sum the political economy of health approach uncovers how personal,
household, social, political and economic conditions are related to producing
particular health outcomes
Key analytic questions for a political economy approach to social (including
international health) inquiry
See table 4-1 Pg. 143
Using the Political Economy of Health Approach to Understand Health
Problems
Pg-147-148, Table 4-3 and Table 4-2
Phases and models of Development
What is Development?
-Development has no universal definition
-Today we tend to think development in terms of a range of social and
economic activities within and across countries, but historically development
ideas and practices have been closely linked with foreign assistance in terms
of aid from industrialized countries
www.notesolution.com

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Description
Models for understanding Health and Disease Three basic approaches for explaining how health and illness occur Biomedical model - Views health and illness at an individual level - Health is understood in terms of absence of disease rather than as an integrated sense of well being. - It is a curative and preventive approach - Much of the appeal in this approach come from dramatic technological advances in medical treatment over the last century such as surgery. - The biomedical approach will ask the patient to take medical drugs instead of changing his behavior to a healthier one. (Bus Driver example) Behavioral Model -Views health and illness primarily as consequence of individual or household actions and beliefs. -Results either as a reward for healthy living or an outcome for poor lifestyle - Primarily focuses on changing of personal attitudes through education and social counseling in order to achieve desirable health outcomes - According to this approach a patient should make better health choices and take care of the body by taking proper rest instead of getting drugged up (Bus Driver example) Political Economy model -Considers the political, social, cultural and economic contexts in which disease and illness arise -Also examines the ways in which societal structures interact with particular conditions that lead to good or ill health -This approach views health as a function of linked determinants that operate at multiple levels: individual, household, community, workplace, social capital, nation and global political. - These determinants need to addressed in order to improve health conditions, through public policy that improves working conditions, transportation, medical and social care etc. -has the greatest explanatory capacity out of the three models. www.notesolution.com
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