Healthcare in Changing times

changing ideas about what health is
1. World Health Organization
  1. Health is state of complete phyiscal, mental and social well-being and not merely the absent of disease or infirmity
    1. exculdes most people from being healthly
2. Supported to feel fully well in body and mind and capable of living well
3. Social model
  1. Curing illness
  2. Preventing illness
  3. Promoting good health
  4. Adds to the medical model
4. Health hoping to acheive even if some parts of the body are functioning less than perfect
5. Sick Role - does not fit long term illness
Changes within society
1. Smaller families, fewer infant and child deaths and longer life expectanices
2. shift form manual to knowledge based occupations
3. Other factors in improving health- income, housing, diet
4. Physical stress replaced by psychological stress
5. shift of emphasis and service users to partnership
6. Three emerging trends
  1. From hierarchies to team working among health care professionals
  2. from paternalism to partnership in doctor patient relationships
  3. Rise of expert patient
Changes in government policy
1. 2000's signicant development in healthcare policy
  1. Partnership for care: scotland's Health White Paper (2003)
  2. Our Health, Our Care, Our say: A new direction for community services (2006)
  3. reflects changes in health care needs, attitudes and relationships
    1. Team working
    2. Paternalism to partnership
    3. Rise of expert patient
    4. Service users prespective
    5. Bringing the hospital int the communi
2. National service Framework
  1. comprehensive framework developing local strategies to support self care for people with long term condtions

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Healthcare in Changing times

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