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economic boom
expansive healthcare system
not sick=healthy |
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1946
money to build hospitals and healthcare facilities |
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World Health Organization (WHO)
defined health - not just absence of disease! |
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Private and employer health insurance grows |
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Social Security Act
Medicare and Medicaid |
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Massachusetts, 1948-today
Studied population to understand causes of heart disease |
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Finland province
highest rate of coronary disease (world)
Individual and group-level interventions
Community-level interventions |
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1973, Canada
Health care is not health improvement
Behavioral causes more important
Health Field Model |
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First Healthy People
Dr. Julius Richmond (surgeon general)
New objectives every 10 years |
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First International Health Prom Conference
Ottawa Charter for Health Prom. |
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Health promotion defined (enable) |
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View health as absence of disease
Can be fixed by medical treatment
Body is like a machine
Scientific |
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Causes of rising healthcare costs |
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Perscription drugs
Facility expansion
Lifestyle choices
Insulation of consumers from costs
Government mandates |
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65 or older
under 65 w/ disabilities
End-Stage Renal Disease (ESRD) |
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Low-income people
Requirements established by the state |
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Poverty
Unemployment
Poor housing conditions
Social exclusion
Discrimination |
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Obesity
Alcohol use
Smoking
Poor eating
Physical inactivity |
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Health Promotion (Ottawa Charter) |
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Definition
The process of enabling people to increase control over, and to improve, their health... |
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