scholarly journals Meikirch model: new definition of health as hypothesis to fundamentally improve healthcare delivery

2020 ◽  
Vol 2 (1) ◽  
pp. e000046
Author(s):  
Johannes Bircher

The unrelenting rise in healthcare costs over the past 50 years has caused policymakers to respond. Their reactions have led to a gradual economic transformation of medicine. As a result, detailed billing, quality controls, financial incentives, savings targets and digitalisation are now putting increasing pressures on the nursing and medical staff. In addition, the humanity of care of the patient–doctor and/or patient–nurse interactions has been cast aside to a great extent. Therefore, the immaterial side of care has been neglected or even removed from these relationships. These changes are now perceived as intolerable by most health workers and patients. Yet healthcare costs are still rising. This paper presents a hypothesis that should enable healthcare systems to respond more effectively. It proposes the introduction of the Meikirch model, a new comprehensive definition of health. The Meikirch model takes human nature fully into account, including health and disease. The inclusion of the individual potentials, the social surroundings and the natural environment leads to the concept of health as a complex adaptive system (CAS). Care for such a definition of health requires medical organisations to change from top–down management to bottom–up leadership. Such innovations are now mature and ready for implementation. They require a long-term investment, a comprehensive approach to patient care and new qualifications for leadership. The Meikirch model reads: ‘To be healthy a human individual must be able to satisfy the demands of life. For this purpose, each person disposes of a biologically given and a personally acquired potential, both of which are closely related to the social surroundings and the natural environment. The resulting CAS enables the individual to unfold a personal identity and to develop it further until death. Healthcare has the purpose to empower each individual to fully realize optimal health’.This hypothesis postulates that the new definition of health will further develop healthcare systems in such a way that better health results at lower costs.

2021 ◽  
Vol 14 (4) ◽  
pp. 76-89
Author(s):  
T.I. Bogacheva

The article discusses theoretical approaches to understanding sociality as a personal characteristic. The author’s definition of the concept of “sociability” is proposed, which is understood as a personality property that characterizes the degree of its involvement in the social microenvironment, due to the psychoemotional stability of the individual and manifested in his adaptive and perceptual-interactive skills. The author’s psychodiagnostic technique for measuring sociality as a personal characteristic is presented. A distinctive feature of this technique lies in the simplicity of the diagnostic procedure, in the ability to identify not only the current level of development of sociality, but also to determine the features of its structure in the subject. The article describes the main psychometric characteristics of the technique: constructive and convergent validity, discriminativeness, reliability, representativeness. In order to determine the convergent validity, a correlation was established between the scales of the author’s methodology and the methodology for diagnosing perceptual-interactive competence, as well as the VSC questionnaire («self-control» scale). The proposed author’s psychodiagnostic tools can be used to solve academic and applied problems in the field of personality psychology, developmental psychology, educational psychology, leadership psychology, organizational psychology and other areas of psychological science to determine the current level of development of sociality of the researcher at the age of 14 to 25 years.


2020 ◽  
Vol 18 (5) ◽  
pp. 35-66
Author(s):  
Józef M. Dołęga

The philosophy of systemic sozology presented in this work has as its characteristic originality under two aspects: metaobjective and objective. In the metaobjective aspect, here called the philosophy of sozology, one should underline the following elements: the elaboration of the notion - environment, the determining of the contents of the expression: social-natural environment, the elaboration of the definition of systemic sozology, the definition of the object of research of this discipline of science, the presentation of the structure, and especially the underlining of the importance of: interdisciplinarity, transdisciplinarity, systematics and globalism in the methodology of systemic sozology. In the objective or essential aspect the originality of the work is the underlining of the basic issues of systemic sozology and the presentation of them in six spheres, in which the process of life is realized, that it: the state of the social-natural environment, the sources of endangerment and pollution of the environment, the influence of the changing environment to life on Earth, the ways and means of protecting the environment.


2014 ◽  
Vol 25 (4) ◽  
pp. 105-120
Author(s):  
Aleksandra Bulatovic

The concept of well being has become the main criterion to assess quality of life in contemporary society. Individual well-being describes the individual quality of life, while social well-being refers to quality of life in a society. Given that well-being has a multitude of dimensions, a unique definition of it is elusive to scholars. In this article social well-being is conceptualised as a dynamic process within the context set by social integration as one?s relationship to society and the community. This includes the quality of interaction between the individual and society and one?s ?social actualisation? understood as the realisation of one?s social capacities. Social actualisation also involves one?s ability to influence social processes and to benefit from social cohesion, which consists, in any society, of the quality, organisation and functioning of the social world. Hence the ability to impact society is an integral part of individual well being. This paper suggests that philosophical practice as a new paradigm in the humanities holds out promise for the improvement of both individual and social well-being.


1990 ◽  
Vol 6 (2) ◽  
pp. 297-303
Author(s):  
Roger J. Bulger

AbstractAs prefigured in the Greek tragedy Antigone, one of the primary conflicts in contemporary health care is that between humane concern for the individual and concern for society at large and administrative rules. The computerization of the health care system and development of large data bases will create new forms of this conflict that will challenge the self-definition of health care and health care professionals.


PMLA ◽  
1960 ◽  
Vol 75 (5) ◽  
pp. 616-620
Author(s):  
William E. Harkins

Karel Čapek's novel Hordubal is the first part of a trilogy which embodies a definition of human individuality and of the relation of the individual to the social order. As René Wellek has observed, the trilogy “centers around problems of truth and reality and constitutes one of the most successful attempts at a philosophical novel in any language.”


Author(s):  
E. A. Mun ◽  

The article examines the problems of the diverse infl uence of environmental elements, in which different forms of local art developed. The concept of the environment in the research is interpreted in all the aspects of the term. The infl uence of the social environment, national characteristics, the natural environment, the importance of aesthetic and historical interpretation, emotional and cognitive perception are analyzed in detail, as well as the parallel process of separating of canonized styles into national currents. It is emphasized here that the determining factor of merging of a certain mass of artistic phenomena into one whole is, first, the spiritual unity against which culture arises. A peculiarity of the proposed form of analysis is to consider this influence not at the definite period time, but in the dynamic context of historical changes under the influence of different factors.


PRIMO ASPECTU ◽  
2020 ◽  
pp. 38-48
Author(s):  
Oksana O. AYVAZYAN

The article is devoted to the analysis of the socio-communicative nature of law as a factor in the development of the communicative-legal culture of youth. An analysis of the theories of scientists considering law and communication as social institutions is presented, which directly affects the formation of a communicative-legal culture of both the individual and society as a whole. The paper notes a common understanding of the social and communicative conditionality of law. This is confirmed by the fact that social norms arise in society in the process of people’s communicative interaction, and are treated by many scientists as truly legal, which regulate the external manifestations of the human will. Such norms derive from the needs of each person and society as a whole, and this indicates that they are prioritized by legislatively established norms that serve only for their implementation. At the same time, taking such a definition of law as a basis, in the context of this study, the importance of the fact that the effectiveness of the formation of legal norms in society through communicative interaction depends on the accuracy and correctness of the application of the principles of legal communication, indicating the level of communication and legal culture of each individual and society in whole. The article also describes the author’s sociological survey and its results, which note the presence of socio-communicative conditionality of law, an insufficient level of knowledge and skills of the basics of law and communication, which indicates that the communicative and legal competence of young people is not fully formed. The conclusion resumes are drawn on the importance of the communicative and legal culture of both the individual and society as a whole.


2009 ◽  
Vol 08 (04) ◽  
pp. C04 ◽  
Author(s):  
Brigida Blasi ◽  
Sandra Romagnosi

Twenty five years after the introduction of the concept of “collectivization of science” by Ziman, the importance of the research team continues to suffer of a narrow space, both in scientific literature and in the definition of academic policy. The debate ranges from a macro level, represented by changes in scientific and technological research to micro-analyses on the figure of the individual researcher. Nevertheless the scientific processes are affected by the increasingly multidisciplinary nature and the plurality of actors involved, as well as the social and cultural dynamics, often overlooked if not ignored. Our contribution aims to emphasize the importance of the research groups as the elementary unit of analysis in the definition of policies and for a better governance of universities.


1975 ◽  
Vol 5 (4) ◽  
pp. 625-642 ◽  
Author(s):  
Sander Kelman

In this article it is argued that through the adoption of the appropriate theoretical approach and the derivation of suitable analytical categories, the definition problem in health can be seen as operational, nontrivial, and highly problematic to the determination of health care policy. Specifically, an attempt is made to isolate the social basis of the definition of health. Part one develops the theoretical approach to the problem. First, notions of health are traced paradigmatically, then a historical materialist approach is employed to develop the social basis of an operational, contemporary definition of health. This definition is then compared with other existing definitions, and part one concludes with a discussion of the possibilities of a normative definition. Part two applies the new definition by reinterpreting parts of the history of public health and medicine, and concludes with a discussion of how this definition is highly problematic to the major structural reforms currently under way in the American health care system.


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