scholarly journals Introduction to NICE: Improving health and well-being by putting science at the heart of health and care decision-making

2022 ◽  
Vol 1 ◽  
pp. 21-22
Author(s):  
Gillian Leng
Keyword(s):  
Decision Making ◽  
Well Being ◽  
Health And Well Being ◽  
Care Decision

scholarly journals HESR innovation in analysis that supports decision making and action

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Barr
Keyword(s):  
Decision Making ◽  
Health Equity ◽  
Social Protection ◽  
Well Being ◽  
Status Report ◽  
Policy Performance ◽  
European Health ◽  
The Individual ◽  
Health And Well Being ◽  
Inform Decision Making

Abstract The European Health Equity Status Report makes innovative use of microdata, at the level of the individual, to decompose the relative contributions of five essential underlying conditions to inequities in health and well-being. These essential conditions comprise: (1) Health services (2) Income security and social protection (3) Living conditions (4) Social and human capital (5) Employment and working conditions. Combining microdata across over twenty sources, the work of HESRi has also produced disaggregated indicators in health, well-being, and each of the five essential conditions. In conjunction with indicators of policy performance and investment, the HESRi Health Equity Dataset of over 100 indicators is the first of its kind, as a resource for monitoring and analysing inequities across the essential conditions and policies to inform decision making and action to reduce gaps in health and well-being.

scholarly journals What is the evidence for the impact of gardens and gardening on health and well-being: a scoping review and evidence-based logic model to guide healthcare strategy decision making on the use of gardening approaches as a social prescription

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036923 ◽  
Author(s):  
Michelle Howarth ◽  
Alison Brettle ◽  
Michael Hardman ◽  
Michelle Maden
Keyword(s):  
Decision Making ◽  
Scoping Review ◽  
Grey Literature ◽  
Well Being ◽  
Evidence Based ◽  
Long Term Conditions ◽  
Logic Models ◽  
Health Strategy ◽  
The Impact ◽  
Health And Well Being

ObjectiveTo systematically identify and describe studies that have evaluated the impact of gardens and gardening on health and well-being. A secondary objective was to use this evidence to build evidence-based logic models to guide health strategy decision making about gardens and gardening as a non-medical, social prescription.DesignScoping review of the impact of gardens and gardening on health and well-being. Gardens include private spaces and those open to the public or part of hospitals, care homes, hospices or third sector organisations.Data sourcesA range of biomedical and health management journals was searched including Medline, CINAHL, Psychinfo, Web of Knowledge, ASSIA, Cochrane, Joanna Briggs, Greenfile, Environment Complete and a number of indicative websites were searched to locate context-specific data and grey literature. We searched from 1990 to November 2019.Eligibility criteriaWe included research studies (including systematic reviews) that assessed the effect, value or impact of any garden that met the gardening definition.Data extraction and synthesisThree reviewers jointly screened 50 records by titles and abstracts to ensure calibration. Each record title was screened independently by 2 out of 3 members of the project team and each abstract was screened by 1 member of a team of 3. Random checks on abstract and full-text screening were conducted by a fourth member of the team and any discrepancies were resolved through double-checking and discussion.ResultsFrom the 8896 papers located, a total of 77* studies was included. Over 35 validated health, well-being and functional biometric outcome measures were reported. Interventions ranged from viewing gardens, taking part in gardening or undertaking therapeutic activities. The findings demonstrated links between gardens and improved mental well-being, increased physical activity and a reduction in social isolation enabling the development of 2 logic models.ConclusionsGardens and gardening can improve the health and well-being for people with a range of health and social needs. The benefits of gardens and gardening could be used as a ‘social prescription’ globally, for people with long-term conditions (LTCs). Our logic models provide an evidence-based illustration that can guide health strategy decision making about the referral of people with LTCs to socially prescribed, non-medical interventions involving gardens and gardening.

scholarly journals Behavioral Economics: A Primer and Applications to the UN Sustainable Development Goal of Good Health and Well-Being

Reports ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. 16
Author(s):  
Robert Siegel ◽  
Katelyn Gordon ◽  
Linda Dynan
Keyword(s):  
Decision Making ◽  
Sustainable Development ◽  
Behavioral Economics ◽  
Well Being ◽  
Good Health ◽  
Individual Choice ◽  
Economic Decision ◽  
Economic Decision Making ◽  
Health Related ◽  
Health And Well Being

Behavioral economics (BE) is a relatively new field within economics that incorporates insights from psychology that can be harnessed to improve economic decision making with the potential to enhance good health and well-being of individuals and societies, the third of the United Nations Sustainable Development Goals. While some of the psychological principles of economic decision making were described as far back as the 1700s by Adam Smith, BE emerged as a discipline in the 1970s with the groundbreaking work of psychologists Daniel Kahneman and Amos Tversky. We describe the basic concepts of BE, heuristics (decision-making shortcuts) and their associated biases, and the BE strategies framing, incentives, and economic nudging to overcome these biases. We survey the literature to identify how BE techniques have been employed to improve individual choice (focusing on childhood obesity), health policy, and patient and healthcare provider decision making. Additionally, we discuss how these BE-based efforts to improve health-related decision making can lead to sustaining good health and well-being and identify additional health-related areas that may benefit from including principles of BE in decision making.

Assessing a Patient-Centered E-Health Approach to Chronic Disease Self-Management

2009 ◽  
pp. 168-185 ◽  
Author(s):  
Elizabeth Cummings ◽  
Stephen Chau ◽  
Paul Turner
Keyword(s):  
Decision Making ◽  
Chronic Disease ◽  
Well Being ◽  
End Users ◽  
Patient Centered ◽  
Perceived Need ◽  
Sociotechnical Design ◽  
Care Health ◽  
Health And Well Being

This chapter explores how in developing patient-centred e-health systems it is possible to accommodate heterogeneous characteristics of end-users and their diverse health and care contexts. It concurs with conventional sociotechnical design paradigms that argue systems must be easy to use, fulfill a perceived need, and present a clear value proposition to ensure successful adoption and utilisation by patients. The chapter also highlights the need for awareness of a number of key challenges relating to emerging discourses on ‘empowering patients’ and ‘e-health’. The implications of these challenges for the development of a truly patient-centred e-health approach are explored in a detailed case study. This chapter contributes to research focused on supporting patients to become genuine co-participants in their own care, health and well-being. However, it also acknowledges that part of the challenge of achieving this goal requires a focus on assisting clinicians to learn to respond to this shift in the autonomy of decision- making

The motherhood choice: Themes arising in the decision-making process for women with multiple sclerosis

2008 ◽  
Vol 14 (5) ◽  
pp. 701-704 ◽  
Author(s):  
M Prunty ◽  
L Sharpe ◽  
P Butow ◽  
G Fulcher
Keyword(s):  
Multiple Sclerosis ◽  
Decision Making ◽  
Focus Groups ◽  
Well Being ◽  
Child Rearing ◽  
Decision Making Process ◽  
Valuable Resource ◽  
Health And Well Being

Objective This study aimed to determine the main themes and concerns for women with Multiple Sclerosis when considering motherhood. Method Twenty women with multiple sclerosis from various stages in the decision-making process participated in focus-groups where information was gathered regarding their experiences of making this decision. Results The themes emerging most frequently during the decision-making process were: a) concerns about the mother's own health and well-being; b) well-being of the child; c) coping with parenting; d) societal attitudes; e) experiencing parenting and f) timing and pressure of the decision. Conclusion The results indicate that information regarding the effect of MS on pregnancy and child-rearing and the effect of pregnancy on MS and its progression need to be made more accessible to women. Information would be a valuable resource for women going through this decision-making process.

scholarly journals Household decision-making power and the mental health and well-being of women initiating antiretroviral treatment in Oromia, Ethiopia

AIDS Care ◽  
2017 ◽  
Vol 30 (2) ◽  
pp. 211-218 ◽  
Author(s):  
Angela M. Parcesepe ◽  
Olga Tymejczyk ◽  
Robert Remien ◽  
Tsigereda Gadisa ◽  
Sarah Gorrell Kulkarni ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Antiretroviral Treatment ◽  
Well Being ◽  
Household Decision ◽  
Household Decision Making ◽  
Health And Well Being

scholarly journals A PRACTICE FRAMEWORK FOR CONSIDERATION OF GENDER IN ETHICAL DECISION-MAKING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S238-S238
Author(s):  
Sharon Bowland ◽  
Beth Halaas
Keyword(s):  
Decision Making ◽  
Older Persons ◽  
Ethical Decision Making ◽  
Well Being ◽  
Personal Agency ◽  
Marginalized Groups ◽  
Transgender Persons ◽  
Decision Making Processes ◽  
Practice Framework ◽  
Health And Well Being

Abstract Gender role stereotypes, social norms and social policies negatively influence health and well-being for marginalized groups. These inequalities are embedded in the fabric of our society and are often unquestioned and hidden. Practitioners frequently use an ethical lens that does not consider the influence of gender on life course decision-making. We developed the Practice Framework for Older Persons (PFOP) to assess past and current realities that take gendered experiences into consideration. By contextualizing means and opportunities, a more complete picture can be drawn about a person’s unique gender experiences. Subsequently, we can better understand their decision-making processes, wants, needs, and desires. This type of assessment may be particularly beneficial for women and transgender persons given ethical demands for practice paradigms which consider gender fluidity and development of a sense of personal agency.

scholarly journals Salutogenic Approaches to Dementia Care

2022 ◽  
pp. 513-532
Author(s):  
Jan A. Golembiewski ◽  
John Zeisel
Keyword(s):  
Decision Making ◽  
Social Interaction ◽  
Interpersonal Communication ◽  
Sense Of Coherence ◽  
Well Being ◽  
Dementia Care ◽  
Model Of Care ◽  
Simple Task ◽  
Health And Well Being ◽  
Care Support

AbstractIn this chapter, the authors address salutogenic approaches in dementia care support, using a resident-centred model of care. Securing patients’ sense of coherence in care settings requires shifting the locus of decision-making power from only staff, to include residents. In this approach, patients manage more tasks themselves, they get not only what they need but also what they want and they engage meaningfully with others and with life in general. The authors explain that implementing salutogenic models of dementia care is not a simple task. It involves reimagining approaches to interpersonal communication, the thoughtful development of meaningful and enjoyable activities, and creative inclusion and engagement of friends and family. Supportive design of facilities includes spaces that provide choice, opportunities for social interaction, and memory-triggering cues that inform persons living with dementia about where they are, who they are, what there is to do to keep occupied, who other people are – in sum, environments that remind  them that they are meaningfully engaged, safe and happy. The authors contend that replacing old-fashioned approaches to care with life-affirming environments is richly rewarding. They explain that success in making this switch requires professionals to pivot away from models that see dementia primarily as a disease to be cured, towards seeing living with dementia in terms of maximum health and well-being. They conclude that salutogenesis is a useful theory to guide this transition.

scholarly journals How can health promotion contribute to pulling humans back from the brink of disaster?

2021 ◽  
pp. 175797592110440
Author(s):  
Fran Baum
Keyword(s):  
Complex System ◽  
Decision Making ◽  
Health Promotion ◽  
Global Warming ◽  
Civil Society ◽  
Well Being ◽  
Urban Environments ◽  
The Third ◽  
Primary Focus ◽  
Health And Well Being

Health promotion has evolved over the last decades from a primary focus on behaviour change to establishing an ambitious goal of creating healthy, fair and sustainable environments in a manner which realises the rights of all people to health and well-being while protecting the health of our planet and its ecosystems. This paper argues that in order to contribute to this ambitious goal, health promotion must address three key tasks. The first is the need to take planetary health more seriously and move away from reductionist thinking to an approach that sees the planet as a complex system and values more harmony with nature, protects biodiversity and prevents global warming. The second task is to advocate and support governments to govern for health. The key to doing this is putting health and equity before profit, creating healthy urban environments, encouraging participatory decision-making, advocating for healthy economic models and assessing the ways in which corporate determinants of health operate. The third task is to ensure that moves to professionalise health promotion do not come at the expense of health promotion advocacy to powerful people and organisations. Health promotion is well placed to support civil society movements arguing for social and economic change that will benefit health such as the Black Lives Matter and environment movements.

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