Health care: A life course approach to health and well-being

2017 ◽  
Vol 02 (04) ◽  
Author(s):  
Patricia M Davidson
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Many concepts that are key to public health policy-making are conceptual and often values-based. How such concepts can be implemented by Member States, and how the effectiveness of this implementation can be measured and reported, remains an critical challenge that all major monitoring frameworks are faced with, from Health 2020 (WHO’s European policy framework for health and well-being), to the Sustainable Development Goals for Agenda 2030. In 2016, WHO established a project to interrogate how four key values-based public health concepts can be better measured and reported on, to increase the accountability of Member States towards these concepts. Based on the priority areas of Health 2020, the concepts which were chosen are: resilience;empowerment;life-course approach; andwhole of society approach. Four Health Evidence Network (HEN) synthesis reports were commissioned from leading experts and have now been published, synthesizing the best available evidence and grey literature on these concepts, and proposing a variety of quantitative and qualitative approaches to measuring them. The workshop will be organized as round table workshop. It will bring together the authors of all four reports to provide an overarching thematic discussion on how to enhance the monitoring and reporting of values-based public health concepts. In addition, it will also present an opportunity to discuss the findings of the reports, in particular how qualitative evidence can be deployed to make up for the shortcomings of quantitative indicators. The role of culture in informing these values-based concepts will also be discussed. The session will be chaired by Nick Fahy, who will set the scene and provide some background to the WHO Europe project on enhancing monitoring and reporting. Jane South will then give overview of the HEN synthesis report on measuring resilience, followed Glenn Laverack, who will talk about the HEN report on measuring empowerment. Mark Hanson and Scott Greer will review their respective HEN reports on measuring the life-course approach and whole-of-society approach implementation. Each speaker will be asked to illustrate their presentation with a case study which demonstrates how qualitative evidence can enhance the monitoring and/or reporting of the various concepts. During the discussion, a number of key questions will be discussed by the panel with input from the audience. How can actionable measurement strategies be derived from existing research regarding values based concepts?How can meaningful, country-level reporting mechanisms be expanded to include quantitative and qualitative health information and indicators?What is the role of cultural contexts in mediating these (and other) values-based concepts? Key messages Many key public health concepts are inherently values-based. However, this is often not acknowledged, making it challenging to monitor and report on them. Qualitative evidence can be key to designing more effective ways to measure the implementation of values-based public health concepts. Jane South Contact: [email protected] Glenn Laverack Contact: [email protected] Mark Hanson Contact: [email protected] Scott Greer Contact: [email protected]


2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
E Besnier ◽  
M Dyakova ◽  
C Grey ◽  
K Ashton ◽  
A Schwappach ◽  
...  

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
E Besnier ◽  
M Dyakova ◽  
C Grey ◽  
K Ashton ◽  
A Schwappach ◽  
...  

2021 ◽  

Building Health Throughout the Life Course elucidates how health develops and changes throughout the life course, and how the use of the life course approach among public health practitioners can ensure that health as a human right is achieved for all individuals. It describes the life course vision of health that focuses not only on diseases and their consequences, but rather on achieving long, healthy, active, and productive lives.  The book consists of three stand-alone parts. Part 1, “Concepts”, aims to illuminate the complexity of health through the understanding of the life course approach. It can be used to familiarize oneself with the evolution and meaning of the life course, which serves as a basis for effective public health practice. Part 2, “Implications”, identifies the implications for the operationalization of the life course approach in public health. It translates the technical language of the life course literature to understand how the application of the life course approach requires changes in health systems, policies, research, and practice. Part 3, “Application in Public Health”, identifies key opportunities to strengthen the adoption of the life course approach in public health practice. It describes concrete, evidence-based actions to improve health and well-being through the promotion and generation of skills throughout the life course.  This book aims to help decision-makers and public health professionals to understand the life course meaning and concepts, which is essential to comprehend how health develops and changes throughout the life course. The book also describes how the life course model allows us to address health disparities by generating mechanisms to improve health and well-being by promoting the vision of health as the product of a series of experiences that contribute to or detract from health in the near and long term.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 636-636
Author(s):  
Avron Spiro

Abstract Military service during early life can result in exposure to traumatic events that can reverberate throughout life. Although much attention is focused on the negative effects of military service, many veterans report positive effects. These papers explore life course effects of military service on veterans’ health and well-being. Three used national US longitudinal cohorts (HRS, MIDUS); two sampled veterans from Oregon or from Korea. Three compared veterans to non-veterans; two examined veterans only. Cheng and colleagues found that veterans in HRS are more likely to be risk-averse than non-veterans. Risk aversion matters because it determines how people make decisions and predicts a wide array of health and economic outcomes. Kurth and colleagues examined Oregon veterans from several wars, finding PTSD symptoms were highest among Vietnam combat veterans, the oldest cohort; there were no differences among non-combat veterans. Piazza and colleagues examined in MIDUS the impact of veteran status on cortisol, a stress biomarker, finding older veterans more likely had non-normative patterns than did younger or non-veterans. Lee and colleagues studied patterns of mental health among Korean Vietnam veterans, identifying two patterns as ‘normal’ and ‘resilient’ encompassing half the sample; these veterans demonstrated positive outcomes of military service. Frochen and colleagues compared depression trajectories between veterans and non-veterans in HRS, finding veterans had less depression than non-veterans, but among veterans, trajectories varied based on extent of service. in sum, these papers demonstrate that military service can have positive as well as negative effects on veterans’ health and well-being in later life. Aging Veterans: Effects of Military Service across the Life Course Interest Group Sponsored Symposium.


2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Minna Tiainen ◽  
Outi Ahonen ◽  
Leena Hinkkanen ◽  
Elina Rajalahti ◽  
Alpo Värri

Digital transformation is changing the ecosystem and at the same time professionals’ competencies worldwide. Minimising health care and social welfare costs while increasing citizens’ health and well-being is challenging. Technology and digital tools play an important role in reaching this goal. However, there are inequalities concerning technology, and this has many impacts. Digitalisation brings challenges not only to health care and social welfare professionals but to citizens, too. Working with or using services in digital environments demands new skills. This has social and ethical impacts, e.g. how is equal access to services ensured. Health and social care professionals should have different competencies to respond to this, such as societal competencies. The purpose of this article is to describe how the definition of competencies in health care and social welfare version 1.0 (developed in the national SotePeda 24/7 project) was finalised as the final version 2.0 for Finnish healthcare and social welfare education by experts’ evaluation. Data was collected through an electronic questionnaire administered to selected experts (N=140) during January 2020. The number of experts who responded to the study was 52. These experts (social and health, business and IT) work or have worked in tasks related to the digitalisation of social and health care. The questionnaire was based on version 1.0 of the definition of digital competencies of health care and social welfare informatics. The questionnaire was mainly quantitative, but it also included open-ended qualitative questions. The experts agreed to a large extent on the version 1.0 definition, but some adjustments were made to the definition based on our study. The resulting definition is intended for use in the planning, implementation and evaluation of health care and social welfare education, but it can also be used for polytechnic education. The aim is to develop the digital skills of educators, degree students and in-service trainees in a multidisciplinary way (social and health, business and IT) to meet the needs of working life.


2020 ◽  
Vol 1 (1) ◽  
pp. 106-115
Author(s):  
Yulia Sepreninova ◽  
Inna Makarenko ◽  
Alex Plastun ◽  
Angela Babko ◽  
Gunnay Gasimova

This article summarizes the existing approaches to investigating instruments of responsible investments in the health care system in Europe and in United States. The main research’s purpose is to identify existing instruments of responsible investment under funding Sustainable Development Goal 3: ‘Good health and well-being’. Systematization of scientific sources and approaches on the investigated issue showed no unique approach to forming a list of responsible investment instruments to finance health and well-being in Europe and United States. Hence, existing approaches vary by risk, return, suitability for financing, and so on. Therefore, the analysis and generalization of existing approaches and investigating their implementation-related practical features are the relevant scientific problem. The research’s object is the health care financing approaches of the generally recognized organizations such as the Financial Initiative for Biodiversity under the United Nations Development Program, the United States Agency for International Development and the World Bank (Biodiversity Finance Initiative United Nation Development Program, USAID, World Bank). The authors noted that these organizations contributed greatly to provide funding for these projects at the global level. For gaining the research’s goal, this study was conducted in the following logical sequence. Firstly, the authors characterized the Biofin financial decisions in health care under the United Nations Development Program. Secondly, the study systematized the U.S. Agency for International Development financing approaches regarding the Sustainable Development Goal 3. Then, the authors generalized the practical directions towards realizing the mentioned above instruments while digging into the World Bank responsible investment activity regarding health care. The study suggested the typology method to identify the key criteria for classifying responsible investment instruments. In turn, the mapping method was used to generalize the scientific background concerning health care finance. Therefore, the findings could help scientists further develop and unify the classification of responsible investment instruments regarding sustainable development and health care financing based on EU and US experience. Moreover, the obtained results enrich the existing global approaches in funding the national health care system and reaching the established Sustainable Development Goals 3 ‘Good health and well-being’.


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