Resource Reviews: The Social Psychology of Health — From the Claremont Symposium on Applied Social Psychology, Health through Public Policy — The Greening of Public Health, Health Care Terms

1991 ◽  
Vol 6 (1) ◽  
pp. 10-11
Author(s):  
Robert A. Gorsky
Author(s):  
Vincanne Adams

This chapter examines the impact of “evidence-based medicine” (EBM) on global public health. An epistemic transformation in the field of global health is underway, and it argues that the impact of EBM has been twofold: (1) the creation of an experimental metric as a means of providing health care; and (2) a shift in the priorities of caregiving practices in public health such that “people [no longer] come first.” The production of experimental research populations in and through EBM helps constitute larger fiscal transformations in how we do global health. Notably, EBM has created a platform for the buying and selling of truth and reliability, abstracting clinical caregiving from the social relationships on which they depend.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Y Le Bodo ◽  
R Fonteneau ◽  
C Harpet ◽  
H Hudebine ◽  
F Jabot ◽  
...  

Abstract Background The potential contribution of local authorities to prevention and health promotion is well recognized. In France, since 2009, Local Health Contracts (LHCs) are mobilising Regional Health Agencies, local elected officials and stakeholders to intervene in 4 areas: health promotion, prevention, health care and social care. LHCs remain poorly documented policy instruments. Methods As part of the CLoterreS study, a multidimensional coding tool was developed and tested by two coders to explore the place of prevention and health promotion in LHCs. Its development was based on the WHO conceptual framework for action on the social determinants of health and the Self-assessment tool for the evaluation of essential public health operations in the WHO European Region. Preliminary results concern a random sample of 17 LHCs from as many French regions selected among the 165 LHCs signed between 2015 and March 2018. Results On average, the LHCs featured 26 action forms (AF) (min: 5; max: 56). In a LHC, the average proportion of AF addressing either the social determinants of health, living circumstances or other determinants targeted by health protection, promotion or primary prevention interventions (SDoH-HPP-P1) was 79% while 44% of the AF address secondary/tertiary prevention, social care or the organization of health care and services. Among the SDoH-HPP-P1 themes (double coding permitted): psychosocial life circumstances were addressed in the 17 LHCs and concerned, on average, 31% of their AF; material living circumstances were addressed to a lesser extent (16 LHCs, 13%); other key themes include environmental health (12, 14%), mental health (16, 12%), alcohol abuse (15, 11%), drug use (14, 11%), smoking (13, 9%), physical activity (13, 12%), healthy eating (12, 12%). Conclusions This work confirms that LHCs are instruments with prevention and health promotion at their core. Explanation of the differing investments in this area across our sample will be further explored. Key messages Local Health Contracts are promising instruments to address locally a broad range of health determinants. The CLoterreS analytical tool has proven effective in capturing multiple themes and shedding light on differences between Local Health Contracts’ action plans.


2009 ◽  
Vol 15 (1_suppl) ◽  
pp. 30-35 ◽  
Author(s):  
Eric Holmen

The vast mobile network created by high adoption rates and increasing familiarity with mobile device capabilities worldwide has potential for far more than the commercial operations to which it is currently relegated. This will be the next wave of mobile: the social and socially conscious dimension of an already broad medium. Mobile's potential is virtually limitless, and the advantages unique to it align well with the demands of the health care industry. The accuracy and speed provided by the medium are particularly valuable to health care professionals and their patients. The emerging social aspect of mobile is being tapped for myriad health-related uses, including smoking cessation and the treatment of eating disorders. Moreover, the ubiquity of the mobile device is advancing public health initiatives across the globe. This article endeavors to describe the state of the mobile medium and what effects it can have on both the health care industry and public health. It also discusses the particular effect the social aspect of mobile technology is having on certain health initiatives and cites specific examples of the synergy between mobile communication and health-related programs. This article concludes by looking toward the future of mobile health projects.


2016 ◽  
Vol 24 (91) ◽  
pp. 477-491
Author(s):  
Claudio de Moura Castro ◽  
Philip Musgrove

Abstract Education and health – or more precisely, schooling and health care – are often lumped together as the major components of something called “the social sector”. There are some important similarities, but they are outweighed by greater and more significant differences. Most of these differences are intrinsic to knowledge and learning or to disease and dealing with it. Other distinctions arise from how society organizes and pays for schooling and medical care. The differences matter for costs, day-to-day management, and reform efforts in each sector. Treating the two sectors as highly comparable is both sloppy thinking and conducive to bad public policy.


Author(s):  
Milena Angelova

After the Second World War and until 1990, Bulgaria, as most of the former communist countries from the Eastern Europe, implemented a Semashko healthcare system developed in the USSR. Named after the First People’s Commissar of Health of the Soviet Russia, Nikolai Semashko, Soviet health care was developed as “social health care”, trying also to eliminate the social reasons for illness, thus transforming society and economy as a whole. This type of system was based on the centrally planned principles, on rigid management and on the state monopoly. Consequently, the healthcare system created by the Ministry of Health was integrated and centralized, completely controlled by the state. The system of health services in Bulgara from 1944 to 1990 was inspired by the Soviet model Semashko, a centralized state system, which seemed to guarantee “free access to health services for the entire population”. In the research the author focuses on the policies in the field of public health in Bulgaria between 1944 and 1951, when the "Sovietization" in this field took place.


Author(s):  
Retnayu Prasetyanti

By the emergence of good local governance paradigm,local government must innovatively manage localuniqueness to create community self-reliance in healthcare. By using qualitative perspective and theoreticalanalysis on public policy and sustainable development inlocal context, the research results revealed somedevelopment strategies on health and maternal care.Firstly, (a) upholding cross-sector policies through PublicPrivate Partnership and Good Corporate Governance toserve equitable health outcomes by developing healthinfrastructure and health personnel in local area. (b)Implementing Good Village Governance to enhance localeconomic growth and achieve the outcomes of villageautonomy system. (c) Understanding health as a system,thus, solutions and policy alternatives must considerthinking sub-systems of health care for women, such asgender development and social capital.Keywords: Public Policy, Public Health, Local Wisdom,Development


2020 ◽  
pp. 85-108
Author(s):  
Timothy Hellwig ◽  
Yesola Kweon ◽  
Jack Vowles

This chapter examines the effect of the GFC on mass policy preferences. We argue that preferences are not only shaped by the individual’s position in the social structure, but also by the set of feasible options provided by competing political elites. The theory of constrained partisanship views public policy preferences as rooted in institutions, economic circumstances, and past policy legacies. Parting ways with this view, we argue that parties can shape citizens’ preferences through policy efforts and rhetoric. We test a set of arguments on preferences for spending in two areas: health care (a universal benefit) and unemployment assistance (a targeted benefit). Consistent with other research, we find that individual-level attributes associated with labour market positions, skills, and wealth inform policy preferences. But party politics also mattered. Both the depth of the crisis and the extent of the recovery shaped some post-GFC policy demands by way of party cues. We also show that the scope of the crisis recovery influenced how preferences react to past policy efforts. In strong recoveries, there was a strong negative thermostatic relationship, but in weak recoveries, path dependence ruled. Implications for policy responsiveness are discussed.


2020 ◽  
Vol 17 (2) ◽  
pp. 129-162
Author(s):  
Andreas T. Schmidt

Several Dutch politicians have recently argued that medical voluntary euthanasia laws should be extended to include healthy elderly citizens who suffer from non-medical ‘existential suffering’ (‘life fatigue’ or ‘completed life’). In response, some seek to show that cases of medical euthanasia are morally permissible in ways that completed life euthanasia cases are not. I provide a different, societal perspective. I argue against assessing the permissibility of individual euthanasia cases in separation of their societal context and history. An appropriate justification of euthanasia needs to be embedded in a wider solidaristic response to the causes of suffering. By classifying some suffering as ‘medical’ and some as ‘non-medical’, most societies currently respond to medical conditions in importantly different ways than they do to non-medical suffering. In medical cases, countries like the Netherlands have a health care, health research and public health system to systematically assign responsibilities to address causes of medical suffering. We lack such a system for non-medical suffering among elderly citizens, which makes completed life euthanasia importantly different from euthanasia in medical cases. Because of this moral ‘responsibility gap’, focusing on the permissibility of completed life euthanasia in separation of wider societal duties to attend to possible causes is societally inappropriate. To spell out this objection in more philosophical terms, I introduce the concept of acts that are morally permissible but contextually problematic.


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