Preventieve gezondheidszorg: principes, gezondheidsdoelstellingen en toekomstige uitdagingen

Author(s):  
E. LERUT ◽  
D. WILDEMEERSCH ◽  
I. DE SCHUTTER

Preventive healthcare: principles, health goals and future challenges Preventive healthcare is an interesting and strong evolving domain of public healthcare (PHC). Nowadays, PHC is an interplay of 3 elements: health protection, disease prevention and health promotion. During the past 2 centuries most health gain was realized through environmental health protective measures such as the closure of cesspools and access to potable water, and through disease prevention thanks to the increasing knowledge on hygiene, microbiology and the development of vaccines. However, with declining premature deaths due to infectious diseases the disease pattern in the population changed. With increasing age, the prevalence of non-communicable diseases (NCD’s) and multimorbidity has risen importantly. Nowadays, NCD’s are the major causes of preventable death and have an important impact on the quality of life, especially in the elderly. As most of these NCD’s are known to be preventable through a healthy lifestyle in a healthy environment, health promotion has gained attention and has become an increasing important element of preventive healthcare during the past 2 decennia. This article addresses the challenges, organization and leading principles of the PHC in Flanders and provides insights in the opportunities recent evolutions in PHC may hold to strengthen people’s general health.

2019 ◽  
Vol 72 (9) ◽  
pp. 1697-1702 ◽  
Author(s):  
Magdalena Sobiech ◽  
Maciej Kochman ◽  
Małgorzata Drelich ◽  
Tomasz Blicharski ◽  
Mirosław Jabłoński

Physical activity is one of the most important element of a healthy lifestyle and determinant of the physical and mental health. According to the WHO, limited physical activity is the fourth most common premature deaths risk factor in the world. Regular sport and active recreation is very important for our health. Physical exercise is the most effective method used by physiotherapists to prevent and slow down the aging process of the body, and consequently, diseases of elderly, such as: osteoporosis, injuries caused by falls, diabetes or hypertension. Physical activity has a positive effect on the quality of life and cognitive functions of elderly. People over 65 years constitute about 40-50% of people who require specialist medical care in the world. Therefore, health and medical professionals dealing with preventive healthcare and treatment of elderly people should have basic knowledge in geriatric rehabilitation, as well as to be able to plan suitable physiotherapy program adequate to the needs of older people. To assess the functional status of the patient, as well as the effectiveness of the training, various types of functional tests are used, specially designed for the elderly. These tests are based on the Comprehensive Geriatric Assessment (COG) considering the state of health, physical and mental fitness as well as socio-environmental conditions. The physiotherapeutic program should be based on functional training involving the entire human body, i.e. nervous, muscular, skeletal, sensory and balance systems.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Disease prevention is part of medical thinking since the time of Hippocrates in the 5th century B.C. However, as a scientific concept, it developed only since the middle of the 19th century through the work of Louis Pasteur and Robert Koch developing and working along with the new germ theory of infectious diseases. Chronic diseases, cardiovascular ones in particular, came into focus only after WW II culminating in the work of Geoffrey Rose and his publication on Sick individuals and sick populations, published 1985. At that time, the new concept of health promotion entered the stage culminating in the Ottawa Charter for Health Promotion, 1986. The classical concepts embrace two basic interrelated modern risk behaviors, sedentary lifestyle and, typically, associated, intake of high caloric food and alcoholic beverages. All of them contribute to obesity diabetes mellitus, elevated blood pressure and cholesterol, often accompanied by smoking as a key risk factor for lung cancer and vascular damage. The individual consequences in terms of reduced quality of life and death due to non-communicable as well as uncontrolled infectious diseases - exemplified by HIV and recently the COVID epidemic - can be considerable and the socioeconomic costs constitute a heavy burden for the population. Whereas research in the field of prevention tries to identify risk factors which may with a certain probability lead to disease, in the field of health promotion efforts are made to find out how to change risky lifestyles, at the individual as well as the community level. Thus, disease prevention and health promotion are two sides of the same coin and should be an essential subject matter for all bachelor or master programs in public health. In this workshop, we shall focus on four questions: 1) What information do we have on modules for disease prevention and targeted health promotion in European Schools of Public Health? 2) What do we know and what should it be? 3) What can we learn from experience in Europe's disadvantaged neighbourhood? 4) How can disease prevention and health promotion contribute to the well-being of humanity in the second half of our century? The last question reaches out beyond the classical concept as a new dimension entered our discourse in the last years which may become the future priority: A healthy environment as a precondition of everything else, in essence in a global dimension: Air, Water, Soil, and Plants, Animals, Humans. Is this - One Health - in the making: A strategy? Leadership? Teaching and training? Solutions do not lay anymore at the individual or community level but require a collective global effort to save our Noah's Ark. Key messages The classical concept of disease prevention and health promotion has lost ground as regards teaching and training at European Schools of Public Health. To strengthen it life-style change is critical. Lifestyle change remains a crucial challenge for prevention and calls for targeted health promotion. The future demands to reach out to the dimension of a healthy environment, the ONE HEALTH concept.


Author(s):  
Jingduan Yang ◽  
Daniel A. Monti

This chapter details the tradition of ancient Chinese medicine that puts self-care for disease prevention and health promotion first and advocates the importance of maintaining a healthy lifestyle while keeping in mind sensitivities to the seasonal and environmental energies. It discusses the essential components of lifestyle, including sleep, diet, exercise, sex, meditation, and life cultivation, that address the health of the mind, body, and spirit. It emphasizes energetic circadian times of the day and seasons of the year in relation to the management of health. This book also uniquely introduces the ancient concept of Xiu Liang, or cultivating one’s life for health, and an example of its modern practice.


2006 ◽  
Vol 67 (S1) ◽  
pp. S39-S46 ◽  
Author(s):  
Paula Brauer ◽  
Theresa Schneider ◽  
Christine Preece ◽  
Deborah Northmore ◽  
Eva West ◽  
...  

Purpose: Primary health care reform presents new opportunities for registered dietitians (RDs) to contribute to health promotion and disease prevention in family practices. Since this is an emerging area of RD practice, a health promotion specialist was contracted to conduct a needs assessment and develop a plan for implementing nutrition-focused healthy lifestyle activities. Methods: The needs assessment was conducted as part of an Ontario-based demonstration project in three Family Health Networks (FHNs). Results: The needs assessment revealed a lack of agreement about what types of activities should be undertaken, a lack of information on the population's needs, a lack of coordination with other agencies in the community, and barriers of time and resources. The health promotion specialist recommended that health care team members in each FHN develop a shared understanding of their goals, and undertake the entire planning and evaluation cycle. Specific strategies were suggested to increase awareness, to provide health education, and to improve environmental support. Conclusions: A significant need exists for conceptual development, planning, testing, and evaluation of disease prevention and health promotion in family physician-based primary health care organizations. The findings may be useful to others interested in increasing the focus on health promotion and disease prevention in such practices.


2008 ◽  
Vol 14 (3) ◽  
pp. 85-108 ◽  
Author(s):  
Kavita Karan

The government of Singapore established the Health Promotion Board (HPB) in 2001 with an annual budget close to S$100 million to drive its health promotion and disease prevention programs. This article reviews the social marketing efforts of the HPB, in particular those campaigns related to healthy lifestyle during 2003–2006. A computer-assisted telephone interview survey conducted on over 300 Singaporeans reveals the impact of these campaigns on patterns of health awareness, health consciousness, risk perception, knowledge, and motivation that lead to adoption or nonadoption of prescribed disease prevention and health improvement practices. The survey found that while awareness of HPB campaigns is at a medium range among the respondents, a majority of those exposed to the campaigns have been influenced to adapt behaviors that lead to a healthy lifestyle.


2021 ◽  
Vol 13 (12) ◽  
pp. 1
Author(s):  
Mbachi Ruth Msomphora ◽  
Anette Iren Langås Larsen

The public health policies are principally implemented using two main strategies, namely, the population strategy and the high-risk strategy. The purpose of this article is to discuss possible side effects of the good intentions of these two main strategies. The discussions herein are made based on our perspectives and literature study methodology. Main findings portray that the disease prevention and health strategies are applied on a skewed basis, and more so, they are mainly based on medical culture and take little account of human culture. This implies that in order for individuals to comply with the health authorities’ demands, they must give up their own lifestyle coping-strategies that are contradictive to the demands. Hence, the possible side effects of the disease prevention and health promotion strategies’ good intentions; as the strategies have no explicit mandate to change the cultural norms and values. Therefore, we argue that adaptations to make the strategies more inclusive may promote public healthcare in the sense that it can work for everyone’s lifestyle, as individuals can easily take healthy actions in the normal course of their lives.


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