- state of complete physical, mental, and social well-being and not merely the absence of
disease or infirmity
what are the WHO building blocks
service delivery, health workforce, health information systems, access to essential
medicines, financing, leadership/governance
what are the social determinants of health
o Healthcare access and quality
o Education access and quality
o Economic/income stability
o Neighborhood and built environments
o Social and cultural context
what are the two periods in the history of healthcare
pre industrial and post industrial
what are the 5 main factors of the pre industrial profession insignificants
1. medical practice in disarray
2. medical procedures not well developed
3. limited to no core infrastructure like hospitals
4. unstable demand
,5. medical trainings/education below standard
what is meant by the medical practice in disarray
limited to no formal educational standards
· A lot of competition and who was allowed to practice medicine
· AMA (American medical association) attempted to provide some structure
what is meant by medical procedures not well developed
little science tools
-· Ex. Blood letting
-A lot of feeling and touching
what is meant by limited to no core infrastructure like hospitals
·Almshouses/poorhouses- people who couldn't pay for care
· Pesthouses- sick patients quarantined here
· Mental asylums- state run
· Medical hospitals- last resort; seen as a dying place/not clean
· (settlement house movement- where OT got its roots)
what is meant by unstable demand
- people paid out of pocket, limited access in rural areas (limited transportation)
· Influences supply and demand (shift after insurance came out)
what is meant by medical training/education below standard
· At first anyone could do ità now developing standard over time
, what occured in post industrial period
1. social changes
2. hospitals more central in role of healthcare
3. physicians more important and trusted
4. professionalization - licensing required
5. mental health care
6.insurance became available
what is meant by social changes in the post industrial
· more urbanization and transportation vs agricultural (less access to hospitals and
medical care)
what is meant by hospitals being a more central role of healthcare
· No longer viewed as end life but instead to get better
· Improved technology
what is meant by mental health care
the WW2 veterans fueled this drive for mental health care from their PTSD
-·Deinstitutionalization- community based care
· Effective psychiatric medications
what is the corporate era
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