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Book annotations/summary - "The New Public Health" by Fran Baum
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Book annotations/summary - "The New Public Health" by Fran Baum. Chapter 1 t/m 5, 14, 15, 16, 17, 18, 19, 24. Preparation for the exam.
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Aantekeningen - The New Public Health by Fran BaumChapter 1): Definitions and perspectives on health:
Understanding the ‘New Public Health’
→ Social and cultural factors
Difference between individual health and population health
Chapter 2): Public health in a historical context:
Chapter 3): Examines the evolution of the new public health internationally and within
Australia:
Health is a social, economic and political issue, it is above all a human right.
→ Inequality, poverty, exploitation, violence and injustice are at the root of ill-health.
The clockwork model is the biomedical view of health;
Striving for the good health that is biologically possible.
→ Bad policies, economics and politics…
Definitions of health structure the ways in which the world is viewed and how decisions are
made. (3)
Beleid wordt gemaakt door de aannames van beleidsmakers, in relatie met wat zij verstaan
onder ‘gezondheid’.
5 main perspectives on health:
- Health within the medical clockwork model
- Health as defined by ordinary people
- The critical understandings of health
- Health as an outcome
- Health as a characteristic of place and environment
The crucial difference between population and individual perspectives on health.
, Health: The Clockwork Model of Medicine:
Biomedical perspective
Health is defined as the body operating efficiently like a machine
→ Any breakdown means that it is not healthy
Linnaeus (18th century): classification, labeling of specific diseases which resulted in the
development of the clockwork model.
→ verfijnd en geavanceerd begrip van de specifieke oorzaken van ziekte.
Hierbij werd, binnen de biomedische wetenschap, niet goed gekeken naar de ziekte binnen de
context van het leven van een persoon met de ziekte.
disease and illness = ziekte en kwalen
Disease: involves a set of signs and symptoms and medically diagnosed abnormalities.
Illness: how an individual experiences the disease.
Illness can be culturally specific and may have social, moral or psychological aspects.
Disease is more objective. → Betrekken van een professionele diagnose in plaats van een
lekendiagnose (4)
The tradition of social medicine that has been more concerned with social and economic
factors that affect health. → But that does not work for the clockwork model !!!
The clockwork model ignores the social, psychological and spiritual aspects.
According to this: if a body is not diseased then it must be healthy.
Dichotomy: verdeling van de geest en het lichaam
Health is more than the absence of disease!
WHO - World Health Organization
→ The complete state of physical, mental and social well-being
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