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Biomedical Model
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-The predominant model that guided thinking aout health
-USA
-Focus on disease, physicalhealth, individuals, facilities, cure, doctors
-not designed to prevent illness of manage chronic conditions
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WHO Def:
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A state of complete physical, mental, and social well-being and not merely the absence of disease
1948
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Health Field Model
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Health services
lifestyle (behavior)
enviornment
human biology
(part of result of lalonde report)
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Lalonde Report
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1973
Argued that health was far from determined by health services
Canda, Marc Lalonde (federal health minister)
A New Perspective on the Health of Canadians
-Affected US prevention
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Ottawa Charter
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1986
-International Health Conference
-Set ouf the modern concept of health promotion
-5 keys areas of health promotion, refaffirmed importance of community participation, introduced the goal of empowerment
-Broadened the perspective of health
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Social-Ecological Model
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Recognizes that health is an outcome of all the various factors affecting our lives
-Dahlgren and Whitehead Model
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Healthy Lifestyles movement
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Beginning in 70s and 80s
-Consumer and professional interest in health promotion and wellness grew substantially
-health professionals increasingly pushed the idea of personal responsiility for health
-Became "fashionable"
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Victim-Blaming
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Results from over reliance on persuading individuals to change
-emphasis on individual action and failture to address external forces that influence an individual person
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"Healthy People"
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1979
First report on health promotion
surgeon general's report
4% federal income spent on prevention
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"Promoting Health/Preventing Disease: Objectives for the Nation
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1980
Health objectives meausring progress (set every 10 years)
followed USA Lalonde 1979
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Devotion to health care after post-war boom
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1. 1946 Hill Burton Act (provided money to increase hospitals)
2. NIH Biomedical research
3. 1965 Medicare/Medicaid (LBJ)
4. Private and Employee Health Coverage
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5 Areas of Action
(Ottawa Charter)
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1. Strengthen community action
2. Develop personal skills
3. Create supportive environment
4. Reorient health services
5. Build healthy public policy
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HP Strategies
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1. Health Education
2. Health Counseling
3. Policy/Legislation
4. Advocacy/Lobbbying
5. Mass Media/ Social Marketing
6. Communicy Capacity Development
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Community Heart Health Promotion Programs
(CHPP)
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-focused on improving the health status of entire communities by poromoting improvements in risk factors for CVD
-North Karelia Project, Stanford, Minnesota, Pawtucket
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Community Empowerment
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-indiivudals acting collectively to gain greater influence and control over the determinants of health and the quality of life in their community, and is an important goal in teh community action for health
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