MAKING A DIFFERENCE FOR HEALTH: INTEGRATION OF HEALTHCARE, PREVENTION AND POPULATION

September 28, 2016 09:40 – 11:10
Speeches
Ethics of Promoting Health

Although ethics—and especially values—in health promotion have been debated for some time, health promotion ethics has been regaining attention within the broader literature on public health ethics.  The normative ideal of promoting population health arises from a decades-long discourse which was originally expressed in the Alma-Ata Declaration (1978) and reified and advanced in the Ottawa Charter for Health Promotion (1986) and Bangkok Charter for Health Promotion in a Globalized World (2005).  The Alma-Ata Declaration and subsequent WHO statements sought to advance a then-radical account of health as mainly socially (rather than medically) determined and emphasize equity, empowerment, and justice.

The ideal form of health promotion has two main distinguishing characteristics.  The first is its vision of citizens as active participants and potential authors of their own health.  The second is its focus on ... More

The Role of Structured Advice in Changing Policy and Practice (Switzerland)

In the 19th century, prior to the emergence of the organised health system, public health related functions were viewed as important to societal health. In the face of limited scientific knowledge on individual level treatment of particular diseases, these largely consisted of their prevention through population level measures including the provision of safe drinking water, and the development of effective sanitation systems.  
However, for much of the 20th century, inspired by breakthrough discoveries in medicine, the biomedical paradigm has defined the role of the organised health system. This has been associated with the leadership in many health systems (policy makers as well as health professionals) viewing clinical service provision for addressing illness as the predominant or pre-eminent function of the health system. When preventive services were added, they too were conceptualized in extension to the biomedical paradigm, ... More

Economics of Promoting Health (UK)

The global economic crisis beginning in 2008 saw substantial rises in unemployment, and caused many countries to cut healthcare spending. Even now in 2016, there are around 40 million unemployed people in the OECD (Organisation for Economic Co-operation and Development; a group of 34 developed countries) – almost 8 times the population of Scotland. 
 
Research has previously shown that such economic changes are linked to rises in suicide rates and heart attacks, likely due to increased behavioural, mental, and physiological stress. However, until recently, our understanding of how economic crises affect conditions such as cancer was limited. Cancer is a leading cause of death worldwide, accounting for 8.2 million deaths in 2012, with around 14 million new diagnoses a year. 
In this presentation I will focus on how economics can influence health, and more specifically affect the onset, diagnosis and ... More

Promoting health and the Sustainable development goals (SDGs), UK

This paper explores the opportunities and limitations of the Sustainable Development Goals (SDGs) for health promotion.

The paper discusses the health promotion components of SDG3 and how health promotion cuts across the other goals, particularly SDG5 Gender Equality, SDG6 Clean Water and Sanitation, SDG10 Reduced Inequalities, and SDG17 Partnership for the Goals. In so doing, the paper argues that the SDGs are more inclusive and reflective of a health promotion model than the Millennium Development Goals (MDGs). The goals reflect a global concern and commitment to health promotion and tangible goals for financing associated areas such as Universal Health Coverage. The SDGs are therefore an opportunity for global health promotion.

However the paper also suggests that there are limitations to health promotion through the SDG framework. The legacy of the MDGs in the formation of the SDGs creates hierarchies both across and within ... More