Harvard University Initiative for Global Health Global Health Challenges Social Analysis 76: Lecture 2.

Slides:



Advertisements
Similar presentations
M 4225 Science of Health Promotion & Disease Prevention Health Promotion Basics.
Advertisements

M 4225 Science of Health Promotion & Disease Prevention Health Promotion Basics.
Women & Minority Health Dr. Dawn M. Upchurch PH 150 Fall ‘04.
The Sociology of Health Access to health professions Lecturer: Elspeth Cordell.
Super’s Life Span, Life Space Approach to Careers
Hope on the Horizon for Children, Youth and Families: Re-visioning mental health using a public health approach Sandra A. Spencer, Executive Director National.
10 th Meeting of the Washington Group Results from the UNESCAP and the Granada Group testing Luxembourg November 3 – 5, 2010.
Stéfan Lollivier, Insee 27/06/2012 Improvements in the measurement of quality of life and well-being in France Measuring Well-Being and Fostering the Progress.
Wellness Theories What does it mean to be healthy?
Harvard University Initiative for Global Health Global Health Challenges Social Analysis 76: Lecture 3.
MOH 101 Dr Eilish Cleary January 31, Session Outline  Overview of “ Health and Public Health”  What is a Medical Officer of Health?  What do.
Session 8 Pierre L.-J. Ritchie Co-Chair. Principles Promotion of Informed Choice Managing Change Inter-sectoral / Interdisciplinary Health dynamics /
Does Health Promotion Work? Puja Myles. Outline of lecture Learning Outcomes Designing a health promotion intervention Types of evaluation questions and.
Conceptualization of Health Peg Bottjen, MT(ASCP)SC Introduction to Health Care.
QUALITY OF LIFE ASSESSMENT IN PEOPLE LIVING WITH HIV/AIDS Antonieta Medina Lara HIV/AIDS and STI Knowledge Programme Liverpool School of Tropical Medicine.
© 2010 Pearson Prentice Hall. All rights reserved Chapter Data Collection 1.
A Valuable Resource: Health Sector as a Beneficiary and Contributor to CRVS Systems.
GLOSSARY. DIMENSIONS OF HEALTH PHYSICAL HEALTH - Relates to the efficient functioning of the body and its systems, and includes the physical capacity.
Analysing Health Deprivation Mark McGillivray Anthony Shorrocks UNU-WIDER, Helsinki.
Lethal Discrimination Towards ‘Parity of Esteem’ in Health Improvement Service Provision for People with Serious Mental Illness. Mel Conway Consultant.
Ethical Issues in Health Research in Developing Countries Rio de Janeiro November 19, 2009 Daniel Wikler, Ph.D. Harvard School of Public Health The Global.
How to Write a Personal Definition of Health Combining the Personal and the Definitive in a meaningful way.
1.1 Exploring health. What is health? – Do you consider yourself a ‘healthy’ person? – What images do you have of a ‘healthy’ person? – What do you think.
EPHA EGM 2/12/2002 A definition of health A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
HEALTH AND HUMAN DEVELOPMENT UNIT 1. TODAYS LESSON.
1 The Patient Perspective: Satisfaction Survey Presented at: Disease Management Colloquium June 22, 2005 Shulamit Bernard, RN, PhD.
Measuring Health Status
Health and Human Development UNIT 1 Ms Mena This lesson will cover the following: 1.Introduction and formalising class/ list 2.Expectations 3.Outcome.
#1 STATISTICS 542 Intro to Clinical Trials Quality of Life Assessment.
Health in All Policies (HiAP): Environmental Health Perspective The What, Why and How Presenter Date [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include.
RHS 303. TRANSITION OF THEORY AND TREATMENT nature of existence and gives meaning to and guides the action Philosophical Base: Philosophy of occupational.
Monitoring public satisfaction through user satisfaction surveys Committee for the Coordination of Statistical Activities Helsinki 6-7 May 2010 Steve.
What is HEALTH?. What is Health? Not just the absence of an illness Health is…. the state of complete physical social and mental well-being, not just.
Health risk assessment in working environment control Raina Pihelgas
Expected Learning Objectives Participants should understand the following: The concepts of ‘gender’ and ‘sex’. The term ‘gender equality.’ The importance.
Definitions of physical, social and mental dimensions of health and health status.
VCE HHD Unit 3 Outcome 1 Dot Point (Dt Pt) 1 (also transition slide for Unit 3 & 4) Health and Human Development.
Factors Affecting Health
Developing a Framework In Support of a Community of Practice in ABI Jason Newberry, Research Director Tanya Darisi, Senior Researcher
Basic requirements for human survival include food, water, shelter, and energy. These resources are globally distributed, and increasingly the acquisition.
Measuring Health Status. Revision 1.Read ‘New Years Resolution’ Article and answer questions. 1.Case Studies – Melissa, Jeff, Isobella A. For each case.
Independent Enquirers Learners process and evaluate information in their investigations, planning what to do and how to go about it. They take informed.
 Welcome to Health and Human Development 3/4 Unit 3: Area of Study 1: Understanding Australia's Health Area of Study 2: Promoting Health in Australia.
Health Status Indicators: Life Expectancy
Understanding Health. What is health? An easy answer? Is it when you are not ill? Do people agree? What factors do you consider?
Chapter 2 Skills for a Healthy Life. Making Decisions and Setting Goals 0 As you grow older, you gain more freedom, but with it come more responsibility.
Health Action Planning Planning for Health. Session Outline To define the concept of health as a holistic bio-psychosocial concept.
Life expectancy Stuart Harris Public Health Intelligence Analyst Course – Day 3.
Introducing Ethical Capability Focus on F-6. Objectives  an overview of the Ethical Capability curriculum  introduction of an ethical issue planning.
Introducing Ethical Capability Focus on Objectives  an overview of the Ethical Capability curriculum  introduction of an ethical issue planning.
Best Practices for Creating a Healthier Workplace Facilitator: Vanessa Thomas.
OCCUPATIONAL SAFETY AND HEALTH: RISK ASSESSMENT 11/06/2016.
1 HEALTH General introduction. 2 Health Level of metabolic efficiency Ability to adapt when facing physical, mental or social challenges A state of complete.
Understanding the UN post-2015 development agenda process: Opportunities and challenges for health PAULO M. BUSS, MD, MPH The Oswaldo Cruz Foundation,
What is a Paradigm? A paradigm is a collection of beliefs and concepts held by a group of people, a set of theories, assumptions, and ideas that contribute.
Health.
Patient Education.
Chapter 4 Health and Illness
EDU704 – Assessment and Evaluation
Chapter 7 Holistic Assessment and Care Planning
A Conceptual Framework for a BSN Program
Formatively self-assessing wellbeing with ASD students
Health-definition, concepts and dimensions
Overview of Health Equity
MAP-IT: A Model for Implementing Healthy People 2020
Unit 1 – Principles of Health Improvement
Non-communicable diseases
Chapter 7 Holistic Assessment and Care Planning
Non-communicable diseases
M 4225 Science of Health Promotion & Disease Prevention Health Promotion Basics.
Presentation transcript:

Harvard University Initiative for Global Health Global Health Challenges Social Analysis 76: Lecture 2

Harvard University Initiative for Global Health Introduction Introduction Domains of Health and Domains of Well-being Domains of Health and Domains of Well-being Health versus Causes of Health Health versus Causes of Health Aggregation of Health Domains into Overall Health Aggregation of Health Domains into Overall Health Coping, Adaptation, Adjustment and the Environment Coping, Adaptation, Adjustment and the Environment Current State of Health and Survival Current State of Health and Survival Aggregating Individual Health into Population Health Aggregating Individual Health into Population Health

Harvard University Initiative for Global Health Why Do We Need Good Measures of Health? Set research and development priorities Establish health agendas Manage program implementation Monitor progress Evaluate what works and what does not

Harvard University Initiative for Global Health “A wise man should consider that health is the greatest of human blessings…” (Hippocrates, 460 BC BC, Regimen in Health). What is Health?

Harvard University Initiative for Global Health “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” World Health Organization Constitution What is Health?

Harvard University Initiative for Global Health Introduction Introduction Domains of Health and Domains of Well-being Domains of Health and Domains of Well-being Health versus Causes of Health Health versus Causes of Health Aggregation of Health Domains into Overall Health Aggregation of Health Domains into Overall Health Coping, Adaptation, Adjustment and the Environment Coping, Adaptation, Adjustment and the Environment Current State of Health and Survival Current State of Health and Survival Aggregating Individual Health into Population Health Aggregating Individual Health into Population Health

Harvard University Initiative for Global Health “What is the Good Life?”

Harvard University Initiative for Global Health Theories of the Good Life Hedonist Preference satisfaction Ideal theories

Harvard University Initiative for Global Health Domains of Well-Being Theories of the good life, through arguments of first principles or through empirical exploration of preferences, lead to a list of domains of well-being including health, freedom from hunger, shelter, education, etc.

Harvard University Initiative for Global Health Health Domains as a Subset of the Domains of Well-Being

Harvard University Initiative for Global Health Introduction Introduction Domains of Health and Domains of Well-being Domains of Health and Domains of Well-being Health versus Causes of Health Health versus Causes of Health Aggregation of Health Domains into Overall Health Aggregation of Health Domains into Overall Health Coping, Adaptation, Adjustment and the Environment Coping, Adaptation, Adjustment and the Environment Current State of Health and Survival Current State of Health and Survival Aggregating Individual Health into Population Health Aggregating Individual Health into Population Health

Harvard University Initiative for Global Health Health versus Causes of Health Does a smoker have worse health than a non- smoker? Is someone living in Jakarta, ceteris paribus, healthier than someone in Atlanta?

Harvard University Initiative for Global Health Causal Models

Harvard University Initiative for Global Health Introduction Introduction Domains of Health and Domains of Well-being Domains of Health and Domains of Well-being Health versus Causes of Health Health versus Causes of Health Aggregation of Health Domains into Overall Health Aggregation of Health Domains into Overall Health Coping, Adaptation, Adjustment and the Environment Coping, Adaptation, Adjustment and the Environment Current State of Health and Survival Current State of Health and Survival Aggregating Individual Health into Population Health Aggregating Individual Health into Population Health

Harvard University Initiative for Global Health “Susan is healthier than Sara.”

Harvard University Initiative for Global Health Overall judgment requires integration of domain-specific levels into one dimension. Aggregation functions may vary by culture, etc. Overall Health

Harvard University Initiative for Global Health Understanding How We Aggregate Health Domains into Overall Health How do you ask? Who do you ask? Respondent’s health or hypothetical individuals?

Harvard University Initiative for Global Health Introduction Introduction Domains of Health and Domains of Well-being Domains of Health and Domains of Well-being Health versus Causes of Health Health versus Causes of Health Aggregation of Health Domains into Overall Health Aggregation of Health Domains into Overall Health Coping, Adaptation, Adjustment and the Environment Coping, Adaptation, Adjustment and the Environment Current State of Health and Survival Current State of Health and Survival Aggregating Individual Health into Population Health Aggregating Individual Health into Population Health

Harvard University Initiative for Global Health | 29 Age Self- Reported Overall Health Status 100% Motorcycle Accident

Harvard University Initiative for Global Health Adaptation is the process by which an individual learns to undertake tasks in a new way leading to an increase in the individual’s level on a domain such as mobility or dexterity.

Harvard University Initiative for Global Health Coping is a change in expectations for a domain of health as opposed to a change in actual level of health.

Harvard University Initiative for Global Health Adjustment is when individuals change the way in which they aggregate different domains of health into an overall assessment of health towards domains where they retain better performance.

Harvard University Initiative for Global Health An individual with impaired vision can have his/her vision improved by glasses or contacts or laser surgery. Do all or any of these improve the individual’s health? Individual Health versus the Physical and Social Environment

Harvard University Initiative for Global Health Introduction Introduction Domains of Health and Domains of Well-being Domains of Health and Domains of Well-being Health versus Causes of Health Health versus Causes of Health Aggregation of Health Domains into Overall Health Aggregation of Health Domains into Overall Health Coping, Adaptation, Adjustment and the Environment Coping, Adaptation, Adjustment and the Environment Current State of Health and Survival Current State of Health and Survival Aggregating Individual Health into Population Health Aggregating Individual Health into Population Health

Harvard University Initiative for Global Health “Susan is healthier than Sara.”

Harvard University Initiative for Global Health 1)Taking into account only current levels on various domains of health, is Sara healthier than Susan? 2) After both Sara and Susan have died, did Sara or Susan live a healthier life overall? 3) For the remainder of their lives, do we expect that Sara or Susan will live a healthier life? Three Answers

Harvard University Initiative for Global Health

Question 2 is retrospective, who lived the healthier life? Question 3 is forward looking, who do we expect will live the healthier life? To answer question 3, we need to forecast the probability of different health events. If you are not comfortable with the concept of probability, discuss this with your section leader. Probability and Questions 2 and 3

Harvard University Initiative for Global Health Introduction Introduction Domains of Health and Domains of Well-being Domains of Health and Domains of Well-being Health versus Causes of Health Health versus Causes of Health Aggregation of Health Domains into Overall Health Aggregation of Health Domains into Overall Health Coping, Adaptation, Adjustment and the Environment Coping, Adaptation, Adjustment and the Environment Current State of Health and Survival Current State of Health and Survival Aggregating Individual Health into Population Health Aggregating Individual Health into Population Health

Harvard University Initiative for Global Health A birth cohort is a group of individuals that have all been born in the same year. How do we aggregate health of different individuals in a birth cohort?

Harvard University Initiative for Global Health Alaska Alabama Two Cohorts of Three Individuals with Healthy Life Expectancies as Shown: Which Cohort Is Healthier?

Harvard University Initiative for Global Health Alaska Alabama Which Cohort Is Healthier?

Harvard University Initiative for Global Health Population health for a period – all individuals living in a population at a particular moment in time – requires integrating information about different cohorts. Aggregating health for a period requires many more assumptions and ethical positions.

Harvard University Initiative for Global Health Should assessments of population health be influenced by differences in the age distribution of two populations? Life expectancy is a common metric of age- specific mortality that is independent of population age-distribution; healthy life expectancy is a natural extension of this idea to include functional health status. Some Issues for Aggregating Population Health for a Period

Harvard University Initiative for Global Health Survivorship Function for a Population