Healthcare in Changing times

Healthcare in Changing times

1. changing ideas about what health is

   • World Health Organization
     • Health is state of complete phyiscal, mental and social well-being and not merely the absent of disease or infirmity
       • exculdes most people from being healthly
   • Supported to feel fully well in body and mind and capable of living well
   • Social model
     • Curing illness
     • Preventing illness
     • Promoting good health
     • Adds to the medical model
   • Health hoping to acheive even if some parts of the body are functioning less than perfect
   • Sick Role - does not fit long term illness

2. Changes within society

   • Smaller families, fewer infant and child deaths and longer life expectanices
   • shift form manual to knowledge based occupations
   • Other factors in improving health- income, housing, diet
   • Physical stress replaced by psychological stress
   • shift of emphasis and service users to partnership
   • Three emerging trends
     • From hierarchies to team working among health care professionals
     • from paternalism to partnership in doctor patient relationships
     • Rise of expert patient

3. Changes in government policy

   • 2000's signicant development in healthcare policy
     • Partnership for care: scotland's Health White Paper (2003)
     • Our Health, Our Care, Our say: A new direction for community services (2006)
     • reflects changes in health care needs, attitudes and relationships
       • Team working
       • Paternalism to partnership
       • Rise of expert patient
       • Service users prespective
       • Bringing the hospital int the communi
   • National service Framework
     • comprehensive framework developing local strategies to support self care for people with long term condtions