2

• CHARACTERISTIC OF HEATH CARE SECTOR

  • Individual nature of health services
  • Personal and individual nature
  • High degree of apprenticeship and specialization
  • Demand for health services and the need for them inceares with the development of civilization of solely
  • Not subject to a law of supply and demand, demand always remains more than supply
  • demand for health services is often an emergency and urgent and cannot be post-poned
• Local Level Health Units

  • Communicable Disease
  • Health Reord Maintenance
  • Individual Health services
  • Environmental Health and safety
  • Public Health Education
• HEALTH CARE SYSTEM

  • RN
  • MD
  • PA
  • RPh
  • DOS
  • RD
  • SW
  • RT
  • PT
  • OT
  • Chaplain (priest)
  • dental hygienist
• Factors Influenung the Deliver

  • COST
  • ACCESS - clorest to people
  • QUALITY

  Challenges

  • Vulnerable populations
  • Children, elderly, AIDS people, homeless others living in poperty
• Economics of Health

  • Private Insurance
  • Manage care
• CHANGING CONCEPTS OF HEALTH

  • Biomedical Concept - health means "absence of disease"
  • Ecological Concept

  health: dynamic equilibrium

  disease: maladjustment of human environment

  • Psychological Concept - not only a biomedical influenced by social, psychological, cultural, economic and political factors.
  • Holistic Concept - recognize strength of social, economic, political, and environmental influences of health
• DIMENSIONS OF HEALTH → multidimenional and interrelated, have own two nature

  • Physical Dimension - "pertect functioning" functioning optimum capacity
  • Mental Dimension - ability to respond to many varied experiences of life"a state of balance between individual and the surrounding world, a state of harmory between oneself and other"
  • social dimension - harmony and integration with the individually and other members of society."Quantity and quality of an individuals interpersonal ties and the extent of involvement with the community"
• DIMENSIONS OF HEALTH

  • Spiritual Dimension - "something" that transients physiology and psychology
  • Emotional Dimension - relates to "feelings", it reflects emotional aspects of humanness
  • Vocational Dimension - work often plays a role in promoting both mental and physical health. Physical work is usualy associated with an empowerment in physical capacity, while goal achievement and self-realization in work as a source of contentment and enhanced self-esteem
• CONCEPTS OF WELL-BEING -wellness

  • Level of Living — housing, social security, clothing, recreation, leisure, human rights
  • Quality of Life
  • Physical Quality of Life Index - include 3 indicators such as instant mortality (instant death), life expectancy at age of 1, and literacy
• SPECTRUM OF HEALTH

  • emphasizes health of an individual is a dynamic phenomenon and a process of continuous change, subject to repeated, fine variations. Transition from optimum health to ill health is often gradual, and where one state ends and other begins is a matter of judgement. Different stages are positive health, better health, freedom from sickness unrecognized sickness, mild sickness, severe sickness and death.
• CONTINUUM OF CARE

  • involve an integrated system core that guide and track
  • no end, no beggining