Significance of Public Health for the Health Sector of Pakistan

Pakistan, as we all know is a developing country and we are currently going through lots of challenges and issues. These issues vary from terrorism, energy crisis and poverty to poorly developed education and health systems.

Health, which is the basic human right, has unfortunately not been our priority. This statement is supported by the fact that according to the World Health Organization 2013 statistics, the health system of our country is currently ranked as 122 out of 190 countries. This is a very alarming figure especially considering the fact that one of our neighboring countries Iran is ranked as 93 in the same list. This particular figure definitely draws our attention towards issues in the health sector which we are currently facing.

Firstly, we need to understand what is meant by health system. The health system does not only include hospitals and clinicians. It rather involves anything and everything which directly or indirectly affects the health of populations. The health system is composed of hospitals, environment, urban planning, food, nutrition and numerous other sectors which are directly or indirectly involved in determining the health of populations. What this means is the fact that by merely building new hospitals and producing more clinicians, we cannot make our health systems better. There has to be a multi-sectoral approach which needs to involve all the components of the health system.

The next and the most important factor to consider is that we need to reshape our current health system model. If we want to improve the health status of our population, we have to base our health system on the preventive approach rather than the curative approach, that is, we need to promote public health. The time has now come where we must come out of the downstream (clinician) approach and move towards upstream (public health) approach. This is the only way by which we can survive and can make the health status of our population better. We should reconsider and amend our current health policy and we will have to develop it on the model of public health. This is the need of the time and if we want to survive and compete with the world, we must follow the public health model instead of the clinician’s model.

At present, there are only a handful of institutes all across the country which offer professional studies in the field of preventive medicine. In order to produce skilled public health specialists, we need to have many academic institutes whose focus is solely on preventive medicine. The government should also support such institutes and provide appropriate funding to them, so that they can eventually become stable and sustainable. Thus the only way to make our health sector prosper is by working on public health. If this is not done on a priority basis and we are not able to shift our focus from clinicians model to public health model, it is feared that we will lag far behind as far as the health sector is concerned.

Article Source: http://EzineArticles.com/expert/Abdul_Momin_Rizwan_Ahmad/1241583

 

Government-Run Health Care Cannot Work!

t would be GREAT if our government could successfully manage American’s Health Care needs. I would be all in if the government guaranteed good health for everyone, and they were even remotely qualified to make such a guarantee. The truth is we all face different health issues at different ages. The recent health issues I faced were handled by doctors, hospitals, and nurses. I had made poor food and exercise choices and suffered a stroke because of those poor choices. Health professionals guided my recovery and no person from the government or from the health insurance company ever visited me while I was hospitalized or in recovery. The task of defining what a health care system looks should be determined by you and your doctor, not the health insurance companies, government, and lawyers that are currently the face of our health system.

The government, i.e. politicians, claim we all need health insurance, but who will pay for the premiums, co-pays, and not-covered illnesses and accidents? Will everyone enjoy good health because they a health insurance policy? Will everyone’s health insurance be free since the ACA has mandated everyone own a policy regardless of their individual health needs or financial position? Basically, at gun-point, ‘rhetorically speaking,’ the government is forcing everyone to purchase health insurance? If legal, where will the money come from to pay the health insurance premiums, or the health professionals who diagnose our illnesses? Where will the money come from to finance the equipment needed to diagnose and/or treat our health needs? Where will the money come from for the buildings needed to house the equipment and the facilities for the infirmed? These are just a few of the questions I have for those who profess the government should be responsible for our individual health needs. The last time I checked the government didn’t have any money to pay for anything unless they taxed you and me to get it.

What, you mean we already have a government-run health care system? Is that why my taxes are so high? Is that why I read in the newspaper recently that the government is paying millions of dollars every year for fraudulent health care claims? Is that why doctors are leaving the government-run health system for the more efficient private practices? Is that why the government is making criminals out of Americans who would rather not purchase health insurance policies? Golly, I hope the government does a better job of running Obamacare than they did managing health needs for our veterans through the Veterans Administration.

Learn more about health care truths with my current book, HealthScare. Available at http://www.HealthScareBook.com, or at Amazon. Do you have any questions? Contact me at Fritz.Scheffel@gmail.com.

Article Source: http://EzineArticles.com/expert/Fritz_Scheffel/828629

 

What’s The Definition Of Physical Health and Does Good Health Naturally Mean All Natural Is Good?

Let’s begin with a good health definition in general. The WHO health definition (World Health Organization), albeit from 1948: “Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”. Assuming that’s true, what’s the definition of physical health and does good health naturally mean that “all natural” is good, especially as it applies to food?

What’s the definition of physical health?

Is there one?

Based on the WHO health definition as it applies to physical health, is it safe to say that simply because everything is working as it should in the absence of disease or infirmity (weakness or ailment), that we’re not necessarily in good physical health?

What do you think?

I personally believe there is more to being healthy in the moment. On the other hand, I also believe that because we are only guaranteed the present, if you’re healthy, don’t take it for granted. Enjoy it while you can.

I also believe the state of our physical health depends largely on our personal health plan. In other words, it depends on how well we take care of ourselves on a regular basis. That includes:

  • Eating habits
  • Exercise habits or lack thereof
  • Sleep habits
  • Spiritual habits
  • General living habits

Without seeming as though I am a pundit, expert or zealot about any of the aforementioned, that I am personally the definition of physical health, the definition of spiritual health, or anything that resembles the definition of good health, in a nutshell, what I’m saying is all the bullet points have a bearing on our physical health.

What do you think?

It’s about good health

One dictionary provides this definition of health:

“The general condition of the body or mind with reference to soundness and vigor: good health; poor health.”

The ancient Roman poet Virgil said, “The greatest wealth is health”.

I couldn’t agree more but I am a bit troubled by the amount of over-emphasis placed on physical health, as if it is mutually exclusive from the other aspects of health.

I believe health is about:

  • Physical
  • Mental
  • Emotional
  • Spiritual
  • Financial

The “soundness and vigor” in which we pursue and maintain these factors has a direct and indirect effect on each and every one of the factors.

Furthermore, I find it troubling that the word wealth is so overly associated with money and financial wealth.

It’s not to say that I don’t see the importance of physical health and financial wealth. They are both key components of overall health but they are not stand-alone concepts.

What are your thoughts?

All Natural

The “all natural” phenomenon, especially as it applies to food, is one of the biggest marketing ploys ever. If it’s not a scam, it’s a joke.

It means nothing!

There is a HUGE difference between organic and all natural. Don’t confuse the two and by all means don’t fall for the propaganda that leads you to believe they are one and the same. They’re not.

Organic, at least as it applies to food, is highly regulated. It actually means something. However, keep in mind that just because it’s organic doesn’t necessarily mean it’s healthy.

All natural can mean pretty much anything. As far as the food we eat is concerned, it is not regulated. It is a highly misleading tag.

Don’t be fooled.

I’m not saying don’t enjoy it. I’m not saying all natural is bad. I’m simply saying it’s about as superfluous term as there ever was. There is no depth to it.

My formula

For me, it all boils down to a few simple concepts and principles beginning with:

  • Honesty
  • Respect
  • Best Effort

These are indispensable. They cost nothing and should be applied at all times.

Next are the 5 F’s:

  • Food – Not just what we eat but includes anything we consume physically, mentally, emotionally, and spiritually. If we are what we eat, this says it all.
  • Fitness – Includes all the 5 bullet points mentioned above
  • Finances – Affected by the previous two and affects the previous and next two
  • Fulfillment – It’s about completion and includes all the bullet points mentioned
  • Fun – The importance of how it affects health and is affected by it is often overlooked

I have tagged the 5 F’s as the components of a bulletproof life.

To sum it up, all the above is important but the proper balance is the key. I believe too many of us are simply out of balance. Furthermore, there is not a one-size-fits-all balancing act.

Last but not least, from the late, great Redd Foxx:

“Health nuts are going to feel stupid someday, lying in hospitals dying of nothing.”

Agree? Disagree?

Leave comments.

Bob is a retirement planning and safe money professional who specializes in life insurance products and who has more than 20 years experience.

His company, A Bulletproof Life is the 5 F’s: Food, fitness, finances, fulfillment, fun. and is based on his motto: Honesty, respect, best effort

Plan Your Dream or Prepare for a Nightmare.

No one has EVER lost one cent doing business with A Bulletproof Life.

Order FREE 6 Page Report: “Insurance Companies and Products Overview 100–Life Insurance Products 101.

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Article Source: http://EzineArticles.com/expert/Bob_Lynch/2115929

 

Wellness Coordinators: Approach Employee Health Holistically (You Can’t Afford Not To!)

There are multiple determinants to health. And you do want to address as many as you can through your work site wellness program, correct?

Essentially, in the workplace setting, employee health is determined as a function of individual practices, organizational practices and the greater community in which the organization resides. In order to approach employee health holistically then, the workplace wellness program must address these three levels.

Individual Health Determinants

Researchers estimate that the individual determinants of health account for up to an estimated 40% of how healthy an individual is. At the individual level, biology, genetics, age and gender all impact individual health. Researchers estimate that these physiological determinants of health account for approximately 10% of how healthy an individual is.

Researchers have also found that an individual’s experiences in childhood impact how healthy they are in adulthood. Experiencing trauma in childhood adversely influences how healthy they are in adulthood.

Individual lifestyle factors, personal health practices and coping skills also play a significant role in how healthy an individual is. Researchers estimate that these could account for up to 40% of how healthy an individual is.

The traditional approach to worksite wellness has typically focused on individual health and lifestyle factors and personal health practices in particular.

Organization Determinants of Health

Researchers have clearly established that a person’s health is also determined by social and economic factors, as well as individual factors. These are commonly classified as the social determinants of health. Research has estimated that the social determinants of health account for between 15 – 40% of how healthy the individual is.

Management practices in the workplace contribute significantly to employee health and wellbeing. Management practices can either contribute to or detract from employee health and wellbeing.

The work environment clearly influences and impacts the health and psychosocial wellbeing of employees. There is extensive evidence on the connection between the workplace and employee health and wellbeing. Many workplace conditions profoundly influence employee behavior, health and wellbeing.

If the workplace is unhealthy, why would we ever expect employees to be healthy? It is for this reason that effective, successful 21st century worksite wellness programs focus just as much on organizational health, as they do individual employee health.

Community Determinants of Health

Employees and employers do not exist in isolation. Both are influenced by the community in which they live, work, play and operate. Typical community determinants of health include the physical environment (air quality, water quality, sanitation, etc.), the social environment and the cultural environment. Included in the environment is access to healthcare and social services.

While healthy employees are good for an employer, healthy work places are good for the community. Being seen as a great place to work is good for the employer, but also good for the community. The more great places to work there are in the community, the healthier the community will be.

Through corporate social responsibility type initiatives, employers are also contributing to the health of the community.

Worksite wellness in the 21st century is more than just a focus on the health status of employees. Worksite wellness encompasses programming and interventions at the organizational and community levels as well.

Success Plus Value

With their multi-dimensional focus, employee health, wellness and wellbeing programs can deliver considerable value to an employer. I invite you to let me help you create your own effective, successful and sustainable program. I specialize in mentoring worksite program coordinators and creating Done with You worksite employee health and well-being programs. You can contact me at williammcpeck@gmail.com.

This article is brought to you by Bill McPeck, Your Worksite Wellness Mentor. I am dedicated to helping employers and worksite program coordinators create successful, sustainable employee health and well-being programs, especially in both large and small employer settings.

Article Source: http://EzineArticles.com/expert/William_McPeck/1737577

 

County Health Department – A Great Resource for Physician Groups and Hospitals

As clinical providers seek ways to improve the health of their patients at the population level, one great resource that they should tap is their county health department. There are many resources and skills that health departments will share with physicians and other providers that will improve their ability to improve the health of their patients.

In my work I have had numerous occasions to collaborate with the chief epidemiologist of the Kent County Health Department of Michigan-Mr. Brian Hartl. Through these contacts and through an introductory epidemiology course I have found that health departments are experts at providing population level health services. This is in contrast to most clinical providers who excel at working with their patients on a face-to-face level. Both staff of physician offices and staff of health departments are concerned with the health of individuals and groups of people.

Clinicians most often work with individuals during face-to-face encounters. They treat the disease or injury of an individual one at a time. For instance, if a physician is treating a patient with hypertension, she will plan a course of treatment with the individual in mind. If the physician considers the population level in her work, then she is looking at how the treatments and instructions that she provides affect a group of her patients. For instance, she may consider how effective she is in treating her patients with hypertension collectively.

The patients of a county health department are the population of the county. Only in a few instances do health departments treat individuals one at a time. Much of their work would not be considered clinical interventions. However, their work does affect the population as a whole. For instance, health departments are responsible for seeing that food at restaurants is handled and cooked correctly. Health departments track reports of communicable disease to identify potential clusters or outbreaks, such as measles, in order to mobilize the community and physician groups to respond and prevent further transmission.

Can these two health groups benefit each other in improving the health of their patients and, if so, how? I recently interviewed Brian Hartl about this and he shared some thoughts that I believe can help clinical providers do a better job. As an expert in population level health, Mr. Hartl sees much of his work as preventive in nature. In the emerging world of population level medicine it is important for physicians and other clinical staff to focus on prevention too-prevention of chronic diseases worsening for patients, such as prevention of patients diagnosed with prediabetes advancing to diabetes, and prevention of teen patients from misusing alcohol and other drugs, including tobacco. The Kent County Health Department has many resources that can help physicians achieve their goal and would be very willing to collaborate with clinical groups. In fact, KCHD currently has a grant whose funds can be used to improve patient opportunities for chronic disease prevention, risk reduction or management through clinical and community linkages.

Mr. Hartl believes there is potential to work together with physicians to establish a system for prescribing healthy living activities and lifestyles as non-clinical interventions for the prevention/management of chronic disease. For instance, the Kent County Health Department is actively engaged in helping communities develop walking paths in underserved areas in the City of Grand Rapids. He thinks that patients with chronic diseases can greatly benefit if they became more active by walking. He is willing to share maps and information about the location of such paths so that a physician can prescribe a walking agenda for a patient and then point them to nearby paths that they can easily access.

The Kent County Health Department is also engaged in working with community partners to bring fresh foods to locations in the county where access to fresh fruits and vegetables is difficult. These are known as ‘food deserts’ and often only have retail food stores that are ‘quick markets’ that have only boxed food, such as those found in many gasoline stations. His group is working with such retailers in the community to overcome the barriers to providing fresh foods. Mr. Hartl is willing to share with physician groups the locations of fresh food sources in the community so that clinicians can inform their patients of the locations and improve their food lifestyles.

These are just two examples of information that the health department is willing to share with clinical groups so that their patients can achieve healthy, active lifestyles. Besides information, health departments also have community contacts that could be useful. For instance, the Kent County Health Department works with the YMCA of Greater Grand Rapids, which has a nationally recognized program (the Diabetes Prevention Program) that helps prevent individuals diagnosed with prediabetes from becoming diabetic. The health department also has links with community educators, the Grand Rapids Urban League and prevention groups that focus on the prevention of the misuse of alcohol and other drugs.

As you can see there are many resources that are available from health departments. Will it be beneficial to clinical providers to access these resources? I believe that accessing these resources will help physicians and other clinical providers greatly improve the quality of life of their patients. Also, it will help in improving the outcomes of patients at the population level. This is very important for groups that have risk-based contracts with private payers and for those who serve patients who are covered by Medicare. According to an article in Modern Healthcare dated January 16, 2015, about 40% of all private payer contracts are incentive based now; those with such contracts need to focus on population level health.

There is a treasure of information at the health department for patient-centered medical homes that have patient care coordinators. One of the responsibilities of these coordinators is inform their patients of community resources that would be useful to them. The health department is an excellent source of such information.

The goals of healthcare providers remains to provide safe and high quality care to their patients while their management staff work to improve the bottom line. With the rise of risk based contracts that dictate managing care at the population level, I believe that county health departments can do a great deal to help providers meet their goals.

Donald Bryant helps healthcare providers meet their challenges. Go to http://www.bryantsstatisticalconsulting.com to get the free article “7 Challenges in Healthcare and How to Solve Them” with tips you can use to start improving patient health, improving the bottom line, finding more time to get things done and to learn more about Lean Healthcare. Mr. Bryant is a certified Lean Healthcare facilitator.

Article Source: http://EzineArticles.com/expert/Donald_Bryant/8718