Bunker 2001

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Bunker 2001
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Life Expectancy 2002
13
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UK White Paper Choosing Health 2004
The fundamental mission of the NHS is to
promote physical and mental well-being and
prevent illness.. Now is the time to refocus
the NHS as a SERVICE for HEALTH ..
17
US Healthy People 2010
For 2010 the overarching goals are first, to
help individuals of all ages increase life
expectancy and improve their quality of life,
and secondly, to eliminate health disparities
among segments of the population..
18
Swedens 2003
Public Health Objectives Bill

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24
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(No Transcript)
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What is Public Health ?
Public Health is "the Science and Art of
Prolonging Life and Promoting Health through the
Organised Efforts of Society" Lewis in Holland
et al, 1991
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32
Inverse Care Law
that those whose health needs are greatest, and
who are often to be found among marginalized
groups in society, often have the worst access
to care
Tudor Hart 1971
33
"inverse equity hypothesis"
"that new health programs initially benefit
people of higher socio-economic status and only
later reach the poor, so that inequities
temporarily increase"
"in this way existing organization of health
care systems may actually serve to exacerbate
inequalities by benefiting disproportionately
those who are already relatively advantaged"
Victoria et al, 2000
34
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35
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38
Inferior doctors treat the patients
disease Mediocre doctors treat the patient as a
person Superior doctors treat the community as a
whole Huang Lee, 2600 BC
Blair M, Arch Dis Child 2000837-9
39
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40
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