preventive medicine

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preventive medicine

• Dr. Herbert Bronnenmayer
• Dr. Daniel Weghuber
• Archae Austria - www.archae.at

6th ICMDAEuropean Conference8-12 September 2004
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Christian doctors are...

• People of vision and character
• People of strength and power
• People of faith and wisdom
• People of heart and love

perfectly suited !
Who else should pioneer in the field of
preventive medicine ?
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Healthis a
complicated building
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Christian doctors know the body soul spirit
concept
and live it

• Body
• Soul
• Spirit
• Shalom

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WHO definition of health
basis for health promotion

• physical
• psychological
• social
• spiritual
• environmental
• wellbeing and not only the absence of
  disease and disability

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physical health

absence of disease
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psychological health

• Mental health
• Emotional health

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social health
relational health

• family
• friends
• job and surrounding

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ecologic health
we are what we eat

• importance of food chain
• organic farming
• global warming
• resource water
• etc.

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biotechnology-debate
CREATION OUTLINE
PATENT OFFICE
GENE-MOUSE
Sorry, but this gentleman was here first!
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spiritual health
the faith factor - evidence based?
Spirituality
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The forgotten factor?
the faith factor - is there a place for it in
medicine?

• Patients
• 82 believe in the healing power of prayer
• 80 report that physicians rarely/never address
  this
• 77 believe they should (Wallis 1996, King 1994,
  Daaleman 1994)
• Doctors
• less religious than public (Maugans 1991)
• Religious variables neglected in clinical
  research
• (Larson 1986, Craigie 1988, Dowell 1993)

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2
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Evidence based?
the faith factor - evidence based!
Documented benefits of religious
commitment (random selection)

• overall of 212 studies, 75 reveal positive
  effect (Matthews et al 1995)
• psychiatric illness
• alcohol and drug use (Moore 1990, Koenig 1994,
  Midanik 1995)
• adjustment and coping (Cook 1983, Conway 1985,
  Burgener 1994)
• depression, anxiety, a.o. (Williams 1991, Koenig
  1992)
• medical illness
• Cardiovascular disease
• Emphysema
• Cirrhosis
• (Harris 1999, Idler 1992, Harris 1995,
  Comstock 1972)

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Evidence based?
the faith factor - evidence based!

• Documented benefits of religious commitment
• (random selection)
• overall of 212 studies, 75 reveal positive
  effect (Matthews et al 1995)
• psychiatric illness
• alcohol and drug use (Moore 1990, Koenig 1994,
  Midanik 1995)
• adjustment and coping (Cook 1983, Conway 1985,
  Burgener 1994)
• depression, anxiety, a.o. (Williams 1991, Koenig
  1992)
• medical illness
• Cardiovascular disease
• Emphysema
• Cirrhosis
• (Harris 1999, Idler 1992, Harris 1995, Comstock
  1972)

evidence based!
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Integrating religion and spirituality into
clinical practice
the faith factor - evidence based!

• RATIONALE
• whole-person medical care
• many patients are religious
• and want to address spiritual
• issues with doctors
• religious commitment and medical
• benefits

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Preventive medicine aspects
pathogenesis - related

• Curative medicine
• 
  
• Preventive medicine - early disease detection

? both deal with pathogenesis, looking for,
treating, trying to prevent disease
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salutogenesis - related
Health promotion

• looks at salutogenesis (Antonovsky )
• Empowerment

• Challenge of
• COMPRESSING MORBIDITY and
• LENGTHENING THE HEALTHY LIFESPAN

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preventive medicine areas of application
salutogenesis pathogenesis - related
STRUCTURAL SETTINGS
INDIVIDUAL LIFESTYLE
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preventive medicine areas of application
WINDOWS OF OPPORTUNITIES
Secondary school
Primary school
School
Group initiatives (exercise, Healthy nutrition,
support group, elderly/cognitive training, Social
competence - cooperation with existing adult
ed institutions Health committee Survey/research
action plan
structural setting
Healthy cities
Family academy
Community
Family
church
Healthy communities
lobbying
Healthsystem
Hospital
Workplace
Chamber of commerce
Companies
Family practice
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salutogenesis pathogenesis - related
preventive medicine areas of application
Stressmanagement
individual situation
Nutrition
Relationship
Christian counselling
Exercise
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NUTRITION

• QUANTITY
• and
• QUALITY

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Reality discrepancy
Advised and actual consumption of fruits and
vegetables (g/d)
Advised women men
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QUALITY theres more to it
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salutogenesis pathogenesis - related
preventive medicine areas of application
Stressmanagement
individual situation
Nutrition
Relationship
Christian counselling
Exercise
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Stress resistance the stress resistant
personality
physical factors
economic factors
cultural factors (eating, exercise,
relational culture)
emotional/mental factors
factors of ones pers. value system
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Stress buffer family - healthy families are
characterized by

• bonding
• identity
• common leisure activities
• communikation
• conflict management
• generationtolerance
• common vision
• ...

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salutogenesis pathogenesis - related
preventive medicine areas of application
Stressmanagement
individual situation
Nutrition
Relationship
Christian counselling
Exercise
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what we may learn from our children...

• Children..
• they are of value not defined by their
• performance
• fragile
• imperfect
• accept dependence

Why does the adult always have to be perfect ?
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Ultimate healthpromotion-concept
Creator Creature Creation

• Reestablish the axis

Creator
Creature
Creation
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What is most important for you?

• 1.______________
• 2.______________

Stop thinking start acting!
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• European Master in Health Promotion
• a dedicated programme of health promotion
• to raise both the standard of present
  postgraduate training courses
• meet training requirements in countries where
  training opportunities in this field are more
  limited or underdeveloped.
• All European countries are facing similar
  challenges and the need to tackle complex
  determinants
• of health.
• will facilitate highly trained and competent
  people with comparable skills across Europe.

www.ensp.unl.pt/saboga/prosaude/eumahp/
brochure20European20Master20in20Health20Prom
otion.pdf
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get this presentation at
www.archae.at
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THANK YOU!
35
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