Barriers to Health Maintenance and Disease Prevention

Barriers to Health Maintenance and Disease Prevention Redante Castro Introduction: There are many factors that interfere with health equity and the ability of the patients to get their healthcare needs met. Whether people are healthy or not, is determined by their circumstances and environment. There are challenges that a patient and healthcare providers encounters in securing and providing health services. These social determinants of health, such as income, education, transportation, housing, and race or ethnicity, have powerful influence on a patient’s life long before they arrive at a hospital or clinic. According to literature, persistent social exclusion and inequities in wealth distribution and in access and use of services are reflected in health outcomes. Social exclusions and inequity are obstacles to human development. It poses barriers to poverty reduction strategies. It hinders social unity and improved health conditions of the populations. Social exclusion and inequity are further compounded by racial and gender discrimination. There are health disadvantages due to differences between segments of populations or between societies. There are health gaps arising from the differences between the worse-off and everyone else. Lastly, there are health gradients relating to differences across spectrum of the population. Studies have shown that the poorest of the poor have the worst health. This is also a global phenomenon, seen in low, middle, and high income countries. Within countries, studies showed that a person with low socioeconomic position has worse health- this is the soci al gradient of health. The poorest have the highest mortality rates. Improvements in income and education has a positive effect on health. One’s occupation is also relevant to health in terms of workplace risks exposure and its role in positioning the person along a society’s hierarchy. There is also demographic transition to consider that affects health, i.e., increasing life expectancy, increasing number of youths, growing number of elderly persons in the population, increased migration, and rapid urban growth. Population distribution and population age structure are crucial determinants of social, economic, and health-related services. For example, people in poverty are likely to be exposed to higher level of stress, economic uncertainty, and unhealthy conditions than their wealthier countrymen. It was recognized by some policymakers and stakeholders that the population’s health cannot be sustained by focusing solely on the financing and distribution of medical services. A more comprehensive and integrated strategies are necessary to foster health in all policies. An approach that integrate considerations of health, well-being, and equity in the development, implementation, and evaluation of policies and services. Determinants of health are being acknowledged and incorporated into health reform processes and policy changes are made. Examples of these policy changes are: regulation of alcohol and tobacco products, the expansion of healthier transportation systems (bicycle paths, pedestrian-friendly roads, and pathways), improvement in air and water quality, expansion of primary health care services, and improvements in nutrition programs. This new focus has helped divert the emphasis away from individual lifestyles and from a focus on disease towards broader determinan ts and actions that created a big impact on population health. However, it is probably fair to say that all community issues are political to some degree. For example, if a factory is poisoning town water system with its effluent and poisonous waste, local officials are faced with the choice of not dealing with the actual cause of the problem, i.e., the dumping of waste and endangering citizen’s health, or addressing the dumping and endangering citizen’s job. Differences of political opinion can have enormous consequences in the health of the community. Health is not merely the absence of illness or infirmity. It is the embodiment of physical, mental, social, emotional and spiritual wellbeing (World Health organization, 2007). Spiritual wellbeing involves one’s religious belief. Religious belief is essentially personal and private matter over which the individual should exercise control and choice. It is of value to understand the relative importance of religious beliefs and practices in protecting and promoting the health of the people of religious faith and the need to protect their rights to practice this belief free from discrimination. There is an abundant evidence in literature that religiousness can generate multitude benefits in health outcomes. For people of faith, their religion and belief system may influence individual health-promoting practices, for example encouraging abstinence from alcohol or not eating pork. They may also influence social environments. Strong social support and participation have been found t o be associated with better health/ longer life and may be offered by some religious communities. To people of faith, prayer is very important while seeking healthcare or undergoing procedures, a prayer of support and encouragement when unfavorable result was received. There are some religious group that blood and blood products are not to be part of any treatment. For some religious groups, contraceptives, abortion and anti-life practices are against their belief system. With these in mind, alternative ways are to be sought to promote the health and wellbeing of the individual without compromising their belief system. Values are criteria that people use to evaluate actions, people and events. What is important to a person may not be important to someone else. Each individual holds numerous values with varying degrees of importance. Values are motivational construct. They refer to the desirable goals people strive to attain. People have different health care value system. There are three ways people will view their health: how they became ill, what made them ill, and how they believed they can be cured. Example, people from the East (China) would value acupuncture for pain management option. This in turn will cause health care providers to look at health treatment plan to accommodate those needs. Among Asian cultures, maintain family harmony is an important value. The interests and honor of the family are more important than those of individual family members. Older family members are respected, and their authority is often unquestioned. Therefore, due to respect for authority, disagreement with tr eatment recommendation by the health team is avoided. (McLaughlin, L. Braun, K. 1998). Ethnic discrimination and exclusion affects all aspects of the individual’s life, including those related to health. Studies show that indigenous working people has low income, low educational level, poor access to healthcare, and has high mortality rate. Health screening, diagnosis, and treatment inequities within and between communities of different race, ethnicity and socioeconomic background are evident. Poverty barriers are linked to lack of primary care physicians, geographical barriers to care, competing survival priorities, comorbidities, inadequate health insurance, lack of information and knowledge, risk –promoting lifestyles, provider-and system-level factors, perceived susceptibility to disease, cultural beliefs and attitudes. Social exclusion can be the result of prejudice, which results in different access to health care, education, or other services. These are social norms of acceptance of particular behaviors or practices. Culture influences how people define illness or wellness, how they understand the causes of illness or wellness, and whom they access to improve their health. Greater support from families, friends and communities is linked to better health. Culture-customs and traditions, and the beliefs of the family, practices and behaviors, and community all affect health and even the outcomes of intervention. Example: smoking, or even alcohol abuse, may be accepted part of the culture of a community. In that case, many more people will adopt it than in a community where those practices are considered health risks. Some people think that health is not having any disease or illness, something that one feels. A paper from a conference of international health experts in 2011 sees health as the ability to adapt and to self-manage (Jocelyn Lowinger 2014).Medical News Today (2014) claims that most people accept that there are two aspects of health, physical and mental health. Most people relates physical health to good body health because of regular physical activity (exercise), good nutrition, and adequate rest. To some people, physical health involves structural health and chemical health. Structural health is associated with one’s height/weight ratio, body mass index, resting heart rate, and recovery time after exercise. Chemical health suggests that there are no toxic chemicals in one’s body and that there is a balance of nutrients needed by the body. Mental health on the other hand refers to people’s cognitive and emotional well-being. People have always found it easier to e xplain what mental illness is, rather than mental illness. Most people agree that mental health is the absence of mental illness. Mental health, to some people includes the ability to enjoy life, the ability to bounce back from adversities, the ability to achieve balance, to be flexible and adapt, the ability to feel safe and secure and making the best of what you have. Some views health as reflecting lifestyle, including a moral dimension and emotional well-being (MacInnes Milburn: 1994). Healthy behavior as not smoking, good diet, exercising, and not drinking alcohol to excess, a positive approach to life. Elderly people concepts of health were identified as the absence of disease, as a dimension of strength, weakness and exhaustion and health as a functional fitness. (Williams, R. (1983)†Concepts of Health: an analysis of Lay Logic†. Sociology 17:185-204). Illness results from negative attitudes, arising from a conflict between the individual and society-lifestyles in its widest sense. Ideas about causes of disease tend to emphasize biological rather than behavioral factors. Some of the agents of disease cited by working class women included infection, hereditary factors and environmental factors. The causes of disease are very much outside the control of the individual. Studies have also shown that people’s ideas about disease causation and vulnerability from illness are also influenced by biomedicine, example, and germ theory. However, people tend to take on beliefs which tend to fit with their lay understandings. (Calnan, M. (1987) Health and Illness: the Lay perspective. London: Tavistock). (Blaxter, M (1983) â€Å"The Causes of Disease: Women Talking†, Social Science and Medicine, 16:43-52). On the other hand, non-Western people views illness into two main systems according to anthropologists- personalistic and natur alistic. Personalistic system views illness to be caused by the active and purposeful intervention of an agent that may be: a supernatural being such as a deity or a god, a non-human being such as a ghost, ancestor, or evil spirit, or a human being such as a witch or a sorcerer. In this system, the sick person is a victim, the object of punishment directed specifically against him, for reasons that concerns him alone. In naturalistic system, illness is explained in impersonal, systemic terms. There is a concept of balance and equilibrium. Health prevails when elements in the body – heat, cold, the humors, etc. are in balance appropriate to the age and condition of the individual in his natural and social environment. (Foster, G. Anderson, B. (1978) Medical Anthropology New York: Jon Wiley). There are also beliefs or superstition that people believes as causative factor of illnesses. An understanding of people’s ideas about health maintenance and disease prevention is crucial to the success of health education and health promotion programs. One’s health beliefs may contribute to the knowledge of informal health care-how people manage their own health and whether they choose biomedical health services. Public attitudes towards health professionals and their authority as medical experts are changing. The days of blind trust in a doctor â€Å"who knows best† is history. Social and cultural processes that have encouraged change in interpersonal trust relations have stimulated changes in institutional trust. Beliefs about the limits of medical expertise together with concerns about the effectiveness of professional regulatory systems to ensure high standards of clinical care, magnified by the media coverage of medical errors and examples of medical incompetence, have eroded trust in health care organizations, in the medical professions in general, and in the health system as a whole. The lower level of institutional trust and the emergence of more informed and potentially demanding patients who are aware that expert knowledge may be contested and who may actively seek further opinions poses challenges for both governments and the medical professions and raises the question of wh ether trust is still relevant and necessary to the provision of medical care in the 21st century. (Trust relations in health care – new agenda/The European Journal of Public Health 2006) There should be policies to improve health in early life, such as equal opportunity of access to education, good nutrition, health education; access to health and preventive care facilities and access to adequate social and economic resources. Legislations to help protect minority and vulnerable groups from discrimination and social exclusion should be implemented. Government should intervene to reduce poverty and social exclusion at both individual and neighborhood levels. There should be policy regarding improvement in conditions of work and employees involvement in decision making process. For individuals who turn to drugs, alcohol and tobacco use – there should be a policy that aims to address the patterns of social deprivation in which the problems are rooted. Effective drug policy must be supported by the broad framework of social and economic policy. Conclusion: Countries, such as New Zealand can develop health policy changes in assembling and promoting effective, evidence based practices, place health equity as a shared goal across governments and other sectors of society, build a sustainable global movement and to turn public health knowledge into political action. Governments should recognize that welfare programs need to address both psychosocial and material needs.

Logistics Summary

Logistics – a practical approach Part 1: The foundations of Logistics Chapter 1: Introduding Logistics – Logistics is more than just Transportation – Involves aspects like procurement (Beschaffung), sourcing, planning, storing, control and distribution (Verteilung/Austeilung) – Shift towards placing production in Central Europe b/c production is cheaper – Delivery: customer gets what he ordered, where he wants it and at the right time, not too early & not too late – Completeness: orders should arrive as one delivery – Accuracy: should deliver what you promised – Billing: only want to pay for what you ordered Customer service: enough stock to satisfy the customer + service – Flexibility: ability to produce anything on time and anything at any time – Production in developing countries makes it possible to offer goods for the lowest price – Good logistics will result in gaining customers, gaining trade and succ ess for the business itself – Automotive industry is one of the first industries to make good use of all new developments in the field of business studies – Henry Ford discovered the power of a conveyor belt where everyone makes just a small part of the car and becomes a specialist in his own little world. Mistakes are easily recognized ( Work becomes routine and effective ( Saving time and time is money – mass production became the norm – later just-in-time management was taken up by the whole automotive industry which was started by the Japanese Conflicting goals of logistics: – efficient use of machinery – low inventory – many different varieties of products – short delivery time e. g. within two hours – Logistics should help each and everyone in the organization to achieve the overall goal of the company Value chain of Porter shows that we do not have â€Å"very important† and â€Å"less important† depa rtments – â€Å"A chain is only as strong as its weakest link† – Final goal is getting a maximum profit and the survival in the long run [pic] – Planning the activities: instead of taking one aspect or link at a time and trying to obtain an optimal result for this part we now have to look at the whole chain and concentrate on obtaining a maximum result at an integral level. This requires planning for the whole chain (traditional planning vs. modern approach: integral planning ( p. 25) – Symbols: [pic] most logistic value chains will consist of many different forms and will resemble networks – these different aspects all make up the basic elements of logistics within the value chain – all elements within a Supply Chain should be connected – the main goal: to ensure that the customer gets the right product – cooperation is needed in order to ensure that all links have a common goal in mind: to increase the efficiency and e ffectiveness of the chain – results should be: higher profit margins; lower sales prices; improved competition; faster introduction of new products – Supply Chain: a network of connected and interdependent organizations mutually and cooperatively working together to control, manage and improve the flow of materials and information from suppliers to end users – The more links there are between you and the final customer, the more difficult it will be to understand that market Logistics is a combination of the activities: – Material Handling – Stock control – Order handling and processing – Customer service – Demand prediction – Sourcing, Vendoring and purchasing – Distribution: internal and external – Location of warehouses and production facilities – Handling reversed flows of goods, rejects and packaging material – Spare parts, repairs and customer service – Production planning Definition of logistics: Logistics is the process of planning, implementing and controlling the efficient, effective flow and storage of raw materials, in-process inventory, finished goods, services and related information from point of origin to point of consumption for the purpose of conforming to customer requirements – Logistics management consists of 2 blocks: Material Management (MM) and Physical Distribution (PD) (p. 36) – Logistics and the most important relationships: [pic] – it is difficult to determine the costs for logistics, as every company has a different concept for what to include and what not – during the last decades, the costs for logistics have seen a huge increase compared to other costs – to get a quick insight into the buildup of costs and the relationships with profits: Return on Investment (ROI) – ROI = Profit / total assets ROI = (Profit/Turnover) * ( Turnover/total assets) ( Not possible to increase the ROI by incr easing sales – Turnover: total sales – Total cost: all costs made in an organization – Costs of logistics: all costs related to logistics – Other costs: all costs except cost of logistics – Profit: what is left after all costs are paid – Profit margin: profit as a percentage of sales – Depts. : all outstanding debts, mainly with suppliers – Liquid assets: assets quickly transferred into cash – Fixed assets: assets which only can be transferred into cash with huge costs like machinery etc. – Total assets: everything invested in an organization – Turnover rate: total assets as a percentage of sales

Essay Writing Topics for Year 6 - Overview

Essay Writing Topics for Year 6 - Overview You are going to need a strong argument if you would like to find a person to agree with your opinion when you compose an essay. Don't neglect to bring a strong hook at the beginning (introduction paragraph) and wind up with an impressive conclusion to create the reader want to go over the interesting persuasive essay topics of your selection. A conclusion is, without doubt, the most crucial portion of the argumentative essay since you can either support the very good impression or destroy it entirely. Another good idea is to receive some absolutely free essay examples of different kinds and on various subjects to find a general idea of the way in which a thriving debatable paper looks. Life is much better than it was 50 decades ago. So, it's a remarkable foundation for assorted epic stories! Write about three specific goals that you want to attain this year. In every nation, folks obey legal laws. The Downside Risk of Essay Writi ng Topics for Year 6 Chancing upon a mechanic is just what you will need to do. Writing practice shouldn't be boring! Persuade your teacher to provide the class a reward for work well done. Start researching, and get started writing! Where to Find Essay Writing Topics for Year 6 BUN tests must be done a specific way. Try a few of these topics. There shouldn't be any homework. There haven't been any substantial changes to IELTS essay topics in the past several decades. Every family needs to have a all-natural disaster survival program. If you don't sleep well, you're interrupting the process to keep up your general well-being. Even after extensive practice a young child may still discover that they're running out of time. Though people believe education is a correct and will make society, overall, a better place for everybody, others feel there's no genuine method to provide a free college education as colleges would still must be funded (likely through tax dollars). S chool should happen in the evenings. School tests aren't effective. Students ought to be permitted to pray in school. They lead busy lives and often forget about an upcoming deadline. Teens should have to take parenting classes. Kids need to be able to vote. Children should have to read more. They should be able to use cellphones in school. Two topics will be provided in each section and you need to choose 1 topic from each. Other people argue it doesn't exist in any way. The ESL essay ought to be grammatically accurate. Textbooks ought to be free. As tempting as it might appear to skip past the extra info and go right to the list of persuasive essay topics, don't do it. 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Major Issues Of Special Education - 1683 Words

Major Issues in Special Education The Special Education system is widely known throughout the United States as a helpful resource for people with learning disabilities. It is made so that all children have equal access to educational services that help them to be successful in the classroom. We have come a long way from 1975, when Special Education became mandatory due to United States Congress passing the Education for All Handicapped Children Act (EAHCA) which was a result of the discriminatory treatment by public schools against students with disabilities. Although, the passing of the EAHCA did not end all of the discriminatory treatment, it was the beginning of a long battle for equality in the classroom. Today, students in Special Education face many different obstacles that prevent them from reaching their full potential in the classroom. Are educators doing enough to help these students overcome obstacles and is there enough resources available for students in special education to succeed? What have we accompl ished in 40 years, since special education first came about? Many factors come into play to determine whether or not a child in special education can succeed in the classroom. Some of these factors include: school climate, teacher quality, family and community engagement, effective leadership, and efficient use of learning time. But what issues seem to be affecting children the most today? One of the most widely known issues that seem to be affecting allShow MoreRelatedEducation Is Not Preparation For Life1354 Words   |  6 PagesEducation: The Key to Success â€Å"Education is not preparation for life; education is life itself.† If one accepts the quote by John Dewey to be true, then depriving someone of their education is depriving them of their life. 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