Health Strategy in the 21st Century : Health Promotion and Dentistry

This paper explores policy documents published as part of the National Mental Health Strategy for ideas about mental health promotion and prevention, to determine the extent to which these documents adopt a primary health care approach. Discourse analysis was undertaken of key policy documents to discover the manner in which they discuss mental health promotion and prevention. Three points of departure are identified. The first of these is a focus on social and biological risk factors that manifest at an individual rather than at a social level, effectively drawing attention away from social inequalities. These documents also primarily target a population that is viewed as being "at risk" due to exposure to risk factors, shifting attention from strategies aimed at improving the health of the population as a whole. A final difference is found in the understanding of primary health care. Recent policy documents equate primary health care with the first level of service delivery in the community, primarily by general practitioners, shifting the focus of care from mental health promotion with the community to early intervention with those experiencing mental health problems. This is supported by the incorporation of a biomedical understanding into mental health prevention. While recent mental health policy documents re-assert the need for early intervention and health prevention, the form of mental health prevention espoused in these documents differs from that which informed the Declaration of Alma Alta, Ottawa Charter for Health Promotion and World Health Organization's Health for All strategy.

Download Full-text

Behavioral and Social Sciences in 21st Century Health Care: Contributions and Opportunities

10.4324/9781315864969 ◽

2021 ◽

Author(s):

Gary Rosenberg ◽

Andrew Weissman

Keyword(s):

Social Sciences ◽

Health Care ◽

21St Century ◽

Century Health

Download Full-text

Towards the future of health promotion.

Health promotion: global principles and practice ◽

10.1079/9781789245332.0186 ◽

2021 ◽

pp. 186-231

Author(s):

Ruth Cross ◽

Louise Warwick-Booth ◽

Sally Foster

Keyword(s):

Public Health ◽

Social Capital ◽

Health Promotion ◽

Social Work ◽

Criminal Justice ◽

21St Century ◽

Health Problems ◽

Academic Community

Abstract This book chapter aims to: (i) explore the role of the epistemic and academic community of health promoters; (ii) suggest that there are new and emerging public health problems to take into account; (iii) reinforce the need to defend the radical intent of the Ottawa Charter and to develop further anti-oppressive practice; (iv) describe how the health promotion discourse is changing, and moving into new realms of wellbeing; (v) reinforce the importance of hearing lay voices and understanding 'healthworlds'; and (vi) present some ideas for moving forward the value base of health promotion. Fields of endeavour apart from health promotion also struggle with the goals of empowerment, equality, justice, and are also contemplating how to deal with challenges of the 21st century, such as complexity, globalization and social capital. These fields might include education, criminal justice, social work, sport, development, and so provide rich and relevant avenues for further reading.

Download Full-text

Using Edmodo as assessment for learning to facilitate improvement of 21st century health literacy

Journal of Physics Conference Series ◽

10.1088/1742-6596/1157/2/022096 ◽

2019 ◽

Vol 1157 ◽

pp. 022096 ◽

Cited By ~ 1

Author(s):

I Fathimah ◽

A R Wulan ◽

R Solihat

Keyword(s):

Health Literacy ◽

21St Century ◽

Assessment For Learning ◽

Century Health

Download Full-text

Enhancing Private Sector Health System Preparedness for 21st-Century Health Threats

JAMA ◽

10.1001/jama.2020.1310 ◽

2020 ◽

Vol 323 (12) ◽

pp. 1133 ◽

Cited By ~ 5

Author(s):

Donald M. Berwick ◽

Kenneth Shine

Keyword(s):

Private Sector ◽

Health System ◽

21St Century ◽

Health Threats ◽

Century Health

Download Full-text

The public health system in France and the structural developments during the last ten years

European Journal of Public Health ◽

10.1093/eurpub/ckz185.712 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

P Arwidson

Keyword(s):

Public Health ◽

Health Promotion ◽

Health System ◽

National Health ◽

Health Agency ◽

Control Program ◽

Tobacco Control Program ◽

Health Strategy ◽

National Public Health ◽

Prevention And Health Promotion

Abstract In 2009, the hospitals, health and territories act has entrusted the responsibility for care and public health to the regional health agencies. This decentralisation aims to adapt strategies to local situations. These regional agencies have a very strong autonomy. In 2013, it was stated in the national health strategy that it was necessary to develop a scientifically based prevention. Two tracks are to be followed: either by importing and adapting validated or promising programs by identifying effective programs in the international literature; or from existing French initiatives (tobacco, alcohol, psychoactive substances, physical activity). The high prevalence of smoking motivated the establishment of a National tobacco reduction program in 2014, which was then relayed by a national tobacco control program. In 2016, the Health System Improvement Act created a major national public health agency combining surveillance, prevention, health promotion and emergency response. The motivation was to achieve greater synergy and collaboration between the different functions in public health. A report from the Inspectorate General of Social Affairs has recommended that this agency should establish a national portal with evidence-based prevention and health promotion programmes. Established in 2018, the Priority Prevention Plan is a major interdepartmental project to improve the health of the population, and is part of the National Health Strategy. This interdepartmental approach reflects the Government’s desire that all ministries should be able to contribute to prevention and health promotion. The increased investment in prevention and health promotion is starting to bear fruit with 1.6 million fewer smokers between 2016 and 2018. Immunisation coverage has also been improved. NutriScore, a nutritional information on the front of food containers, very easy to understand, has been put in place with partnership with 100 companies.

Download Full-text

Promoting health among the elderly: actions in primary health care

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.170133 ◽

2018 ◽

Vol 21 (2) ◽

pp. 155-163

Author(s):

Ana Paula Ribeiro de Castro ◽

Eglídia Carla Figueirêdo Vidal ◽

Ana Raquel Bezerra Saraiva ◽

Sofia de Moraes Arnaldo ◽

Ana Maria Machado Borges ◽

...

Keyword(s):

Health Promotion ◽

Family Health ◽

The Elderly ◽

Structured Interview ◽

Ethics Committee ◽

Waiting Room ◽

Primary Health ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

Abstract Objective: To identify health promotion actions carried out by professionals in the Family Health Strategy in relation to elderly people. Method: An exploratory study with a qualitative approach was performed in Juazeiro do Norte, Ceará, Brazil, with 19 professionals. A recorded, fully transcribed semi-structured interview was used after authorization by the ethics committee under number 501 675. The discussions were analyzed using Content Analysis, organized into thematic categories. Results: Actions of a collective nature were identified, such as activities in groups, meetings, conversation circles, lectures and guidance in the waiting room. Other directed actions were used, such as guidelines during individual consultations and referral to specialized services. Conclusion: The need for the discussion of health promotion and actions in relation to old age was highlighted, with debate and reflection on this theme required locally, along with the need to build a network of support for the health of the elderly in a shared manner among professionals, managers and the community.

Download Full-text

Addressing food insecurity in Australia through education for sustainability

Health Promotion International ◽

10.1093/heapro/daz119 ◽

2020 ◽

Vol 35 (6) ◽

pp. 1601-1611

Author(s):

Sonia Nuttman ◽

Rebecca Patrick ◽

Mardie Townsend

Keyword(s):

Health Promotion ◽

Food Insecurity ◽

21St Century ◽

Education For Sustainability ◽

Structured Interviews ◽

Potential Barriers ◽

Australian Health ◽

Analysis Process ◽

Potential Use ◽

Insight Into

Abstract Within Australia food insecurity affects an estimated 4 million people annually. Health promotion degrees traditionally prepare pre-service graduates to address food insecurity from a social determinants perspective, little consideration of integrating ecological determinants, however, has been noted. This is a significant problem considering unprecedented environmental challenges facing future food production. Education for sustainability (EfS) is purported to develop graduates who can respond to significant sustainability issues in the 21st century. This study examined the potential for health promotion degrees to utilize EfS to address food insecurity through an ecological lens. The study also illustrates why it might be valuable for academics to use such an approach. Semi-structured interviews with 15 Australian health and sustainability academics and document analysis of 26 associated teaching units was undertaken. Thematic analysis informed the data analysis process to provide meaning and insight into emerging themes. Academics were unaware of EfS or its potential for developing ecologically literate graduates. A lack of university commitment towards sustainability and knowledge and skills to implement EfS were identified as potential barriers. Academics, however, were ascribing to the central tenets used in EfS such as interdisciplinary thinking and reflective practice, demonstrating its potential use in health promotion. EfS, as a framework for incorporating an ecological perspective into health promotion degrees has not been fully realized. This study suggests capacity building of academics with regard to the use of EfS as an approach within health promotion degrees to address significant sustainability issues in the 21st century, such as food insecurity.

Download Full-text