What New Knowledge Would Help Policymakers Better Balance Investments for Optimal Health Outcomes?

Kindig, David A.; Day, Patricia; Fox, Daniel M.; Gibson, Mark; Knickman, James R.; Lomas, Jonathan; Stoddart, Greg L.

doi:10.1111/j.1475-6773.2003.00209.x

Cited by 39 publications

(31 citation statements)

References 41 publications

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“…The plethora of evidence about the influence that a broad range of non-medical factors and conditions have on health (Amick et al 1995, Marmot and Wilkinson 1999, Graham 2002, Navarro 2002, Davey Smith 2003, Kuh and Ben-Shlomo 2004, Raphael 2004, Heymann et al 2006 has not, for the most part, resulted in widespread upstream policy efforts that address and improve the socioeconomic conditions within which health is rooted. While there are examples from Europe and North America of upstream health-related investments (Exworthy et al 2003, Kindig et al 2003, Mackenback and Bakker 2003, Frankish et al 2007 There are many challenges that impede the growth of upstream health-related investments (Eyles et al 2001, Exworthy et al 2003, Kindig et al 2003, Stoddart et al 2006, Frankish et al 2007, and it is unlikely that conceptualizing health as a type of capital will be 'the' solution that overcomes the challenges. None the less, perhaps the persistent promotion of health as a capital resource which is integral to social and economic development will gradually increase the proportion of health-related expenditures prior to the onset of disease.…”

Section: Practice and Policy Implications Of Conceptualizing And Endomentioning

confidence: 96%

Health as a resource for everyday life: advancing the conceptualization

Williamson

Carr

2009

Critical Public Health

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This paper examines the conceptualization of health as a resource and the implications that such a definition has for public health programs and policies. First introduced in the Ottawa Charter for Health Promotion, health is commonly defined by practitioners, policy makers, and scholars as a resource for everyday life. However, despite frequent references to health as a resource, little attention has been paid to the meaning of this one-line phrase. Thus, we draw on a multidisciplinary body of literature to examine key features of health that characterize it as a resource, as well as its similarities, differences, and associations with other resources. We argue that, as a resource, health is appropriately conceptualized as a type of capital that can be invested in by individuals and societal institutions to achieve positive health returns. Similar to human capital, health is embodied in individuals, and, as such, it is not a tradable resource like money. Health cannot be exchanged or sold for goods and services and it cannot be obtained directly in exchange for goods and services. Instead, as a type of capital, health is a stock of biopsychosocial resources that people can draw on to participate in society. Although health shares some characteristics with human capital, we contend that health is not a component of human capital, as some scholars indicate. Lastly, we maintain that there are important program and policy implications, both positive and negative, of adopting an economic definition of health.

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Section: Practice and Policy Implications Of Conceptualizing And Endomentioning

confidence: 96%

Health as a resource for everyday life: advancing the conceptualization

Williamson

Carr

2009

Critical Public Health

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“…1 An example of cross-sectoral effects may illustrate why public health should expand its purview. Recently, a "natural experiment," opening of an American Indian casino in a rural area, raised rural American Indian families out of poverty through a combination of distribution of casino profits and increased job availability.…”

Section: Interdisciplinary and Interinstitutional Cooperationmentioning

confidence: 99%

Person and Place: The Compounding Effects of Race/Ethnicity and Rurality on Health

Probst

Moore²,

Glover³

et al. 2004

Am J Public Health

288

264

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Rural racial/ethnic minorities constitute a forgotten population. The limited research addressing rural Black, Hispanic, and American Indian/Alaska Native populations suggests that disparities in health and in health care access found among rural racial/ethnic minority populations are generally more severe than those among urban racial/ethnic minorities. We suggest that disparities must be understood as both collective and contextual phenomena. Rural racial/ethnic minority disparities in part stem from the aggregation of disadvantaged individuals in rural areas. Disparities also emerge from a context of limited educational and economic opportunity. Linking public health planning to the education and economic development sectors will reduce racial/ethnic minority disparities while increasing overall well-being in rural communities.

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“…São apontadas na literatura como questões importantes de pesquisa e atuação o investimento em: desenvolvimento de indicadores de avaliação de desempenho e impacto em saúde, revisões de literatura sobre programas para a saú-de da população e intervenções efetivas sobre esta, estudos de caso de intervenções intersetoriais, desenvolvimento de bancos de dados populacionais longitudinais e de acesso e utilização de serviços de saúde 21 .…”

Section: S154unclassified

“…É nesse panorama que se insere o crescimento nos países desenvolvidos (mais intenso nos Estados Unidos e Canadá), nos anos 90, de pesquisas e publicações que se consideram como sendo health services research, ou pesquisa em serviços de saúde, refletindo também um relativo maior apoio por parte de agências financiadoras de pesquisas 21,22,23 . São pesquisas com características muito diversificadas, que têm em comum dois aspectos básicos: os serviços de saúde como objeto privilegiado ou destacado e a orientação para uma utilidade potencial do conhecimento produzido nos processos de decisão nos sistemas e serviços.…”

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Pesquisa em, sobre e para os serviços de saúde: panorama internacional e questões para a pesquisa em saúde no Brasil

Novaes

2004

Cad. Saúde Pública

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Pesquisa em, sobre e para os serviços de saúde: panorama internacional e questões para a pesquisa em saúde no BrasilResearch in, about, and for health services: an international overview and questions for health research in Brazil Os serviços de saúde são hoje estruturas organizacionais e técnicas extremamente diversificadas, incluindo desde consultórios individuais e unidades básicas até hospitais terciários e especializados, bem como serviços de apoio diagnóstico e terapêutico. A condição essencial para sua identificação é ser o espaço onde se localizam os profissionais e as tecnologias materiais responsáveis pela realização da atenção à saúde da população.Os serviços se transformam continuamente no que diz respeito ao perfil tanto dos profissionais, com uma ampliação nas categorias inseridas nos processos assistenciais, com especialização horizontal (tipos de profissionais) e vertical (tipos de especialistas nas categorias profissionais), quanto das tecnologias materiais incorporadas e dos procedimentos diagnósticos e terapêuticos realizados. Isso faz com que os serviços de saúde, atualmente sempre integrados a "sistemas de atenção à saúde", constituam-se em objetos que desafiam categorizações e dificultam as análises que buscam identificar e mensurar a sua participação e o seu impacto sobre os problemas de saúde de populações especificadas.Uma questão inicial que se coloca é a pró-pria definição dos seus limites e da sua inserção, seja no espaço físico das cidades, seja na dinâmica de vida da população a ser atendida. O distanciamento, tanto físico como metafísi-co, entre o domicílio e os serviços de saúde, o

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What New Knowledge Would Help Policymakers Better Balance Investments for Optimal Health Outcomes?

Cited by 39 publications

References 41 publications

Health as a resource for everyday life: advancing the conceptualization

Health as a resource for everyday life: advancing the conceptualization

Person and Place: The Compounding Effects of Race/Ethnicity and Rurality on Health

Pesquisa em, sobre e para os serviços de saúde: panorama internacional e questões para a pesquisa em saúde no Brasil

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