H. Noack: ULIG PUBLIC HEALTH 1 1 03.06.2015 Graz Public Health Summer School 2007 Case Study Reports...
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Transcript of H. Noack: ULIG PUBLIC HEALTH 1 1 03.06.2015 Graz Public Health Summer School 2007 Case Study Reports...
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Graz Public Health Summer School 2007Graz Public Health Summer School 2007
Case Study ReportsCase Study Reports
em. Univ.-Prof. Dr. Horst Noack, Ph.D.em. Univ.-Prof. Dr. Horst Noack, Ph.D.Medizinische Universität GrazMedizinische Universität Graz
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Group reportGroup report(Five minutes report, five minutes discussion)(Five minutes report, five minutes discussion)
The caseThe case
1.1. Three main lessons learnedThree main lessons learned2.2. Three main conclusionsThree main conclusions
em. Univ.-Prof. Dr. Horst Noack, Ph.D.em. Univ.-Prof. Dr. Horst Noack, Ph.D.Medizinische Universität GrazMedizinische Universität Graz
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Summing upSumming up
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PUBLIC HEALTH today (the New Public Health)
“Collective action for sustained population-wide health improvement” (Beaglehole et al. 2004)
“…what we as a society do collectively to assure the conditions in which people can be healthy”(Institute of Medicine of the National Academies, 2003)
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Health and Wealth in EuropeHealth and Wealth in Europe
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There are wide variations in life expectancy between countries
65
70
75
80
85
1970 1980 1990 2000 2010
Italy
WHO European Region
EU members before
May 2004
EU members since May 2004
CIS
Life expectancy at birth in years
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Sustained population-wide health improvement Sustained population-wide health improvement
Health expectancy Burden of disease
Quality of life …
General Socio-economic conditions
Cultural & environmental conditions
Social & community influences
Individual lifestyle factors
Biological factors
Other factors
…
High-quality Health care
Health promotion in social settings
Health determinants(salutogenic factors)
Health development(Salutogenesis)
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Aaron Antonovsky (1923 – 1994)
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Salutogenesis
Pathogenesis
DISEASE DISEASE ILLNESS ILLNESS SICKNESSSICKNESS
HEALTH-EASE HEALTH-EASE WELL-BEING WELL-BEING FUNCTIONINGFUNCTIONING
Disease prevention, cure and careDisease prevention, cure and care
Health promotionHealth promotion
Thinking health -- thinking disease
LIFE COURSE
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Growing imbalanceGrowing imbalance
Health Health promotionpromotion
Disease Disease carecare
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Individuals - societyIndividuals - society
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Principles for the new EU StrategyPrinciples for the new EU Strategy
10 YEAR STRATEGY
1 –Value-Driven approach*Health as a Fundamental Right*Engaging with Citizens, improving information
and data, equity, solidarity, etc... 2 – “Health is Wealth”
*HLY in the Lisbon Agenda*Recognising the economic benefits of cost-
effective health investments 3 – Health in All Policies
*Bilateral work with e.g.Regional Policy on Health Investments, Employment on healthy workplaces, Enterprise on innovation
*Encouraging new partnerships at all levels 4 – Global Health
*Strengthening EU’s voice on global stage *Tackling shared issues such as pandemics, climate change
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Capacity building for Public Health
Population healthPopulation healthSustainabitySustainabityStructures Structures
Values, knowledgeValues, knowledge & skills& skills
OrganisationalOrganisationaldirectives & guidelinesdirectives & guidelines Partnerships & networksPartnerships & networks
ResourcesResourcesLeadershipLeadership
Policy targetsPolicy targetsPolicy instruments and processesPolicy instruments and processes
Capacity building: development of governance
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A health care system model based on the management of chronic diseases and long-A health care system model based on the management of chronic diseases and long-
term conditionsterm conditions
Health Promotion
Stewardship
Primary care role
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What is Health in All Policies (HiAP) approach?What is Health in All Policies (HiAP) approach?
- Horizontal, complementary policy related strategy
- The core of HiAP is to examine determinants of health -> are mainly controlled by policies of sectors other than health
- Addresses policies in the context of policy-making at all levels of governance (global, European, national, regional and local levels)
- The ultimate aim of HiAP is to improve evidence informed policy-making
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A double strategyA double strategy
IntegratedHEALTH CARE POLICIES Need Quality Evidence
Sustained health
improvementHorizontalHEALTH in ALL POLICIES Health determinants Health equity Evidence
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Thank you very much !Thank you very much !