Lecture - patients' context matters

6 important questions on Lecture - patients' context matters

A typology of actions to reduce health inequalities: (3)

Catergory 2: strenghtening communities

for building social cohesion and mutual support

example: horizontal interventions aim social interactions to allow community dynamics to work. Building up the infrastructures in a neighborhood, relaxing places

In theory if people in marginalized communities are working well collectively they could influence their local environment in small ways to create healthier conditions in their neighborhood. Working together to tackle neighborhood crime for example.

A typology of actions to reduce health inequalities: (3)

Category 3: improving living and working conditions


Classic Public health measures to improve acces to adequate houses, save workplaces, food supplies, better acces to health and social care

this interventions especially benefit the health of the people in the worst conditions -> reduction in socioeconomic radiant in health

A typology of actions to reduce health inequalities: (4)

Category 4: promoting healthy macro-policies

level income, unemployment, job security
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What is the difference between the old and new definition of health according to the WHO?

Old (1948): health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.

New (2011): health as the ability to adapt and self-mange


you need both concept to develop meaningful interventions

What is the Lindenberg social production theory?


Helps to give insight in peoples wellbeing
It assumes that people are resourceful and take divers approaches to improve their situation with the general aim of achieving physical and social wellbeing

What is self-management abilities?

How you manage your resources to promote or protect physical and social well-being

6 self-management abilities that are crucial for well-being:
  • taking initiative
  • self-efficacy beliefs
  • investment behavior
  • positive frame of mind
  • multifunctionality
  • variety

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