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Bringing About Better Health   Dreams & Realities
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Bringing About Better Health Dreams & Realities


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  • 1. Bringing About Better Health: Dreams and Realities
  • 2. Methods and Means
    • Medical/Pharmaceutical
    • Cultural/Psychological
    • Economic
    • Technological/Scientific
  • 3. Medical/Pharmaceutical
    • Dreams:
      • Cure cancer
      • Vanquish heart disease
      • Eliminate infectious Disease
      • Improve quality of life
      • Etc.
  • 4. Realities:
    • Cancer
    • Heart Disease
    • Infectious Diseases
    • Quality of Life
      • Positive: single gene for pain management, drugs for ED
  • 5. Solutions
    • Tools
      • Molecular Biology
      • Cell biology
      • Signal Transduction
      • Developmental Biology
    • Obstacles
        • Resource allocation
        • Grant funding systems
        • Profit motive
  • 6. Cultural/Psychological
    • Dreams
    • Integrated view of body/mind
    • Understanding interrelationships of culture and health behaviors
    • Ethnic tolerance
    • Four freedoms (FDR – 1941)
  • 7. Worth revisiting – influence on health?
    • Freedom of speech
    • Freedom to worship as you wish
    • Freedom from want
    • Freedom from fear
    • (FDR – 1941)
  • 8. Integrated View of Body/Mind
    • From mind to body
      • Mental constructs (I can or I can’t)
      • Imagery (example: guided imagery)
      • Myths (example: gender)
      • Balance (example: dance)
    • And back again
      • Biochemistry
      • Pharmaceutical
      • Nutritional
  • 9. Cultural/Psychological
    • Cultural competency: a set of academic and personal skills that allow us to increase our understanding and appreciation of cultural differences between groups.
    • Successful intervention: A culturally competent physician who had been taking care of a Native American family for about five years noticed that the wife was depressed. The wife slowly revealed that she had a traumatic childhood experience. The physician started her on psychotherapy and antidepressants, After consulting with a Native American medicine man, a traditional purification ceremony was performed to release the “bad spirit” and worked synergistically with the medical/pharmaceutical care to relieve the depression.
  • 10. Definitions
    • Acculturation : The process of adapting to another culture;
    • Cultural group : The integrated pattern of human behavior that includes thoughts, communications, actions, customs, beliefs, values and institutions of a racial, ethnic, religious or social group.
    • Stereotype : The incorrect notion that all people from a given group are the same.
  • 11. An Integrated View of Cultural Competency: Class Suggestions
  • 12. Economic
    • Economic Factors and Health
    • Unemployment – increases adverse health outcomes both for the insured and insured.
    • Inverse relationship between household income and health
    • Rising medical costs and increased share of GDP (gross domestic product) – can afford to spend more since other commodities are cheaper
  • 13. The Ideal Free Market in Health Care
    • U.S.: Healthcare as a private good – better healthcare by competition. Obstacles:
    • Consumer (physician/patient) may not have good information about price products at the time of need
    • Monopoly formations in the insurance and hospital industry (e.g., one hospital organization in an entire borough, merging of GHI with HIP)
  • 14. Technological/Scientific
    • New breakthroughs:
      • Robotics (e.g., cystectomy with robotic instruments, robotic scalpels – eventually, surgery from remote locations (not yet)
      • Nanotechnology – three-dimensional control of molecular structure to create devices to exact precision. (eventually, self-assembling molecular robots –we’re not there yet)
    • Molecular gears – nanotechnology – computer simulation
  • 15. Predictions for 2030
    • WHO (World Health Organization) Study
    • Three leading illnesses:
    • Ischemic Heart Disease
    • HIV/AIDS
    • Depression
    • Tobacco-related diseases will affect 6.4 million people a year by 2015, 50 percent more than AIDS, a study said this week.
    • However, HIV/AIDS will be a primary cause of illness and disability and take an increasing number of lives worldwide.
  • 16. How do we approach the year 2030?
    • Suggestions from the class
    • Draw on previous slides and lecture materials
    • How will upcoming technologies improve or save my life in 2030?