Bringing About Better Health Dreams & Realities


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Bringing About Better Health Dreams & Realities

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