Use of checklists in critical appraisal of health literature
Concepts of health
1. Concept of Health
The state of health is reflective of an
individual’s ability to meet life's
challenges & maintain the capacity for
optimal functioning.
1
2. Health
Important factor in assisting to obtain
optimum health is to treat them as
unique individual, and not as a set of
symptoms & complaints.
2
3. HEALTH
Basic Theme in all cultures
Basic concept “ Absence of disease’’
Determinants yet not clear.
No yard stick.
Health is always neglected.
Usually secondary to other needs.
Internationally forgotten.
3
4. 4
Reawakening of health
Only after 2nd world war
As fundamental right
World wide social goal & social justice
Basic human needs
In 1979 concept of H F A
Not issue of Doctors, issue of social
justice
5. 5
Changing concepts
Health is not perceived in the same way
Biomedical concept
Ecological
Psychosocial
Holistic
6. 6
WHO Definition of health
A state of complete Physical, Mental &
Social wellbeing and not merely absence
of disease or infirmity.
A forth dimension is “Spiritual wellbeing”
One which transcends physiology &
psychology
7. 7
Spiritual aspect/ Intelligence
Cognitive- why, meaning of life
Affective living in him---- (peace,
cheerful)
Behavioral ---meditation, sacrifice
8. 8
Spiritual health assumes
significance since
Anxiety & emotional discomforts are on
rise
Craving for peace & freedom
Happiness ,restlessness
purposelessness is widely discerned
Futility syndrome prevails heavily –Why?
What after?
Suicides are the regular features
9. 9
Spiritual life focuses on--
Inner self
Consciousness
Intuition
Science gets us physical comforts &
spirituality brings us mental calm --
positive value & attitude, beliefs &
strength
10. Emotional dimension
10
Dose not loose temper.
Dose not develop tension.
Has self control.
11. 11
WHO Definition of health
A state of complete Physical, Mental &
Social wellbeing and not merely absence
of disease or infirmity.
A forth dimension is “Spiritual wellbeing”
One which transcends physiology &
psychology
12. 12
Operational definition
Quality of human life expressing the
adequate functioning in the given
conditions ---
There is no obvious disease
But functioning normal
13. New philosophy of health
Fundamental right
Essence of productive life & not result
Intersectoral
Integral part of development
Involves-individual, community, state
national & international
Major social investment
World wide social goal
13
14. 14
Health dimensions
In 1980s other components like
Spiritual
Emotional
Environmental
Vocational
Intellectual.
16. 16
Determinants of health
Communities * human rights
* biological
* behavioral
Societies * environmental
* socio-economic
* health system
Individual * sociocultural,
* Age
* science &Technology
Families * gender
* equity & social justice
* information & communication