THE LOGIC OF THE INDIVIDUAL AND POPULATION HEALTH DETERMINING. PART 1. CONCEPTUALIZATION
DOI:
https://doi.org/10.11603/mie.1996-1960.2021.1.12186Abstract
Background. Healthcare systems around the world are characterized by constant and high costs, inadequate costs and patient outcomes. A number of countries, in particular the United States, are moving to a value-oriented model. Accordingly, there is the problem of a new definition of health. However, such a definition cannot be formulated without a proper understanding of what "health" really means. The goal of the work is to generalize approaches to the definition and measurement of individual and population health.
Materials and methods. Results. Human health is considered as a result of the functioning of a complex self-regulating system, its emergent properties. Problems of quantitative health assessment are analyzed on the basis of direct and indirect research methods, complex, multicriteria and integrated assessments. Methodological aspects of data processing on human health are discussed, methods of convolution of indicators, indicators of the patient's condition.
Conclusions. The identification, assessment and management of personal health should be seen today as the most important social issues that need to be addressed immediately. A new concept of definition and assessment of individual and population health is proposed. A new definition of health is proposed, an approach to the development of models-classifications of health conditions of patients and populations, the possibility of health assessment with a set of representative parameters, taking into account incomplete and inaccurate knowledge about their importance and priority of assessment. For the processes of medical rehabilitation, the proposed concept provides a quantitative tool for a loyal assessment of the correctness of the chosen path to recovery.
References
Aleksandrova, L. V., Vasil'yev, V. Yu., Dmitriyev, V. V. i dr. (2000). Mnogokriterial'naya otsenka ekologichesk-ogo sostoyaniya i ustoychivosti geosistem na osnove metoda svodnykh pokazateley. V. Integral'naya otsenka ekologicheskogo sostoyaniya i kachestva sredy urbani-zirovannykh territoriy. [Multi-criteria assessment of the ecological state and stability of geosystems based on the method of summary indicators. V. Integral assessment of the ecological state and quality of the environment of urbanized territories]. Vestnik S.-Peterburgskogo universiteta. Seriya "Geologiya i geografiya" (Bulletin of St. Petersburg University. Series "Geology and Geography"), 4(34), 40-52. [In Russian].
Apanasenko, H.L. (1985). O vozmozhnosty kolychest-vennoi otsenky zdorovia cheloveka [On the possibility of quantitative assessment of human health] Hyhyena y sanytaryia (Hygiene and sanitation), 6, 55-58. [In Russian].
Apanasenko, H.L. (1992). Evoliutsyia byoenerhetyky y zdorove cheloveka. [Bioenergy evolution and human health] Sankt-Peterburh. MHP Petropolys. [In Russian].
Apanasenko, G.L., Popova, L.A. (2011). Individual'noe zdorov'e: teoriya i praktika. Vvedenie v teoriyu indi-vidual'nogo zdorov'ya. [Individual health: theory and practice. Introduction to the theory of individual health]. Medkniga. [In Russian].
Baevskij, R. M., Grigor'ev, A. I. (2007). Koncepciya zdorov'ya i kosmicheskaya medicina [Health and space medicine concept.].M.: Slovo. [In Russian].
Bykov, V. S. (2009). Formirovanie zdorovogo stilya zhizni u studencheskoj molodyozhi [Formation of a healthy lifestyle among student youth]. Fizicheskaya kul'tura i zdorov'e studentov vuzov: materialy V mezh-dunar. nauch.-prakt. konf. — (SPb.: Izd-vo SPbGUP), 10-11. [In Russian].
Viktorov, D.V. (2011). Analiz individual'nogo zdorov'ya po funkcional'nym parametram sistem organizma cheloveka [Analysis of individual health by functional parameters of human body systems]- Vestnik YUUrGU, 7, 15-18. [In Russian].
Gattarov, R. U. (2005). Psihofiziologicheskij potencial i uroven' zdorov'ya studentov [Psychophysiological potential and health level of students] - CHelyabinsk: Izd-vo YUUrGU. [In Russian].
Grigor'ev, A. I., Baevskij, R. M. (2001). Koncepciya
zdorov'ya i problema normy v kosmicheskoj medicine [The concept of health and the problem of norm in space medicine]. M.: Slovo. [In Russian].
Dmitriev, V. V. (2010). Integral'nye ocenki sostoyaniya slozhnyh sistem v prirode i obshchestve [Integral assessments of the state of complex systems in nature and society]. Biosfera. №4. URL: https://cyberleninka. ru/article/n/integralnye-otsenki-sostoyaniya-slozhnyh-sistem-v-prirode-i-obschestve. [In Russian].
Isaev, A.P. (2000). Informacionnye tekhnologii v zdra-vostroenii, obrazovanii i formirovanii sovremennogo cheloveka [Information technology in health care, education and the formation of a modern person] Problemy i perspektivy zdravostroeniya: sbornik nauchnyh rabot (Problems and Prospects of Healthcare: Collection of Scientific Papers). CHelyabinsk: Izd-vo YUUrGU, II, 84-85. [In Russian].
Kulkaeva, G.U. (2015). Metody upravleniya sobst-vennym zdorov'em [Methods for managing your own health]. Mezhdunarodnyj nauchno-issledovatel'skij zhurnal (International research journal), 9-4 (40), 52-53. [In Russian].
Abimanyi-Ochom, J., Mudiyanselage, Sh.,B., Catchpool, M., et al. (2019). Strategies to reduce diagnostic errors: a systematic review. BMC Medical Informatics and Decision Making, 174.
Porter, M.E., (2009). A strategy for health care reform: toward a value-based system.. N Engl J Med; 9, 109112.
Acharya, D. (2010). Security in Pervasive Health Care Networks: Current R&D and Future Challenges, in: Mobile Data Management (MDM), Eleventh International Conference, 305- 306.
Acharya, D., Kumar, V. (2010). A secure pervasive health care system using location dependent unicast key generation scheme, in: 3rd Workshop on Ph.D. Students in Information and Knowledge Management, PIKM'10, Co-located with 19th International Conference on Information and Knowledge Management, CIKM'10. Toronto, ON, 87-90.
Agrafioti, F., Bui, F.M., Hatzinakos, D. (2011). Medical biometrics in mobile health monitoring. Security and Communication Networks, 4, 525-539.
Alberti, P.M., Bonham, A.C., Kirch, D.G. (2013). Making equity a value in value-based health care; Acad Med. Nov. Vol. 88, 1619-1623.
Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promot Int., 11,11-8.
Badash, I., Kleinman, N.P., Barr, S., Jang, J., Rahman, S, Wu, B.W. (2017). Redefining Health: The Evolution of Health Ideas from Antiquity to the Era of Value-Based Care. Cureus, 9(2), e1018. Published 2017 Feb 9.
Barclay, M., Dixon-Woods, M., Lyratzopoulos, G. The problem with composite indicators. BMJ Quality & Safety, 28, 338-344.
Bates, D.W., Bitton, A. (2010). The future of health information technology in the patient-centered medical home. Health Aff (Millwood),29(4), 614-21.
Bircher, J., Kuruvillas, S. (2014). Defining health by addressing individual, social, and environmental determinants: New opportunities for health care and public health. J Public Health Policy, 35(3), 363-386.
Bircher, J. (2020). Driving Forward A Paradigm Shift in Healthcare: The Meikirch Model. Biology, Health and Medicine.
Bircher, J. (2005). Towards a dynamic definition of health and disease. Medicine, Healthcare and Philosophy, 8 (3335-341).
Bowes, A., Dawson, A., Bell, D., 2011. Ethical Implications of Lifestyle Monitoring Data in Ageing Research. Information, Communication & Society.
Dhukaram, A.V., Baber, C., Elloumi, L., Van Beijnum, B.J., De Stefanis, P. (2011). End-User perception towards pervasive cardiac healthcare services: Benefits, acceptance, adoption, risks, security, privacy and trust. 5th International Conference on Pervasive Computing Technologies for Healthcare and Workshops, Perva-siveHealth, Dublin, 478-484.
Ding, D., Cooper, R.A., Pasquina, P.F., Fici-Pasquina, L. (2011). Sensor technology for smart homes. Maturitas, 69, 131-136.
Donev, D. (2000). Human health - definition, concept and content. How the disease occurs and the natural course of disease. Modern concept and definition of healthcare [In Macedonian]. Nikodijevic B, editor. Contemporary diagnostics and therapy in medicine. Skopje: Faculty of Medicine; 5-19.
Donev, D. (2014). Toward the fourth dimension of health -the spiritual health. Vox Medici, 23, 318-21.
Elsevier. Dorland's Illustrated Medical Dictionary.
Graber, M.L. (2013). The incidence of diagnostic error in medicine. BMJ Qual Saf, 22(2), 21-7.
Huber, M., Knottnerus, J.A., Green, L., van der Horst, H., Jadad, A.R., Kromhout, D., et al. (2011). How should we define health? BMJ (Clinical research ed), 343:4163.
Huber, M. (2017). Invitational Conference "Is health a state or an ability» Towards a dynamic concept of health? Report of the meeting.
Jadad, A.R., O'Grady, L. (2008). How should health be defined? BMJ (Clinical research ed), 337:a2900.
Kujundzic, Tiljak, M. (2017). The 90th anniversary of Andrija Stampar School of Public Health. Croat Med J., 58, 330-331.
Goodman L., E. (2003). Islamic Humanism. Yale Oxford University Press, 155.
Lindstrom, B., Eriksson, M., Salutogenesis (2005). Epidemiol Community Health, 59, 440-442.
Milenkovia A., Otto C. & Jovanov E. (2006). Wireless sensor networks for personal health monitoring. Computer Communications, 29, 2521-2533.
Mittelstadt, B. (2013). Personal Health Monitoring. Technical Report http://responsible-innovation.org.uk/ torrii/resource-detail/1053.
Montori, V.M. , Permanyer-Miralda, G., Ferreira-Gonzalez, I. et al. (2005). Validity of composite end points in clinical trials. BMJ, 330, 594-596.
Mittelstadt, B., Fairweather, N.B., McBride, N., Shaw, M. (2011). Ethical Issues of Personal Health Monitoring: A Literature Review. ETHICOMP Conference Proceedings, ETHICOMP.
Morris, A.S., Silk, J.S., Steinberg, L., Myers, S.S, Robinson, L.R. (2007). The Role of the Family Context in the Development of Emotion Regulation. Social development (Oxford, England), 16(2), 361-388.
Neupert, P., Mundie, C. (2009). Personal health management systems: applying the full power of software to improve the quality and efficiency of care. Health Aff (Millwood). 28(2), 390-392.
Noack, H. (1994). Concepts of health and health promotion. Copenhagen: WHO Regional Office for Europe.
Obama's precision medicine initiative. (2015). Terry, SF. Genet Test Mol Biomarkers, 19, 113-114.
Oleribe, O.O., Ukwedeh, O., Burstow, N.J, et al. (2018). Health: redefined. Pan Afr Med J., 30, 292.
Pampel, F.C, Krueger, P.M, Denney, J.T. (2010). Socioeconomic Disparities in Health Behaviors. Annual review of sociology, 36, 349-370.
Pavlekovic, G., Donev, D., Zaletel, Kragelj, L. (2007). Concept and principles in health promotion. Health promotion and disease prevention. Stability Pact Forum for Public Health Cooperation in SEE. Lage: Hans Jacobs Publishing Co, 3-14.
Xu, P., Wang, Z., Li, V. (2010). Prognostics and Health Management (PHM) system requirements and validation. Prognostics and System Health Management Conference, 1-4.
Porter, M.E. (2008). Value-based health care delivery. Ann Surg. Vol. 248, 503-509.
Feynman R. (1964). The Feynman Lectures on Physics. — USA: Addison Wesley.
Rutter, M. (1987). Psychological resilience and protective mechanisms. Am J Orthopsychiatry, 57, 316-331.
Burwell, S.M. (2015). Setting value-based payment goals: HHS efforts to improve U.S. health care. N Engl J Med., 372, 897-899.
Smith, R. (2017). Richard Smith: the end of disease and the beginning of health. Accessed 19th November 2017.
Stokes, J., Noren, J., Shindell, S. (1982). Definition of terms and concepts applicable to clinical preventive medicine. Journal of community health, 8(1), 33- 41.
Svalastog, A.L., Allgaier, J., Martinelli, L., Gajovic, S. (2014). Distortion, confusion, and impasses: could a public dialogue within Knowledge Landscapes contribute to better communication and understanding of innovative knowledge? Croat Med J., 55, 54-60.
The Free Dictionary - Medical dictionary. (2017). Holistic health. Available at: http://medical-dictionary.
Porter, M.E., Lee, T.H. (2013). The strategy that will fix health care. HBR. 91,50-70. URL: https://hbr. org/2013/10/the-strategy-that-will-fix-health-care.
Bircher, J. (2005). Towards a dynamic definition of health and disease. Med Health Care Philos., 1, 335341.
Tulchinski, T., Varavikova, E.A. (2014). The new public health. San Diego: Elsevier Academic Press, 884.
Ebbevi, D., Forsberg, H.H., Essen, A., Ernestam, S. (2016). Value-based health care for chronic care: aligning outcomes measurement with the patient perspective. Qual Manag Health Care, 25, 203-212.
What is health? The ability to adapt. (2009). Lancet (London, England, 373(9666), 781.
Habersack, M., Luschin, G. (2013). WHO-definition of health must be enforced by national law: a debate. BMC Med., 14, 24.
About World Health Organization. Constitution. (2017). World Health Organization. URL: http://www.who.int/governance/eb/constitution/en/. Accessed: December 27, 2017.
World Health Report Executive Summary - achieving health for all. (2017). World Health Organization. URL: http://www.who.int/whr/1998/media_centre/executive_summary6/en/.
Ma Yu, , Liu A., Egodawatta P. , McGree, J., et al. (2017). Quantitative assessment of human health risk posed by polycyclic aromatic hydrocarbons in urban road dust. Science of The Total Environment, Vol. 575, 895-904.
Shchulipenko, I. M. (2008). Propedevtyka vnutrishnoi medytsyny: Zahalna semiotyka i diahnostyka. Navch. posibnyk. K. : Medytsyna. [In Ukrainian].
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