2-CONCEPT of Health & Illness 08-06-2015

7/23/2019 2-CONCEPT of Health & Illness 08-06-2015

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CONCEPT OF HEALTH &ILLNESSJoko Mulyanto

Department of Public Health and CommunityMedicine

Faculty of Medicine, Universitas Jenderal Soedirman


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LEARNING OBJECTIVES

Defne and discuss o conce! o "ea#!"$ %e##ness$ disease$

i##ness$ and sicness' Iden!i( and discuss a#!e)na!i*e defni!ion o "ea#!"'

Iden!i($ defne$ and +easu)e "ea#!" s!a!us'

Iden!i( and discuss de!e)+inan!s o "ea#!"'


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HEALTH

A s!a!e o co+#e!e "(sica#$ +en!a#$ and socia# %e##,-ein.$and no! +e)e#( !"e a-sence o disease o) inf)+i!( /0HO$12345'


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PROBLE6S 0ITH CONCEPT OFHEALTH

Va.ue$ a-s!)ac!'

I+)ac!ica# !o -e +easu)ed'

6u#!i,di+ensiona#'

S!a!ic condi!ion'


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OPERATIONAL DEFINITION OFHEALTH

T"e e7!en! !o %"ic" an indi*idua# o) .)ou is a-#e !o )ea#i8easi)a!ions and sa!is( needs$ and !o c"an.e o) coe %i!" !"een*i)on+en!'

Hea#!" is a )esou)ce o) e*e)(da( #ie$ no! !"e o-9ec!i*e o

#i*in.: i! is a osi!i*e conce!$ e+"asi8in. socia# and e)sona#)esou)ces$ as %e## as "(sica# caaci!ies /0HO$ 124;5'


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DI6ENSIONS OF HEALTH

P"(sica#$ +en!a#$ socia#'

A-sence o disease$ i##ness$ ain'

Rese)*e o) coin. %i!" s!)ess and i##ness' Func!iona# a-i#i!( !o a##o% !as !o -e e)o)+ed'

Posi!i*e %e##,-ein.'

Cono)+i!( !o e7ec!ed no)+s'


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0ELLNESS

A s!a!e o d(na+ic "(sica#$ +en!a#$ socia#$ and si)i!ua# %e##,-ein. !"a! ena-#es a e)son !o ac"ie*e u## o!en!ia# and anen9o(a-#e #ie


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0H< 0ELLNESS=

Hea#!" is con!inuu+$ no! an end oin!'

Hea#!" is no! o-9ec!i*e$ -u! i!>s )esou)ces'


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DISEASE$ ILLNESS$ AND SIC?NESS

I##ness$ Sicness$ Disease a)e )e#a!ed -u! dis!inc! conce!'

I!s disease>s cons!i!uen!s'


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ILLNESS

Su-9ec!i*e sense o ee#in. un%e##'

I##ness does no! defne a secifc a!"o#o.('

Ree)s !o a e)son>s su-9ec!i*e e7e)ience o i!$ suc" as

disco+o)!$ !i)edness$ o) .ene)a# +a#aise'


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SIC?NESS

Socia##( and cu#!u)a##( "e#d conce!ions o "ea#!" condi!ions/e'.'$ !"e d)ead o cance) o) !"e s!i.+a o +en!a# i##ness5$

%"ic" in !u)n in@uence "o% !"e a!ien! )eac!s' T"e socia# e)ce!ions o disease +odi( !"e %a(s a a!ien!

e)cei*es and )esen!s "is s(+!o+s'

Cu#!u)a# con*en!ions #ie%ise aec! %"e)e !"e -ounda)(-e!%een disease and non,disease is #aced


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DISEASE

Pa!"o#o.ica# )ocesses !"a! +a( o) +a( no! )oduces(+!o+s and !"a! )esu#! in a a!ien!>s i##ness'

T"e de*ia!ion )o+ !"e no)+a# dis!)i-u!ion'

Re#a!ed !o -io+edica# asec!$ dia.nosed -( "(sician$ usua##(-e#ie*ed #oca!ed in secifc o).an o) s(s!e+$ cu)a-#e !")ou."secifc !)ea!+en!'

Jud.ed -( %e##,!)ained "(sician'


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HEALTH STATS

Hea#!" is a-s!)ac!'

Hea#!" s!a!us is +easu)a-#e'

A )an.e o +anies!a!ion o disease in .i*en

a!ien!ou#a!ion$ inc#udin. s(+!o+s$ unc!iona# #i+i!a!ion$and ua#i!( o #ie'

6o)e !"an !"e )esence o) a-sence o disease

I! +easu)es +an( di+ensions o "ea#!"$ suc" as "(sica#i##ness and +en!a# %e##,-ein.'


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HEALTH STATS 6EASRE6ENT &INDICATOR

Indica!o) used !o +easu)e "ea#!" s!a!us'

Posi!i*e "ea#!" s!a!us indica!o)s *s' Ne.a!i*e "ea#!" s!a!usindica!o)

Indi*idua# #e*e# *s' ou#a!ion #e*e#'

O-9ec!i*e +easu)e+en! *s' su-9ec!i*e +easu)e+en!'


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DETER6INANT OF HEALTH & RIS?FACTOR

De!e)+inan! o "ea#!" is a )an.e o e)sona#$ socia#$ econo+ic$

and en*i)on+en!a# ac!o)s !"a! in@uence "ea#!" s!a!us' Ris ac!o) is an( a!!)i-u!e$ c"a)ac!e)is!ic o) e7osu)e o an

indi*idua# !"a! inc)eases !"e #ie#i"ood o de*e#oin. a diseaseo) in9u)('


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6ODEL OF DETER6INANTS OFHEALTH

Bio+edica# +ode#

Eide+io#o.ica# T)ian.#e T)iad

Conce!ua# cause and co+onen! ies'

Fo)ce fe#d & %e##,-ein. a)adi.+ o "ea#!"

Socia# +ode# o "ea#!"


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BIO6EDICAL 6ODEL OF HEALTH

T)adi!iona# *ie%

Sea)a!e -od( and +ind

T"e de!e)+inan! is !"e )o*ision o "ea#!"ca)e

Disease o) i##ness aea) %"en -od( ai# !o unc!ion due !o+an( causes'

Hea#!" is no )esence o so+a!ic si.n & s(+!o+$ and !"ea-sence o disease'


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EPEDI6OLOGICAL TRIAD


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T)adi!iona# +ode# o inec!ious disease causa!ion' E7!e)na# a.en!

+ic)oo).anis+$ "(sica# c"e+ica# a.en!' Susce!i-i#i!( o "os!

in!)insic ac!o): a.e$ se7$ -e"a*io)$ .ene!ic$ SES' En*i)on+en!a#

e7!)insic ac!o)$ aec! a.en! & aci#i!a!e e7osu)e' P"(sica#$Bio#o.ica#$ Socioecono+ic'


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CASAL PIES


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6u#!i#e causes /)is ac!o)s5$ non,inec!ious disease Necessa)( cause

Sucien! cause


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FORCE,FIELD 6ODEL


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H'L' B#u+

He)edi!( 6edica# se)*ices

Lie s!(#e

En*i)on+en!


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SOCIAL 6ODEL OF HEALTH


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CONCLDING RE6AR?S

Hea#!" is co+#e7 conce!'

Hea#!" is no! !"e fna# o-9ec!i*e' Hea#!" s!a!us is +easu)ed !o )e)esen! "ea#!"'

Hea#!" s!a!us is de!e)+ined -( +u#!i#e ac!o)s'


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THAN?

2-CONCEPT of Health & Illness 08-06-2015

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