The Doctor is Out: Health happens where you live, learn, work & play
-
Upload
burnessdigital -
Category
Health & Medicine
-
view
80 -
download
2
Transcript of The Doctor is Out: Health happens where you live, learn, work & play
![Page 1: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/1.jpg)
The Doctor is Out: Health happens where you live, learn, work & play
Douglas Jutte, MD, MPHUC Berkeley School of Public
HealthSOCAP13
1
![Page 2: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/2.jpg)
![Page 3: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/3.jpg)
Health ≠ Healthcare
Medical care
![Page 4: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/4.jpg)
Physical Environment
5%
Genetics30%
Medical care10%
Behavioral choices
40%
Social Circumstances
15%
Source: McGinnis JM, Russo PG, Knickman, JR. Health Affairs, April 2002.
“Actual Causes” of Premature Death
![Page 5: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/5.jpg)
World Health Organization definition of Health
“Health is a state of complete physical, mental and social well-being and not merely the absence
of disease or infirmity”
Source: Preamble to the Constitution of the World Health Organization, June 1946
![Page 6: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/6.jpg)
![Page 7: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/7.jpg)
“Certainly maldistribution of healthcare is one of the social determinants of health...”
“(T)he high burden of illness… arises… because of the conditions in which people are born, grow, work, and age.”
WHO 2008 Commission on Social Determinants
of Health
![Page 8: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/8.jpg)
Retrieved from: www.smartcitymemphis.com/cartoon/toxic-stress/
![Page 9: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/9.jpg)
“Toxic Stress”
![Page 10: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/10.jpg)
The Socioeconomic Gradient in HealthMortality rate per 1000 - age 40 to 64 years
(Whitehall II study - Marmot & Shipley 1996 BMJ)
4.7
17.6
12.4
7.3
0
5
10
15
20
Administrative Professional andExecutive
Clerical Semi-skilled andUnskilled
British Civil Service Class
Mo
rtal
ity
rate
per
100
0
![Page 11: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/11.jpg)
![Page 12: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/12.jpg)
12
Global Life Expectancies (in years)
Source: Adapted from Global Education Project. (2004). Human conditions: World life expectancy map.
![Page 13: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/13.jpg)
13
Washington, D.C.
Source: Robert Wood Johnson Foundation, Commission to Build a Healthier America
72 YEARS
![Page 14: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/14.jpg)
14
New Orleans
Source: Robert Wood Johnson Foundation, Commission to Build a Healthier America
![Page 15: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/15.jpg)
15
Minneapolis & St. Paul,
Minnesota
Source: Robert Wood Johnson Foundation, Commission to Build a Healthier America
![Page 16: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/16.jpg)
16
addresses social injustice
![Page 17: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/17.jpg)
“Reducing health inequities is an ethical imperative. Social injustice is killing people on a grand scale.”
WHO 2008 Commission on Social Determinants
of Health
![Page 18: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/18.jpg)
yields a Health ROI
18
thrives on disruption
addresses social injustice
$2.8 Trillion ACA
Aging population
![Page 19: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/19.jpg)
People in the U.S. over 65 will double in the next 40 years
![Page 20: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/20.jpg)
20
:
HEALTH Welcome
![Page 21: The Doctor is Out: Health happens where you live, learn, work & play](https://reader030.fdocuments.in/reader030/viewer/2022032421/55a833941a28abb9128b4603/html5/thumbnails/21.jpg)
yields a Health ROI
21
thrives on disruptionACA
$2.8 Trillion
Aging population
addresses social injustice