The Second Fifty Years Promoting Health and Preventing Disability (1992) / Chapter Skim
Currently Skimming:
Appendix B: Looking for Order: Health Promotion, Disablity Classification System of the World Health Organization
Appendix B: Looking for Order: Health Promotion, Disablity Classification System of the World Health Organization
Pages 311-320
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 311... ...
The expectations that inform this dispute are linked to two interwoven sources: the politics between competing modes of health care inside HPDP and the desire to underpin our reasoning with foundational concepts and scientific method. The former topic is briefly discussed here and in Appendix A; the latter forms the core of this discussion, which will explore the philosophical tenets that run through the goals of the World Health Organization's (WHO)
|
From page 312... ...
Definitive results are seldom produced by an immature field, but the interim findings available may suggest approaches that are, at least, better than doing nothing. This problem is not simply applicable to summaries of the knowledge of health care.
|
From page 313... ...
roughly to the philosophies of two groups: advocates of an acute care model and those who follow more social modes of health care. The latter comprises several subgroups that find their goals in the traditions of the American public health movement, preventive medicine, rehabilitation, and long-term care.
|
From page 314... ...
(Since that time, "medical model" has become much broader and less determinate owing both to critics of Siegler and Osmond's philosophy of psychiatry and to other authors who have chosen to define the model in their own terms.) Today, however, health care policymakers are now being asked to develop a world view that will suit the needs of an aging population, and there is a growing belief that the acute care understanding is not sufficiently Health care analysts are convinced that the increased longevity and growing proportions of the elderly will be accompanied by significantly greater demands for health care for the chronically ill and disabled.~° It is in the face of these quantitative changes in the population and the qualitative changes in their health service needs that alternatives to the acute care framework are being proposed.
|
From page 315... ...
The implications of Cartesian dualism are faintly echoed in the goals of the classification of impairments, disabilities, and handicaps. One of WHO's purposes in creating these categories was to provide more relevant information about the consequences of disease (and the health care systems that deliver care for people suffering from these consequences)
|
From page 316... ...
Rather, the system's creators have deliberately attempted to accommodate the framework of the system to Tong-standing methods for disease classification. Through the system, they have borrowed their terminology from established health care sciences.
|
From page 317... ...
a preoccupation with pursuing single and elemental causes.~3 In the introduction to the WHO classification system manual, its authors indicate their sensitivity to the reductionist problems of the acute care framework and emphasize the incompatibility of the inherent goals of the conceptual order of WHO's Internatior~a] Classification of Disease and the goals of the health care delivery systems clesignec3 to address the consequences of disease.
|
From page 318... ...
The various theories of health, disease, assessment, and disability the majority of which are hidden in the implicit assumptions of journal articles and medical textbooksbegin with overarching concepts that attempt to coherently frame health phenomena. The following Kuhnian description of normal science applies equally well to these specialized health care research projects: "we shall want finally to describe that research as a strenuous and devoted attempt to force nature into conceptual boxes." Thus, it would seem that the consequences of disease have been adequately covered when there is a coherent and widely accepted system to describe them.
|
From page 319... ...
Health Care Financing Administration Publ. 6 through Rev.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.