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HEALTH AND ILLNESS Assoc. Prof. Petko Salchev, MD, PhD
[object Object],HEALTH AND ILLNESS
Stages in the development of the concept for health and illness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Empirical-sensory knowledge ,[object Object],[object Object]
Humoral concept ,[object Object],[object Object]
Mechanistic-systemic concept ,[object Object],[object Object]
Biomedical (etiological) concept ,[object Object],[object Object]
Model :   agent  –  host  –  environment (etiological) agent host Mode of  transmission environment
Enhanced model :   agent  –  host  –  environment  ( etiological - pathogenic ) ,[object Object],[object Object],[object Object],[object Object]
Enhanced model :   agent  –  host  –  environment  ( etiological - pathogenic ) agent host Mode of  transmission environment Factors: Gender, age, genetic, psychological, lifestyle Factors: physicochemical, genetic, socio-economic Factors: Biological, genetic, nutritional, chemical, mechanical
Psychosocial concept  ,[object Object]
Ecological concept for health   ,[object Object],[object Object]
Holistic concept   ,[object Object],[object Object]
Socio-medical concept ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Model of health  –  socio-medical concept  health disease birth death life chronification Permanent disability (invalidity) Unknown factor Known factor treatment rehabilitation Promotion  Primary prophylaxis Secondary prophylaxis Tertiary prophylaxis Vital processes Health activities diagnostics
Vital processes   ,[object Object],[object Object],[object Object],[object Object]
Definitions of health   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health as a condition or process ,[object Object],[object Object]
Health as a human right. Constitution of Bulgaria ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health as a combination of statistical features  ,[object Object],[object Object],[object Object]
Health is a multi-aspect category  ,[object Object],[object Object]
Example :  distribution of diastolic and systolic blood pressure   norm norm mm Hg 20 120 140 240 200 220 160 180 100 80 60 40 diastolic systolic count
Example :  assessment of individual health status  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health as a measure of vitality ,[object Object],[object Object]
Health as an integral category ,[object Object],[object Object]
Integral model of health  person health physical mental social physicochemical factors of the environment socio-economic factors - family, society, occupation
Definition of health ,[object Object]
Leading determinants of health  ,[object Object],[object Object],[object Object]
Strength of association in  %  of different factors with health 100 % 0 % Genome – 10% Health service – 10 % Lifestyle – 20% Physicochemical environmental factors – 10% Socio-economic factors – 50%

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Health And Illnesss Prez Eng

  • 1. HEALTH AND ILLNESS Assoc. Prof. Petko Salchev, MD, PhD
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Model : agent – host – environment (etiological) agent host Mode of transmission environment
  • 9.
  • 10. Enhanced model : agent – host – environment ( etiological - pathogenic ) agent host Mode of transmission environment Factors: Gender, age, genetic, psychological, lifestyle Factors: physicochemical, genetic, socio-economic Factors: Biological, genetic, nutritional, chemical, mechanical
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Model of health – socio-medical concept health disease birth death life chronification Permanent disability (invalidity) Unknown factor Known factor treatment rehabilitation Promotion Primary prophylaxis Secondary prophylaxis Tertiary prophylaxis Vital processes Health activities diagnostics
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. Example : distribution of diastolic and systolic blood pressure norm norm mm Hg 20 120 140 240 200 220 160 180 100 80 60 40 diastolic systolic count
  • 23.
  • 24.
  • 25.
  • 26. Integral model of health person health physical mental social physicochemical factors of the environment socio-economic factors - family, society, occupation
  • 27.
  • 28.
  • 29. Strength of association in % of different factors with health 100 % 0 % Genome – 10% Health service – 10 % Lifestyle – 20% Physicochemical environmental factors – 10% Socio-economic factors – 50%