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Health

Page history last edited by Dmitry Sokolov 10 months, 2 weeks ago

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https://en.wikipedia.org/wiki/Health

This article is about the human condition. For other uses, see Health (disambiguation).

"Healthy Living" redirects here. For the publishing imprint, see Book Publishing Company.

Health is the level of functional and metabolic efficiency of a living organism. In humans it is the ability of individuals or communities to adapt and self-manage when facing physical, mental, psychological and social changes with environment.[1] The World Health Organization (WHO) defined health in its broader sense in its 1948 constitution as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity."[2][3] This definition has been subject to controversy, in particular as lacking operational value, the ambiguity in developing cohesive health strategies, and because of the problem created by use of the word "complete".[4][5][6] Other definitions have been proposed, among which a recent definition that correlates health and personal satisfaction.[7][8] Classification systems such as the WHO Family of International Classifications, including the International Classification of Functioning, Disability and Health (ICF) and the International Classification of Diseases (ICD), are commonly used to define and measure the components of health.

See also

Book icon

http://wiki.p2pfoundation.net/Health

Physical and mental health, and access to appropriate care in the case of illness or disability

Bodily and mental well-being, or health, is a basic need, without which we can enjoy little else in life. It is sometimes assumed that the availability of health-care is equivalent to meeting the need for health, but it needs to be recognized that if risk-factors are minimized, then there is less need for health-care while assuring the same level of overall health. Furthermore, many of the things we do in order to maintain our health (for example, healthy eating) are not strictly-speaking health-care. It is therefore essential to see health in a broad ecological and social context.

Relationships to other needs

“Clean air to breathe” “Clean water to drink, for cleanliness, for cooking and as habitat” “Sufficient and nutritious food, appropriate to one’s cultural preferences and taste” Clean air and water, and good nutrition, are essential for health.

“Being at home in the place where one lives” If one feels at home, one is more lively, one's vulnerability to disease agents is less, one's immune functions are likely to be enhanced, and one is able to recover from disease more quickly and completely. Being at home enhances one's self-healing capacities.

“Mobility to reach the places one needs to go, with appropriate modes of transportation” Mobility may be needed both by patients to reach hospitals, clinics and the like, and for doctors and healers to reach patients.

“Security from bodily, emotional, and mental harm; this includes security when one cannot take care of oneself (e.g., in infancy and childhood, in old age, or due to illness or disability)” Many of the harms from which one needs to be secure are harms to health. Hence, greater security directly contributes to greater health. Greater security can also indirectly contribute to health, by allowing people to focus their entire energy to overcoming disease, without being distracted by the need to defend themselves from other threats.

“Clothing appropriate to one’s cultural and individual preferences, and the climate” “Shelter/housing appropriate to one’s cultural and individual preferences, and the climate” Inadequate clothing and housing may lead to overexposure to environmental conditions such as cold, rain or sun, and thus ill health.

“Supportive relationships with other people, relationships that empower, that contribute to a gain in personal energy rather than an energy drain” Poor relationships with other people directly create distress, and contribute to mental disease. Since mind and body are closely connected, they also contribute to bodily diseases, or impede recovery from disease.

“Opportunities to learn anything and everything relevant to one's life” Learning about matters pertaining to health is vital to living healthily, preventing disease, and taking the right steps to recover from disease. As in all matters of education, there can also be miseducation, that prevents people from understanding what they need to know in order to be healthy.

“A meaningful livelihood that allows one to meet one’s other needs” A livelihood (meaningful or not) is needed in order to live a healthy life (e.g., with good nutrition, shelter etc.), and in most countries is also needed in order to have access to good health care. If one feels that one's livelihood is meaningful, one will also tend to be inclined toward more healthy choices in one's life in general, and contribute with greater joy to the healthy living of others.

“Participation in collective economic and political decision-making” Many decisions that either directly affect people's health, or that affect the quality of health-care, must be made collectively. Such decisions affect the risks of everyday life as well as the hazards in the case of extreme events such as earthquakes and floods; they also affect how hospitals are run, who gets access to medical services, and the like. Only if all social groups can have their voices heard can it be assured that such decision-making benefits everyone.

“Having enough time to relax, to think, to imagine, to enjoy life, to play, to be alone” “Spiritual connection with one’s deeper self and with a transcendent unity” “A freely chosen life direction” A healthy, well-balanced, and fulfilled life includes all of these aspects, without which one's full human potential cannot be attained. True health, which means wholeness, does not exist without them.

Understanding patterns of abundance and scarcity

Good health begins with healthy living conditions: clean air, clean and plentiful water, a sufficient, nutritious, and balanced diet, good shelter, and loving and supportive relationships. If widespread abundance is achieved in these areas, covered in other sections of NORA, most of the struggle against poor health will already be won.

Beyond these very basics, it is important to work toward health-promoting environments in other ways as well. It is of key importance to design cities and village such that there are few traffic deaths and it is fun and pleasurable to be outside, whether for recreation, chatting with friends, going on a walk, or getting somewhere by walking or cycling. Not only do people then engage in the physical exercise that they need, they are also more likely to feel at home in the place, and take an interest in the neighborhood.

Avoidable risks should be reduced, particularly where there is no conceivable benefit to exposure to those risks. This entails vigilance about food additives and potentially harmful substances in cosmetics, and designing workplaces (in factories, in mines, in offices, on agricultural fields etc.) such as to eliminate hazardous conditions. Regulations in these areas are often insufficient because of the clout of the food, cosmetics, and chemicals industries, and because employers consider it a cost to take care of the safety of their workers. Greater workplace democracy, whether through strong unions or through worker-ownership of companies, helps to ensure greater respect for the needs of workers. In many jobs, the health risks come not from overt injury, but from long-term stress; a more relaxed pace of work, and more focus on collaboration rather than competition would help to reduce stress and promote health.

Widespread education about matters pertaining to health is also important, including knowledge of basic hygiene, how to deal with common illnesses, stress-reduction techniques, massage and the like. Such education should also extend to knowing what questions to ask of doctors and other healers when being treated. Education can occur both in formal instruction and through all kinds of informal means, including broadcast and print media, the Internet, and street performances. The possibilities are endless.

It is only within the above context that curative healthcare can achieve its greatest potential. Large-scale immunization can then eliminate the most pervasive infectious diseases. Skilled and nurturing care for mothers and their infants can then all but eliminate maternal, infant and child mortality. The scourges that led to low life expectancies in the past (by today's standards, that is) can almost be done away with. Where they persist, they do so because of rampant injustice in access to food, clean water, and basic health services, and unequal exposure to a variety of hazards, many of them in and around hazardous workplaces.

Modern medicine has triumphed in combating diseases that have a clearly identifiable cause, such as viral or bacterial diseases, or where an offending organ can be simply removed, as in appendicitis. However, it performs poorly in those diseases where there are a host of risk factors but no clear cause, as in cardiovascular diseases and cancer. People with high blood-pressure are put on blood-pressure reducing medicines for the rest of their lives – this is not a cure, it just reduces symptoms. Modern medicine also fails to recognize the links between mental and physical health, and it altogether fails in treating mental illness. Mental illnesses have been increasing dramatically even while psychiatric drugs are supposedly leading to better treatments than in the past – what better proof of failed treatment than more disease with more treatment? The distrust of the “placebo effect” (the phenomenon that patients who believe they will get better often do get better) seems to have led to an effort to intentionally make patients feel bad, which reduces their chances of recovery. It can hardly be surprising, then, that more and more people are seeking treatment from “alternative” healers. The challenge to medicine is to find ways to consciously stimulate the “placebo effect” (which should more appropriately be called the patient's self-healing capacity). This could be done through a synthesis of different healing approaches, while fostering a supportive relationship between doctor and patient.

The dominant medical institutions, however, tend to block a path toward synthesizing the best knowledge from all healing approaches. This is partly because of a model of research and knowledge that validates only a very few methods of scientific inquiry (e.g., the “double-blind” method), and a refusal to recognize that medicine must be as much a social as a natural science (and thus should learn, for example, from anthropological and sociological methods of study). Existing medical institutions have invested heavily in expensive diagnostic machines (e.g., cat-scans), that must be paid off, and that are seen as the guarantors of their scientific approach. Methods of calculating payments validate the use of such machines, and invalidate deep listening by the doctor, or careful probing about a patient's social and psychological conditions which may do more to explain disease than any physical condition. Despite the fact that people clearly have muscles and muscle tension contributes to innumerable illnesses, massage is seen with suspicion, almost as something esoteric, instead of being incorporated into standard treatment regimes. Institutional change is required in order to allow integration of a holistic approach to treatment of illness.

This lack of integration also drives up healthcare costs. Iatrogenic disease (disease caused by the treatment of a disease) is a serious problem according to authoritative, established sources, and arises if doctors do not treat whole human beings, but focus only on diseased organs. By failing to recognize psychological or social causes of diseases, doctors fail to treat the real causes of disease (for example, those diseases caused by stress); if one such disease is “successfully” treated (or at least its symptoms alleviated), the stress will simply manifest in a different way in a different part of the body, leading to more expensive treatments.

Within this context, the high costs of medicine are a major driver of high healthcare costs. The costs of medicine are kept high as a result of patents, which are a government intervention to enable the establishment of temporary (usually 20-year) monopolies. The patents are supposedly designed to reward investments in research and development, but a large share of those costs are actually paid by government bodies (e.g., in US, NIH), which means that the public pays for research twice (first through taxes, second through monopoly prices). The R&D costs are dwarfed by advertising, especially high in the US where there is lots of direct-to-consumer advertising. A lot of the money spent on “further education” of doctors at conferences is also advertising for pharmaceuticals. Much of the R&D spending is for minor tinkering with drugs, so that when an old patent runs out, an insignificantly altered drug can be marketed as a “new” drug, at high price (with a new patent). The entire patent system furthermore leads to a focus on drug-based health-“care,” and a neglect of approaches that do not depend on drugs and do not allow patents to be claimed. There's also no incentive to take side effects of drugs really seriously; those in fact tend to increase revenue as patients take a whole cocktail of drugs. In countries where the government takes a pro-active stance to regulate drug prices, prices may be somewhat reasonable despite patent monopolies, but where the government does not take this approach, drug prices tend to be exorbitant.

Private health insurance can also drive up the costs of healthcare, as bureaucratic costs tend to increase as the insurers second-guess the doctors and vice versa. The insurance companies often present yet another barrier to the unbiased assessment of new approaches to treatment.

These and other tendencies have led to a seemingly perpetual increase in healthcare costs, even while life expectancies are creeping up only marginally in the core industrialized countries. Progress is supposed to lead to greater efficiency (reduced costs), but here what is touted as progress is clearly leading to reduced efficiency. Private (and often public) healthcare facilities try to compensate this trend by hiring nurses and other staff at as low salaries as they can, while making them work harder. Hence, many such facilities in the core industrialized countries depend increasingly on immigrant labor.

Where healthcare is performed for profit (for-profit hospitals, insurance companies, and pharmaceutical companies), the most profits can be derived from people who are sick almost all the time, who are constantly in need of treatment and drugs, but do not die until they are quite old. This is the direction we are heading in more and more countries of the world. Instead, what are needed are healthcare institutions that benefit when people are healthy almost all the time, and tend to die in old age after a comparatively short period of illness. The challenge is to design institutions aligned in this way.

Approaches to creating greater abundance

public health programs

community health initiatives

health education programs

public water provision

water filtration systems for small communities and households

complete streets

regulation of food additives; disclosure of additives present in food

research involving collaboration of doctors and patients

Health Commons: an approach to collaborative research and sharing of results

social science approaches to studying disease, and treatment of disease

approaches to healing disease that involve active participation of patients, that activate the patients' self healing capacities

WHO list of medicines that are the most essential and that are not patent-protected

laws that publicly funded research must not be patented

public health insurance

customer-owned health insurance

health insurance scheme for musicians in Austin, Texas

artabana (mutual aid system in Germany)

surely a lot more here

Research project at the Ostrom Workshop on the Health as a Commons

Literature

This section is to include fairly general literature relating to the institutions that affect abundance and scarcity in health and health care; literature pertaining to more specific topics will be included in more specialized pages.

Angell, M. 2004. The Truth about the Drug Companies: How They Deceive Us and What to Do About It. New York: Random House.

Humber, J. and Almeder, R. (eds.) 1998. Alternative Medicine and Ethics. Totowa, NJ: Humana Press.

Illich, Ivan. 1976. Medical Nemesis: The Expropriation of Health. New York: Pantheon Books.

Leape, L. 2000. Institute of Medicine Medical Error Figures are Not Exaggerated. Journal of the American Medical Association 284: 95-97.

Leape, L. and Berwick, D. 2005. "Five Years after To Err is Human: What Have We Learned?" Journal of the American Medical Association 293: 2384-2390.

Malpani, R. and Kamal-Yanni, M. 2006. "Patents versus Patients: Five Years after the Doha Declaration"

McKeown, T., Record, R. G., and Turner, R. D. 1975. An Interpretation of the Decline in Mortality in England and Wales During the Twentieth Century. Population Studies 29: 391-422.

Spiro, H. 1998. The Power of Hope: A Doctor's Perspective. New Haven, CT: Yale University Press.

Wilkinson, R. G. 1996. Unhealthy Societies: The Afflictions of Inequality. London: Routledge.

Links

Links to organizations addressing health issues of the kinds addressed in this section to be added here. Links for more specialized organizations will be added on more specialized pages.


Links  

http://www.dmoz.org/Health/

https://en.wikipedia.org/wiki/Category:Health

Articles on the healthcare professions and the health sciences are contained in the: Category:Health sciences.

In humans, health is the general condition of a person's mind, body and spirit, usually meaning to be free from illness, injury or pain (as in “good health” or “healthy”).

http://wiki.p2pfoundation.net/Category:Health

Subcategories

Healthy Life

Health and Safety

Health Grades

`` ► Health by continent (17 C)

► Health by country (228 C, 13 P)

► Health by individual (13 P)

► Health effects by subject (6 C, 13 P)

`*

► Health-related lists (9 C, 35 P)

`A

` ► Health and medical activism (2 C, 3 P)

► Health activists (10 C, 28 P)

► Alcohol and health (3 C, 11 P)

`C

` ► Children's health (6 C, 8 P)

`D

` ► Health deities (3 C, 5 P)

► Disability (25 C, 102 P)

► Health disasters (11 C, 17 P)

► Diseases and disorders (31 C, 27 P)

► Human diseases and disorders (9 C, 30 P)

` Animal

Alternative

Healthcare Industry

Medicine

Regional

Addictions

Aging

Beauty

Child Health

Conditions and Diseases

Conferences

Dentistry

Directories

Disabilities

Education

Employment

Environmental Health

`History

Home Health

Insurance

Issues

Medical Tourism

Men's Health

News and Media

Nursing

Nutrition

Occupational Health and Safety

Organizations

Pharmacy

Products and Shopping

Professions

Public Health and Safety

Publications

Reproductive Health

Resources

Search Engines

Senior Health

Senses

Services

Specific Substances

Support Groups

Teen Health

Travel Health

Weight Loss

Women's Health

E

` ► Health economics (9 C, 98 P)

► Health education (20 C, 51 P)

`F

` ► Food and drink (41 C, 24 P)

`G

`H

` ► Health paradoxes (2 P)

► Hygiene (15 C, 97 P)

`I

`L

` ► Health law (11 C, 33 P)

`M

M

Medical Imaging (empty)

` ► Men's health (5 C, 60 P)

Mental Health

► Midwifery (4 C, 191 P)

► Mountaineering and health (2 C, 14 P)

► Health movements (7 C, 18 P)

`N

` ► Nutrition (26 C, 221 P)

`O

► Health officials (4 C, 11 P)

► Medical and health organizations (45 C, 2 P)

``P

` ► People in health professions (44 C, 11 P)

► Health policy (13 C, 33 P)

``Q

` ► Quality of life (9 C, 48 P)

``R

` ► Race and health (1 C, 10 P)

► Health research (6 C, 28 P)

``S

` ► Health sciences (18 C, 75 P)

► Sexual health (13 C, 93 P)

``W

` ► Women's health (14 C, 74 P)

► Works about health (16 C, 4 P)

``Y

` ► Youth health (3 C, 4 P)

``Σ

` ► Health stubs (12 C, 82 P)

Pages

3

` 3D Slicer

`A

` AbilityMate

Access to Health

Access to Medicines

ActivMob Health Platform

Alexandra Carmichael and Jen McCabe on Participatory Medicine

All Trials

Alternative Incentives for Health and Pharma

Amar Kendale on Reshaping Electronics for Connected Health

Andrea Ippolito on the H@cking Medecine Initiative

Andy Kessler on Technology and the End of Medicine

Anna Betz

Anticommons in Biomedical Research

Apomediation

Aristotelis Kalyvas

Aternatives to Emergency Medical Services

`B

` Barry Bunin, Andrew Hessel, and Jonathan Izant on Open Source Drug Discovery

Ben Goldacre on Why Medicine Research Should Be Open

Biomedical Research Commons

BioStrike

Buurtzorg

`C

` Camille Kerr on Unionized Platform Cooperatives for the Caregiving Industry

Can Patents Deter Innovation

Care Revolution

Case for Commons Health Care

Clay Shirky on Health 2.0

Clinical Expert Operating System

Co-Creating Health Services

Co-op Models for the Production of Health and Social Services

Coming Up Short Handed

Commercial Open Source Biotechnology

Common Ground Health Clinic

Commons for Public Health - 2013

Commons Health Care

Commons Health Hospital Challenge

Commons of Health and Well-Being

Community Nursing

Community-Based Cooperative Healthcare

Competitive Intermediators

Consent to Research

Consumer Health Social Networking

Continua Health Alliance

Crowdfunding for Medical Expenses

Crowdsourcing Medical Diagnosis

Cura

Curēus

Customizable Open Hackable Prostetics

`D

` Declaration of Health Data Rights

Democratically Accountable Ownership Model for Health and Care Services

Desktop Medicine

DIY Health

DIYgenomics

`E

` EHealth

Emerging Patient-Driven Health Care Models

Enclosures of Essential Medicines

Equitable Access and Neglected Disease Licensing

Equitable Health Research Licensing

Evidence from Human Genome Research on Anti-Innovation Effects of Patents

Evolving Role of Open Source Software in Medicine and Health Services

EyeWriter Project

`F

` Fair Care

Fiji

From Mutual Aid to the Welfare State

From Open Source to Open Sourcing Digital Medical Devices

Funeral Coop

Fureai Kippu

`G

` Genetic Data Sharing Agreements

Global Alliance for Genomics and Health

`H

` Hacking Health

Harnessing Openness to Transform American Health Care

Health

Health 2.0

Health and Healthcare Institutions as Commons

Health as a Commons

Health Care Commons

Health Commons

Health Commons Hub

Health Data Cooperative

Health Effects of Electromagnetic Waves

Health Impact Fund

Health of Nations

Health Services 2.0

Health-Care-Sharing Ministries

How Open Source Software Helped Stop Ebola

`I

` In Control

Indie Bio

Innovation Inducement Prizes

InVesalius

`J

` Jamie Harvie

Jay Bradner on Open Source Cancer Research

Jay Bradner on Open-Source Cancer Research

Jermain Kaminski on the YouMeIBD Interactive Online Matchmaker for Patients

John Wilbanks on the Health Commons

John Wilbanks on the Implications of Open Health Data

Journal of Participatory Medicine

`L

` LavaAmp

Little Devices @ MIT

`M

` Managing the Health Commons

Marcy Darnovsky on Progressive Bioethics

Marisa Morán Jahn on CareForce

Medfloss

Medical and Health Commons

Medical Commons

Medical Device Co-ordination Framework

Medical Innovation Inducement Prizes

Medicine 2.0

Medicine 3.0

Medicines as a Public Good

Medicines Patent Pool

MedPedia

MiData Coop

Mumsnet

Mutual Aid Street Medics

`N

` National Alliance for Medical Image Computing

Needs Sharing

Nesta's Introduction to People-Powered Health

Netention

Networks of Care

New services for People Powered Health

Nicholas Christakis on Evolving Social Networks and their Future Applications

`O

` Occupy Healthcare

Occupy Medical

Open Access Emergency Medicine

Open Bioinformatics Foundation

Open Care

Open Clinical Trials

Open EEG

Open EHR

Open Electronic Medical Record System

Open Electronic Patient Records

Open Eyes

Open Hand Project

Open Health

Open Healthcare Framework

Open Innovation in Health/Science

Open Insulin Research Group

Open Medicine

Open mHealth

Open QRS

Open Source Bio-Amplifier

Open Source Computed Tomography Scanner

Open Source Dentistry

Open Source Dividends

Open Source Drug Discovery

Open Source Drug Discovery Attribution and Authorship Policy

Open Source Genomics

Open Source Hardware Electrophysiology

Open Source Hardware Medical Device Platform

Open Source Health Research

Open Source Herbalism

Open Source Insulin

Open Source Malaria

Open Source Medical Device

Open Source Medical Devices

Open Source Medical Implants

Open Source Medical Journals

Open Source Medicine

Open Source Prosthetics

Open Source Robotic Surgeon

Open Source Telemedicine

Open Source Yoga Unity

Open Spirometry

Open Surgery

Open Βionics

`P

` P2P Healthcare

Pardis Sabeti on Open Sourcing the Ebola Virus Research

Participatory Medicine

Pat Conaty on Social Cooperatives

Patient Innovation

Patient/Physician Cooperative

Patients Like Me

Peer-to-Peer Health Care

Peer-to-Peer Healthcare

Pharma Open Source Collaborations

Pink Army Cooperative

Popular Culture of Internet Activism

Preservation of Equity Accessible for Community Health

Prizes for Innovation

Programmable Self

Prospective Research

`R

` Raven

Robohand

`S

` Sage Commons

Self-Managed Healthcare Cooperatives

Sharing Pharmaceutical Research

Shimon Rura on the Open Research Exchange Project for Healthcare Patients

Social Blood

Social Clinics

Social Cooperatives as a Democratic Co-Production Agenda for Care Services in the UK

Social Health Movement

Social Networks for Healthcare

Social Pharmacies

Society for Participatory Medicine

Software Transparency in Implantable Medical Devices

Soil and Health Library

Solidago

Steve Case on Revolution Health

Street Medics

Strong Roots

Support Group 2.0

S

` SUSY on the CASA Employee-Owned Care Provider in Manchester

SysBorg

`T

` Talha Syed

Tim Hubbard on Open Access to Medicines

Time for Health Exchange

Towards a New Participatory Citizen Science Contract for Science Data Mining and Biobanking

Traditional Medicinal Knowledge Commons

Transparency Life Sciences

`U

` Ulrich Genicke on the MIDATA Health Data Cooperatives in Germany

Universities Allied for Essential Medicines

Unleashing the Potential of Ethical and Cooperative Health and Care Data

`V

` Voice and Choice by Delegation

`W

` Web 2.0 Services in Medicine

Whirlwind Wheelchair International

WikiPreMed Open Publishing Business Model

Woodbine Health Autonomy Center

Workers Health Assurance Groups

WorldVistA

`Y

` Yo Sí Sanidad Universal

`Z

` Zooniverse

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