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Differences between biomedical models of health
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Public health is a concept that will always be subject to conflicting opinion. Over the year’s different ‘models’ of health have been formulated in order to categorise public health into dominant areas of cause and effect. The two models in which this essay will be focusing on are the Biomedical Model and the Lifestyle Theory Model. Although both models have equally arguable advantages and disadvantages, it is difficult to state either model as being ‘right’ or ‘wrong’ in defining the correct pathway to resolving the central health issues of today. The Biomedical Model constitutes the absence of disease, pain and defect of the body (Fanany, 2012). (Baum, 2012) describes the Biomedical Model in reference to the human body “like clockwork”. He believes that the body is like a machine. Every individual part that fits together must be able to function interpedently for the rest of the body to work – just like a clock. Following Baum’s reasoning, the Biomedical Model is centred upon the treatment of health problems. For example if a person has a disease or falls ill the Biomedical Model’s focus is towards the body’s physical processes, which includes biochemical, pathological and physiological (Fanany, 2012). This diagnostic approach involves firstly, locating the cause of the illness (the pathogen), and secondly, treating the illness accordingly using Westernised medical interventions (such as drugs or surgery). The Biomedical Model is the most dominant model throughout the current century because it focuses predominantly on treatment and cure. This brings about an immediate attraction towards the Biomedical Model of health because it is instantaneous. Results are immediate and can be physically felt and seen so a person’s impro... ... middle of paper ... ...ow them to, or give them the means, to be able to have good health. This is a major downfall for both models as they are completely ruling out a basic human need, environment, as having any influence upon a person’s state of health. As discussed, it is clear that when it comes to public health the lines are often quite blurred. The Biomedical Model and the Lifestyle Theory Model both have their advantages however a common theme throughout both models is that they are both too reductionist in their approach to health. They failed to consider other health models viewpoints, or incorporate external factors such as the social gradient into their reasoning behind the cause and effect of bad health. Therefore instead of trying to categorise health into definite ‘health models’, health needs to be accepted more for what it is - a forever changing and adapting concept.
The biopsychosocial model of health was developed by George L. Engel (1977) whom determined the cause of diseases. Biopsychosocial has a deep interrelation with all three of the models or the factors which leads to the overall outcome of a person’s illness or disease. Each model in the biopsychosocial model of health has different insights in regards to patient’s body, health and diseases.
Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129–136.
The socio-medical model believes that, as a society, if living conditions are improved, health will also show improvements. This model states environmental and social factors are an imprint source of disease. For example, if a child is living in a house where there is no outdoor space for the child to become active, the child will be likely to become overweight. However, if the council makes
Although very divergent in their focus, the existing theoretical models seem to have some similarities and differences. This is especially true in regard to their factors of analysis when considering social determinants of health. For example, Krieger’s ecosocial theory encompasses and acknowledges the roles of social and psychosocial processes of disease process (WHO 2010).
The 21st century health system has been marked by rapid developments in medical technology, availability of treatments, and advancements in the field of medicine. These changes have tremendously contributed to better prevention, management, and control of chronic illnesses like heart disease, asthma, diabetes and arthritis. However, the reality of chronic illness is intertwined with continued dwindle in quality of life, of dependency, of medication and limits. In this condition of diminishing health, the patient starkly experiences the dichotomy between the mind and the body. As P1 shares, “My mind is ok, but my body is simply weak. It has its own ways.”
The advancement in health care and biomedical technology has made biomedical model that focuses just on curing the disease as the dominant approach. It excludes emotional, social, psychological and behavioral aspects of illness. However with increase in chronic disease and need for long term care, the healthcare delivery systems are changing, making it more patient centric. The health practices are gradually focusing on design of treatment plans based on patents narratives.
The notion of health is contextual and an interactive, dynamic process between person and environment (Schim et al, 2007). Both wellness and illness are conceptualized by the ‘person’, existing on a continuum across the lifespan (Arnold & Boggs, 2001).
Biologically, it can mean our “basic biological makeup”. Aristotle holds the view that it is “something permanent and universal in all humans”, in which losing any of these “essential characteristics” will rob us of our humanity. Buchanan raises the point that UGM, since it is not morally selective, is unlikely to preserve the parts of “human nature” that are valued most by us. Additionally, “nature” can also be defined culturally, since culture has since become very important for “defining who we are” and “how we differ” from other animals. Biomedical enhancement can also generate new knowledge to aid us in self-improvement, which is touched on by Buchanan in Chapter 7. He believes that any “sane” approach to the risks of biomedical enhancements must be “knowledge-sensitive”, which reflects and encourages the “growth of knowledge”. Not only does this knowledge enable us to grasp and apply the concept of biomedical engineering in a “scientifically informed” way, it can also go a long way in future developments that can improve both our quality of life and perhaps a breakthrough in the knowledge
The different models to health all use different principles. The biomedical model concentrates on the physical and biological aspect of a disease. Doctors and health professionals practice this model. This model is associated with the diagnosis, treatment and cure of the disease. This model evolves as times goes
Also the essay will discuss the strengths and weaknesses of each approach as this can be an indicator if this approach is applied, whether it can address inequality and improve the health and well being of that individual or society. The essay will use the Dahlgren and Whitehead social determinants of health of need to exemplify the determinants of health showing how these determinants can influence the way health is viewed as holistic or merely an absence of disease. Lastly, the essay will analyse the evaluation with these approaches plus the importance of evaluation to present programs and future programs or activity.
The biomedical model of health has been criticised because it fails to include the psychological and social causes relating to an individual’s medical illness or health, looking only at the biological causes (Giddens and Sutton, 2013). Therefore, sociologists being aware of the impacts of social structure and lifestyle on health have put in various efforts to place the study of ‘the social’ at the core of health and healthcare examination.
Two types of illnesses related to this are chronic illness (lasting/terminal) and acute illness (minor e.g. the flu). Criticism of the mechanistic model is that it is slightly simplistic and may not always apply because the body cannot always be repaired. The second model is the 'Naturalistic Model', which refers to the notion of equilibrium. In order for the body to remain healthy, there must be a balance. Chinese medicine relies greatly on this notion i.e.
To reach a state of complete physical, mental and social wellbeing, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to wellbeing. Health promotion goes beyond health care. It puts health on the agenda of policy makers in all sectors and at all levels. It directs policy makers to be aware of the health consequences of their decisions and accept their responsibilities for
The one instant I can pinpoint as the genesis of my interest in biomedical science was the winter of sixth grade, when I picked up a book on creativity and the brain. I found it fascinating, but what really struck me was that here was a several hundred page book that mostly talked about how little we knew about its topic. It made me think. This was supposed to be a book about how much we’ve learned, and what it’s saying is that the progress we’ve made is only in finding out how little we know. This didn’t upset me; it made me curious. Because, of all the things that we should know about, surely our own minds and our own bodies are paramount among them, and yet we still have so much to learn. I’ve since learned that this phenomenon is not restricted to the biological – gravity is one of the most important things in our lives, yet we do not know its cause. But the biomedical questions continue to fascinate me, perhaps because the answers are so vital. Sure, cosmology is intriguing, but what about a cure for cancer, or even the common cold? What about a way of repairing or bypass...
Kevin White pp: 5-8k introduction to sociology of health and illness second edition books.goole.co.uk accessed 11-04-2014