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Traditional biomedical model
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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" (Who,1946). The Biomedical model of health focuses on the physical or biological aspects of disease and illness. It is a medical model of care practised by doctors and/or health professional and is associated with the diagnosis, cure and treatment of disease. The Biomedical model of health has been evolving for many years leading to improvements in medical science, technology, increase in cures and treatments ie: increase in vaccinations /immunizations emphasis on diagnosis and treating individuals separately from their lifestyle/living conditions. this model of health concentrates on the disease, illness, or disability and attempts to (cure) return the physical health of the person to a pre-illness state. The reasons for the illness are not at the centre of the biomedical model. The bio-medical model also receives the majority of government healthcare funding (over 90%). Further more the biomedical model of Health has been Dominant for many years and played a large role in prolonging life expectancy, Bio- living or living organisms and also played a role in Medical science of diagnosing-curing It is a community approach to prevent diseases and illnesses. The social model focus is on policies, education and health promotion and goes beyond the focus of lifestyles and behaviour and accepts the need for social change to provide prerequisites for health. It was developed in the late 1970’s 1980’s as some members of the community were not experiencing the same levels as health as others despite the understanding of the impact of lifestyle and behaviours on
McKenzie, H. (2011). NURS 5002 Social contexts of health, lecture 1, week 2: Frameworks for understanding health,
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).
Health psychology is the combination of medical and psychological ideas used to identify how an individual’s mind and body work, using models to help contribute to the maintenance and promotion of health. To truly define a person as healthy they must be in a state of wellness, physically and mentally. A modern definition of health is the WHO constitution of 1948 as: “A state of complete physical, social and mental well-being, and not merely the absence of disease or infirmity.” (Wellness, n.d.)
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.
A social determinant of health contains the important key factors that decide whether the individual or society will have healthy or unhealthy lifestyle. Social determinant of health is basically the socio-economic condition of all individuals, communities and jurisdiction to shape their health. It also gives an opportunity to an individual in whom they have got physical, societal and personal assets to find and attain their personal goals, meet their requirements and learn to survive in the environment. A community provides quantitative and qualitative ranges of resources to their population according to their needs are also a part of social determinants of health. These resources contain early childhood development, education system, food,
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
In terms of what is looked for in the Biomedical model, it is believed that there is one aetiology of the disease or illness exhibited in the patient who is then treated as a passive host of the illness where only the medical technology provided by the medical practitioner can hope to cure or at least care for the patient. While at one point in time this method of treatment seemed apt due to the knowledge of the world of that period, it is not a holistic approach of intervention because the main thought behind this model, as discussed by G. L. Engel (1977:129), is that because a disease or illness is characterized by “somatic parameters, physicians need not be concerned with psychosocial issues which lie outside medicine’s responsibility and authority.” This implies that following the Biomedical model, medical practitioners do not take into account the living situations, economic standpoints, racial, gender and ethical viewpoints or the community involvement factor of the patient seeking help.
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.
The definition of health generally varies from person to person; for me health is the state of well-being; whether it is physical, mental or social well-being. When making health decisions many people, myself included, consider finances before making decisions. For an example before joining a gym I consider the cost and quality of the gym before considering how vital exercise is to my health. The same goes for diet I often hear people say eating health is much more expensive than eating unhealthy. Being healthy comes from putting in effort; physically, mentally, and economically.
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.
There are various definitions of “models of care”. However, the most important feature remains how health care services are delivered. Model of care was defined more precisely as a conceptual tool which is a standard that associates concept, belief and intent linked in several ways (1). This implies people getting care when it is required, with optimal utilization of resources and by the appropriate provider. ****find reference…..
This also requires the person to be socially and economically productive in order to be seen as healthy. According to Mildred Blaxter (1990), there are different ways of defining health. Furthermore, disease can be seen as the presence of an abnormality in part of the body or where there is a harmful physical change in the body such as broken bones. So, illness is the physical state of disease, that is to say, the symptoms that a person feels because of the disease. However, there is some limitation of these definitions which is not merely an absence of disease but a state of physical, mental, spiritual and social wellbeing.
It is fairly difficult to define health as there are no agreements between scholars. This is why many sociologists focus their research on the different issues and problems of ill health.
The World Health Organisation (WHO) came up with the most commonly used definition for health, which has not changed for over 60 years. They say that it is ‘’a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’’ (WHO, 1948), therefore meaning there are many more things to consider with health other than just death rates.