Use of checklists in critical appraisal of health literature
Concept of Health and Changing Definitions
1. Concept of Health
The state of health is reflective of an
individual’s ability to meet life's
challenges & maintain the capacity for
optimal functioning.
1
2. Health
Important factor in assisting to obtain
optimum health is to treat them as
unique individual, and not as a set of
symptoms & complaints.
2
3. HEALTH
Basic Theme in all cultures
Basic concept “ Absence of disease’’
Determinants yet not clear.
No yard stick.
Health is always neglected.
Usually secondary to other needs.
Internationally forgotten.
3
4. 4
Reawakening of health
Only after 2nd world war
As fundamental right
World wide social goal & social justice
Basic human needs
In 1979 concept of H F A
Not issue of Doctors, issue of social
justice
5. 5
Changing concepts
Health is not perceived in the same way
Biomedical concept
Ecological
Psychosocial
Holistic
6. 6
WHO Definition of health
A state of complete Physical, Mental &
Social wellbeing and not merely absence
of disease or infirmity.
A forth dimension is “Spiritual wellbeing”
One which transcends physiology &
psychology
7. 7
Spiritual aspect/ Intelligence
Cognitive- why, meaning of life
Affective living in him---- (peace,
cheerful)
Behavioral ---meditation, sacrifice
8. 8
Spiritual health assumes
significance since
Anxiety & emotional discomforts are on
rise
Craving for peace & freedom
Happiness ,restlessness
purposelessness is widely discerned
Futility syndrome prevails heavily –Why?
What after?
Suicides are the regular features
9. 9
Spiritual life focuses on--
Inner self
Consciousness
Intuition
Science gets us physical comforts &
spirituality brings us mental calm --
positive value & attitude, beliefs &
strength
10. Emotional dimension
10
Dose not loose temper.
Dose not develop tension.
Has self control.
11. 11
WHO Definition of health
A state of complete Physical, Mental &
Social wellbeing and not merely absence
of disease or infirmity.
A forth dimension is “Spiritual wellbeing”
One which transcends physiology &
psychology
12. 12
Operational definition
Quality of human life expressing the
adequate functioning in the given
conditions ---
There is no obvious disease
But functioning normal
13. New philosophy of health
Fundamental right
Essence of productive life & not result
Intersectoral
Integral part of development
Involves-individual, community, state
national & international
Major social investment
World wide social goal
13
14. 14
Health dimensions
In 1980s other components like
Spiritual
Emotional
Environmental
Vocational
Intellectual.
16. 16
Determinants of health
Communities * human rights
* biological
* behavioral
Societies * environmental
* socio-economic
* health system
Individual * sociocultural,
* Age
* science &Technology
Families * gender
* equity & social justice
* information & communication