Determinants of health-care system assignment

March 6, 2022

Determinants of health-care system assignment

Determinants of health-care system assignment

Determinants of health-care system assignment

In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 3. How does technology improve patient outcomes and the health-care system? 4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: • What does the organization/agency do that supports the hallmarks of quality? • What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? • How has the organization/agency affected facilities where you are practicing and your own professional practice?

Ultimately, the only cure for the ailing health care system is to help people to be healthier. This requires fundamentally rethinking what we fund and prioritize. Key to this is changing the passive determinants of health—dietary, environmental, and social. By this, we mean making changes that do not depend on behavioral change. We are not suggesting abandoning health education or promotion of healthier individual choices. Rather, that we must change the environment to promote health rather than disease. Key examples are the research showing that food grown conventionally has suffered a 25% to 80% decrease in trace minerals. Without adequate consumption of these key nutrients, the enzyme machines that provide us life are not able to work properly. Worse, we have now contaminated the environment with chemical and metals toxins that actually poison these enzymes and cause disease.

A true health care—rather than a disease care—system addresses these foundational determinants of health. Following are some ideas on how to accomplish this.

Go to:
Public Health That Promotes a Health-promoting Environment
We need to more fully embrace the promise of public health. Many years ago in an IMCJ editorial in volume 2, issue 2 (2003),

Determinants of health-care system assignment

Determinants of health-care system assignment

“Integrative Medicine and Public Health,”3 a vision for 21st-century public health was presented. As you may know, historically, 75% of the increase in longevity is due to public health measures. Although most people think of public health as contagion control and providing health care for underserved populations, it can be so much more. We have 3 suggestions:

Teach and reward farmers to grow food with higher nutrient density.

Teach and reward farmers to decrease pesticide and herbicide contamination of food and the environment.

Develop, fund, and implement real health education as a major program in schools.

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Nutritional deficiencies are rampant in the United States. According to hundreds of published research studies, almost the whole population is deficient in at least 1 nutrient with half the population deficient in many. Our physiology does not work if required nutrients are not available. There are several key reasons why this has become huge problem:

Most of the foods most commonly eaten in the United States are processed in such a way as to improve appearance and short-term taste, at the expense of nutrient content. Approximately 20% of the average person’s calories come from nutrient-empty sugar.

Synthetic fertilizers promote the growth of bigger food, but with seriously lower levels of nutrients. The more fertilizer used, the lower the nutrient content. So even if a person is trying to eat responsibly (ie, real foods rather than high processed … stuff), the critical nutrients are much lower than the body needs.

Worse, high-phosphate fertilizers often contain high levels of the heavy metal cadmium. Not only does this then impair the absorption of critical trace mineral zinc by the foods, but this toxin poisons many systems of the body, and it is a key factor in the kidney disease epidemic, osteoporosis, cardiovascular disease (especially in women), thyroid dysfunction—the list is long.

Rather than subsidizing farming practices that produce large amounts of nutrient-deficient foods, we should either totally eliminate such subsidies or redirect them to reward nutrient density rather than food size and weight.

Many examples show how public health measures such as we suggested previously work. For example, adding iodine to salt dramatically decreased severe hypothyroidism and protected many children from intellectual impairment. Another is the 1970s measure prohibiting lead in gasoline and paint resulting in more than a 90% decrease in blood lead levels in children and adults. These are good examples of passive changes that promote health without requiring behavioral change.

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Posted in nursing by Clarissa