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Health care frames - from Virchow to Obama and beyond: the changing frames in health care and their implications for patient care
- Source :
- Journal of evaluation in clinical practice. 20(6)
- Publication Year :
- 2014
-
Abstract
- Rationale, aims, objectives and Methods Framing allows us to highlight some aspects of an issue, thereby bringing them to the forefront of our thinking, talking and acting. As a consequence, framing also distracts our attention away from other issues. Over time, health care has used various frames to explain its activities. This paper traces the emergence of various health care frames since the 1850s to better understand how we reached current ways of thinking and practicing. Results and Conclusions The succession of the most prominent frames can be summarized as: medicine as a social science; the germ theory of disease; health care as a battleground (or the war metaphor); managing health care resources (or the market metaphor); Health for All (the social justice model); evidence-based medicine; and Obama Care. The focus of these frames is causal, instrumental, political/economic or social in nature. All remain relevant; however, recycling individual past frames in response to current problems will not achieve the outcomes we seek. Placing the individual and his/her needs at the centre (the attractor for the health system) of our thinking, as emphasized by the World Health Organization's International Classification of Function framework and the European Society of Person Centered Health Care, may provide the frame to refocus health and health care as interdependent experiences across individual, community and societal domains. Shifting beyond the entrenched instrumental and economic thinking will be challenging but necessary for the sake of patients, health professionals, society and the economy.
- Subjects :
- Male
Quality Assurance, Health Care
Health geography
Systems Theory
Patient-Centered Care
Health care
Health belief model
Medicine
Humans
Social determinants of health
Policy Making
Health policy
business.industry
Health Policy
Patient Protection and Affordable Care Act
Public Health, Environmental and Occupational Health
International health
Public relations
Quality Improvement
Health promotion
Framing (social sciences)
Law
Health Care Reform
Female
Patient Care
business
Delivery of Health Care
Subjects
Details
- ISSN :
- 13652753
- Volume :
- 20
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of evaluation in clinical practice
- Accession number :
- edsair.doi.dedup.....99cd0034b06bcc9aa001bd29baaaff4d