He who has wellbeing has trust He who has trust has everything The quality recommendation in Health .


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He who has wellbeing has trust He who has trust has everything The worth recommendation in Wellbeing. John R. Lumpkin, MD, MPH Robert Wood Johnson Establishment. What is Wellbeing?. Wellbeing. WHO
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He who has wellbeing has trust He who has seek has everything The incentivized offer after Health John R. Lumpkin, MD, MPH Robert Wood Johnson Foundation

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What is Health?

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HEALTH WHO HEALTH IS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY HEALTH IS A STATE OF WELL-BEING AND THE CAPABILITY TO FUNCTION IN THE FACE OF CHANGING CIRCUMSTANCES

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Health Curative Services (Health Care) Preventive Services (Public Health)

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Health and Health Care Does it work?

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1900 LEADING CAUSE OF DEATH PNEUMONIA TUBERCULOSIS DYSENTARY LIFE EXPECTANCY 49 YEARS 4-5% GNP EXPENDED ON HEALTH CARE

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1960 LEADING CAUSES OF DEATH HEART DISEASE CANCER STROKE LIFE EXPECTANCY 65 YEARS 4-5% GNP ON HEALTH CARE

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2000 LEADING CAUSES OF DEATH HEART DISEASE CANCER STROKE LIFE EXPECTANT ABOUT 75 YEARS 15% OF GNP ON HEALTH CARE $1.7 Trillion dollars

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Is there an association with Economic Development?

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Are there monetary Costs for Poor Health? Smoking Increase Absenteeism Increase Insurance Costs Increase Maintenance and cleaning costs Decrease efficiency PUD $5 Billion Health Care Costs $1 Billion Productivity Costs Nosocomial Post Surgical Infections $5,155 in follow up expenses ($1,773 for controls)

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Health Care Expenditures result in Economic Development? WHO Sachs Report 10% expansion in future 0.3 to 0.4% ascent in development rate Families USA $1 Million Decrease in Medicaid $3 Million in lost Business $1.2 Million in wages 37 employments Health Systems impacts on their groups

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Relationship of Health to Economic Growth? Monetary Growth Health Care Costs

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Relationship of Health Care Costs to Economic Development?

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Rocket Science?

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Cell Science Rocket Science Brent Cell, 2000

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Health and Health Care Complex Systems

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Health is Complex

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Broad social, monetary, social, wellbeing, and ecological conditions and strategies at the worldwide, national, state, and neighborhood levels Living and working conditions may include: Psychosocial variables Employment status and word related elements Socioeconomic status (wage, training, occupation) The common and constructed c situations Public wellbeing administrations Health mind administrations Living and working conditions a Social, family and group systems Individual conduct Innate individual characteristics: age, sex, race, and organic components - The science of malady Over the life expectancy b NOTES: Adapted from Dahlgren and Whitehead, 1991. The dabbed lines signify connection impacts between and among the different levels of wellbeing determinants (Worthman, 1999). Approach and justification A manual for pondering the determinants of populace wellbeing IOM - 2002

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Good Health Care is unpredictable

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Chronic Care Model Community Health System Resources and Policies Health Care Organization Self-Management Support Delivery System Design Clinical Information Systems Decision Support Informed, Activated Patient Prepared, Proactive Practice Team Productive Interactions Functional and Clinical Outcomes

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Informed Activated Patient Results from Education, Decision Support (Care Management) and Active Involvement Self-Management Support Prepared, Proactive Practice Team Productive Interactions Informed, Activated Patient Decision Support

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The achievement or disappointment of any administration in the last examination must be measured by the prosperity of its residents. Nothing can be more essential to a state than its general wellbeing; the states fundamental concern ought to be the soundness of its kin. - Franklin Delanor Roosevelt (1932)

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The strategic offer for Health and Health Care?

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Community Health Care Economic Health

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WHAT A DIFFERENCE TWO YEARS MAKE! 2001: $127b. Surplus 2003: $401b. Shortage

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WHAT HAPPENS BY 2014 IF WE DO NOTHING? With sensible suppositions on: Tax cuts AMT Growth of optional spending Medicare Deficit = nearly $700b. or, on the other hand >$1t. National obligation = $5.7t.

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ELIMINATING DEFICIT BY 2014: WHAT WOULD IT TAKE? Accept : No cuts in safeguard Minimize impose expands Elimination of brought together spending shortfall

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ALL THESE ACTIONS COMBINED WOULD BE INSUFFICIENT: Turning all training, lodging, urban advancement, labor, condition, and law requirement programs back to states Eliminating or privatizing 80 business sponsorship programs Undertaking critical extortion and manhandle activities Ending kept an eye on space flight Ending reserves for neighborhood expressway development Slowing development of NIH spending Capping other optional spending

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The following century will be commanded by monetary contention between exchanging alliances, in Europe, North America, along the Pacific Rim, and in the Caribbean Basin. In this new request, victors and washouts will be controlled by the nature of a nation\'s foundation, the soundness of its economy, and the wellbeing and instruction of its specialists. John Chancellor

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He who has wellbeing has trust He who has trust has everything.

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