Functions of health care


This classical and historical, but still existing definition has changed several times. E. Acheson seems to be the shortest and at the same time the most extensive (1):

“Healthcare is the science and art of preventing disease, prolonging life and promoting health through organized social efforts.”

As for the emergence and evolution of a new concept of health care, the Canadians’ report on new health perspectives was based on the concept of health zones by then-Canadian Health Minister Mark Lalonda. A further development of health policy, which contributed to the formation of this concept, was the strategy of the World Health Organization (WHO), formulated by the World Health Organization in 1977-79; The Ottawa Charter, which was the result of the International Conference on Health Promotion in 1986 and identified the main functions of WHO health care (3, 5, 20, 21).

Mark Lalonda’s concept of health care (determinants) was driven by a sharp increase in health care spending (in Canada) that did not translate into human health. A health committee has been set up to investigate the causes of the phenomenon and propose appropriate measures, consisting of representatives of the federal government and the state administration.

Mark Lalande’s report was published in 1974. This report ushered in a new era of public health perceptions, offering a broader understanding of health as a condition that cannot be achieved by the majority of the population, as a condition that cannot be achieved by increasing funding for infrastructure and correctional services. . The starting point of Mark Lalonda’s concept of health care was the following definition of health: “Health is a product of factors related to genetic heritage, environment, lifestyle and health care. Promoting a healthy lifestyle can improve health and reduce the need for medical care. «

Laland identified the following groups of factors that affect the health of the population, ie health areas: biological and genetic area, behavior and lifestyle, ecology (economic, social, cultural and physical factors) and their organizational area of ​​health.

It should be noted that Lalonda’s concept was developed as an idea inherent in health policy, summarizing the previous views of many politicians and researchers. Lalonde saw this as a tool for analyzing health problems and identifying health needs and ways to address them. However, it should be noted that Lalonda’s report did not attempt to quantify the impact of certain groups on public health, unlike the authors of further studies that were commonly used for policy purposes. The only difference was the analysis of road deaths, which concluded that 75% could be caused by behavior, 20% by the environment and 5% by health .