Economic & Social Determinants Philippa Howden

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Transcript Economic & Social Determinants Philippa Howden

Michael Chen-Xu
New Zealand Medical Students’ Association
[email protected]
We are NZ’s future health professionals
• Increasing costs of healthcare
Ageing population, new technology, obesity
• Significant inequalities in social determinants of
• Health inequities – ethnic, SES, children
Double burden of infectious and chronic diseases
• Climate change
“The biggest global health threat of the 21st
Costello et al. Managing the health effects of climate change.
Lancet. 2009;373:1693-733
A paradigm shift:
Encouraging health, rather than simply treating
• Addressing social determinants of health
• Abandoning the patriarchal paradigm
• Becoming advocates for change
WHO definition of Health
Health is a state of complete physical, mental,
and social well-being and not merely the
absence of disease or infirmity2
World Health Organization. 1946. WHO definition of Health, Preamble to the
Constitution of the World Health Organization as adopted by the International Health
Conference, New York, 19–22 June 1946; signed on 22 July 1946 by the representatives
of 61 States and entered into force on 7 April 1948.
How to get there?
• Challenge of communicating this vision
• Enhancing social cohesion
Integration of addressing social determinants of
health as doctors, particularly in primary care
• Alma Ata Declaration
• Ottawa Charter
How to get there?
Source: Rasanthan et al. Primary healthcare and the social determinants
of health: essential and complementary approaches for reducing
inequities in health. J Epidemiol Community Health 2011
Health Professionals for a New Century
• Empowerment of young professionals
– Tangible research opportunities in the community;
making that difference quantifiable
– Supporting student/young person advocacy:
IFMSA projects, P3 foundation, NZMSA
• Developing social accountability in education3
– Integrating clinical presentations with public
health, equity vs. equality, cultural competency
LS et al. Social accountability in health professionals’ training.
Lancet. 2011
A “call to action”