Abstract
Health-related quality of life is the ultimate general goal for medicine, health care and public health, including health promotion and health education. The other important general goal is health-related welfare. The aim of the paper is to explain what this means and what the consequences of these assumptions are for health work. This involves defining the central terms “health”, “quality of life” and “welfare” and showing what their conceptual relations are. Health-related quality of life has two central meanings: health-related well-being, which constitutes quality of life, and health as ability, which contributes causally to quality of life. Four meanings of health-related welfare are put forward: general well-being, health as ability, other inner properties of the individual, and external factors. States and processes covered by these categories contribute causally to health-related quality of life. Finally, using these distinctions, some more specific goals for medicine and health care, on the one hand, and for public health and health promotion, on the other, are outlined. In the former fields work is primarily directed towards changing the health-related quality of life of the individual through direct measures, “manipulating” the individual, whereas public health work and health promotion primarily use indirect measures and further health through various sorts of health-related welfare changes, e.g. through changing the environment.
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References
C. Boorse (1977) ArticleTitle‘Health as a Theoretical Concept‘ Philosophy of Science 44 542–573 Occurrence Handle10.1086/288768
B. Brülde (1998) The Human Good [dissertation] Acta Universitatis Gothoburgensis Göteborg
B. Brülde (2000a) ArticleTitleOn How to Define the Concept of Health: A Loose Comparative Approach Medicine, Health Care and Philosophy 3 305–308
B. Brülde (2000b) ArticleTitleMore on the Looser Comparative Approach to Defining ‘Health’: A Reply to Nordenfelt’s Reply Medicine, Health Care and Philosophy 3 313–315
B. Brülde (2001) ArticleTitleThe Goals of Medicine: Toward a Unified Theory Health care Analysis 9 1–13 Occurrence Handle11372571 Occurrence Handle10.1023/A:1011385310274
B. Brülde P-A. Tengland (2003) Hälsa och Sjukdom: En begreppslig utredning Studentlitteratur Lund
G. Canguilhem (1966) On the Normal and the Pathological Zone Books New York
C.M. Culver B. Gert (1982) Philosophy in Medicine Oxford University Press Oxford
R. Dubos (1959) Mirage of Health: Utopias, Progress, and Biological Change Harper and Row New York
K.W.M. Fulford (1989) Moral Theory and Medical Practice Cambridge U.P Cambridge
G. Laverack (2004) Health Promotion Practice. Power and Empowermemt Sage London
I. McDowell C. Newell (1996) Measuring Health: A Guide to Rating Scales and Questionnaires Oxford U.P Oxford
L. Nordenfelt (1993) Quality of Life, Health and Happiness Avebury Press Aldershot
L. Nordenfelt (1995) On the nature of health Reidel Dordrecht
Nordenfelt, L.: 1998, ‘On Medicine and Other Species of Health Enhancement: Towards a Conceptual Framework’, in: Medicine, Health Care and Medicine, Vol. 1, pp. 5–12.
D. Parfit (1984) Reasons and Persons Oxford University Press Oxford
I. Pörn (1984) An Equilibrium Model of Health I. Lindahl L. Nordenfelt (Eds) Health, Disease and Causal Explanations in Medicine Reidel Dordrecht 3–9
I. Pörn (1993) ArticleTitleHealth and Adaptedness Theoretical Medicine 14 295–303 Occurrence Handle8184372 Occurrence Handle10.1007/BF00996337
P-A. Tengland (2001) Mental Health: A Philosophical Analysis Kluwer Academic Publishers Dordrecht
C. Whitbeck (1981) A Theory of Health S.L. Caplan H.T. Engelhardt J.J. McCartney (Eds) Concepts of Health and Disease: Interdisciplinary Perspectives Addison-Wesley Reading Mass 611–626
WHO: 1948, Official Records of the World Health Organization, 2, 100.
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Tengland, PA. The goals of health work: Quality of life, health and welfare. Med Health Care Philos 9, 155–167 (2006). https://doi.org/10.1007/s11019-005-5642-5
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DOI: https://doi.org/10.1007/s11019-005-5642-5