Health at the Center of Health Systems Reform: How Philosophy Can Inform Policy

Perspectives in Biology and Medicine 53 (3):341-356 (2010)
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We are never illness or disease, but, rather, always their sum in the world of day-to-day experience. Disease and illness are not closed systems, but mutually constitutive and continuously interacting worlds. In the patient’s case it is always experience as well. Pain, sickness and death help make that particular experienced identity unavoidable, and at some level ultimately inaccessible to medicine’s changing understanding of disease and tools for managing it. Health—rather than cost containment, specific conditions, or technologies—should be the central focus for health care and health-care reform. A compelling reason to focus on health comes from the observation that the prevalence of disease over the ..



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Mark Moes
Grand Valley State University

Citations of this work

The personal nature of health.Joachim P. Sturmberg - 2009 - Journal of Evaluation in Clinical Practice 15 (4):766-769.
Understanding health from a complex systems perspective.Stefan Topolski - 2009 - Journal of Evaluation in Clinical Practice 15 (4):749-754.
Complex adaptive chronic care.Carmel Martin & Joachim Sturmberg - 2009 - Journal of Evaluation in Clinical Practice 15 (3):571-577.
Primary health care organizations – through a conceptual and a political lens.Joachim P. Sturmberg - 2011 - Journal of Evaluation in Clinical Practice 17 (3):525-529.

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