PowerPointPrsentation

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Health Promotion Switzerland

• Foundation, NGO
• Decided by the Swiss population, legal basis
  (KVG 1996)
• Financing mandatory health insurance (
  2400.- CHF / year) ? 2.40 CHF/year for the
  foundation (10001)

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Health Promotion Switzerland
Legal Basis

• coordination
• initiation
• evaluation
• of health promotion and prevention
• Financial supervision through government

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Health Promotion Switzerland
Strategy

• not replacing government and other players ?
  added value needed
• focusing on health promotion
• active coordination with prevention
• collaboration, networking and support of other
  players
• transparency

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Stiftungsrat
Clément Fabienne, santésuisse Fribourg Manser
Manfred, Helsana Versicherungen AG, Zürich Moll
Beat, CSS, Luzern Müller Ueli, santésuisse,
Solothurn Wüthrich Peter, suva, Luzern Mattig
Thomas, Schweiz. Versicherungsverband,
Zürich Diener Verena, Regierungsrätin, des
Kantons Zürich Rochat Charles-Louis, Conseiller
d'Etat, Vaud Fellmann Klaus, Sanitätsdirektorenkon
ferenz, Luzern (Präsident) Kramer Urs, Konferenz
der kant. Erziehungsdirektoren, Bern Hartmann
Diethelm Wolfgang, Bundesamt für Gesundheit,
Bern Dalvit Gisela, Schweizerische Rheumaliga,
Zürich Gutzwiller Felix, Universität Zürich,
Zürich Meyer Marianne, Fédération Romande des
Consommateurs, Lausanne Müller-Angst Monika,
Berufsverband Krankenschwestern, Bern
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Health Promotion Switzerland
Vision
Improve quality of life through better health
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Health Promotion
THE OTTAWA CHARTER

• The five key strategies
• Building healthy public policy
• Creating supportive environments
• Strengthening community action
• Developing personal skills and
• Reorienting health services

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THE OTTAWA CHARTER
Health Promotion
The process of enabling people to exert control
over the determinants of health and thereby
improve their health.
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Nutbeam
Social determinates of health

• Social, economic and environmental factors
• determine increased risk of disease
• and
• adverse outcome from diseases
• The relationships between these social factors
  and health are easy to observe
• less well understood
• more difficult to act upon
• ? less attention than individual behaviors

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Health Promotion Switzerland
behavior
Focus of our activity
environment
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Nutbeams outcome model for health promotion
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Health Promotion
THE ECONOMIC IMPACT
Tobacco and alcohol products are a significant
economic burden to individuals, families and
societies through medical costs, lost
productivity from increased morbidity, costs from
fire and damage to property, and lost income due
to early mortality.
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(No Transcript)
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HEALTH POLICY
HEALTH PROMOTION
ENVIRONMENT
PREVENTION
SOCIAL ISSUES
DISEASE MANAGEMENT
FINANCES
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action d (diabetes)

• Collaboration with some health insurance
  companies (covering 50 of the population)
• linking health promotion with prevention and
  disease management

• sensibilisation
• improve physical activity
• keep your health weight
• eat appropriates
• reduce your weight (target group)
• screening
• diagnosis
• treatment
• rehabilitation
• care

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• Health promotion and work
• Health ? workplace
• Collaboration with canton St. Gallen workplace
  health promotion
• Decision of the cantonal government
• Project which includes all aspect of determinates
  of health at the workplace (different
  organization involved)
• Activities such as
• Ergonomics
• Injury prevention
• Stress
• Participation in decision making process
• Empowerment aspects
• others

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Risk factors for disease
Massive worldwide effort large number of
important risk factors identified but
failure to change the situation
B. Somaini / 10.03.2002 social epidemiology / 01
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Approach to study conditions for disease

• Research in institutions or research organization
  still decide with a clinical focus (clinical
  outcome)
• Do not include
• major social forces and concept
• that influence the occurrence of diseases
• perhaps better interventions

B. Somaini / 10.03.2002 social epidemiology / 05
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Social determinants of health
Ottawa Charta for Health Promotion (1986)
public health action which is directed towards
improving peoples control over all modifiable
determinates of health

• this includes
• personal behaviors
• public policy
• living and working conditions

B. Somaini 18.03.2003
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Downstream factors
Upstream factors
Social Networks (Mezzo)
Social- Structural Conditions (Macro)
Psychosocial Mechanisms (Micro)
Pathways
conditions the extent, shape, and nature of...
which provides opportunities for...
which impacts health through these...
How social networks impact health
L. F. Berkmann
B. Somaini / 10.03.2002 social epidemiology / 08