Wednesday, September 13, 2017

Shifting Our Focus from Sick-Care to Health-Care: Examining The Social Determinants of Healthcare, and Redefining the Meaning of Health

Rebecca Perkins - 2016 conTEXT for Advancing Science student
PhD Student
College of Nursing
University of Utah

The Current State of Health in the U.S.
The United States has historically been built upon a disease-care model rather than a health-promotion model, and while our healthcare system has made some remarkable advances in technology, genetics, and pharmacotherapy, we as a nation have failed to address some of the most fundamental healthcare needs that can promote physical, psychological, spiritual, and financial wellbeing; factors that are directly related to better health outcomes and quality of life for all Americans, both rich and poor. As a result, our country is now facing a major existential crisis of what it means to live a truly healthy, productive, and fulfilling life.

The current healthcare paradigm is a sick-care system, not a healthcare system. This is no surprise given the rise in health disparities and the dramatic shift from treating communicable diseases to caring for chronic illnesses such as heart disease, cancer, strokes, and diabetes which are responsible for almost 70% of morbidity and early deaths in the U.S. It is no wonder, given the current healthcare paradigm and current health status of Americans (especially those suffering from financial difficulty and multiple complex social and health-related issues) that the U.S. spends around 17.9% of the country’s GDP on health care, with 75% of this amount allocated to treating and managing chronic diseases. 


Figure 1. Pill bottle spilled. By M Pelletier, 2016, (Atlantic Training), via Wikimedia Commons. Used under Creative Commons Attribution-Share Alike 3.0
  
While the U.S. pays more for healthcare than any other country, it greatly lags behind in almost every measure of health grades. You may wonder how this is possible given the valuable strides Americans have made in science and medicine; however, the answer is relatively simple. First, one’s actual health status does not entirely depend on advancements in healthcare, and second, even when the state of our health becomes dependent upon innovative services that our system provides, many Americans are unable to access needed treatments, let alone basic care, or they may get help too late or experience poor quality health care.


What Has Been Wrong with Healthcare and Still Is: Health is a Sociopolitical Issue

One of the major health-related issues that many Americans face on a daily basis is a general lack of access to healthcare. The U.S. falls behind almost every other nation when it comes to basic access to care. With approximately 45 million U.S. citizens (not to mention the millions of immigrants and undocumented workers) suffering from being uninsured or underinsured, poor health outcomes are a real and impending risk.

Figure 2. Percentage of US adults 18-64 years old without health insurance in 2009. By CDC, 2012, via Wikimedia Commons. Used under Creative Commons Attribution-Share Alike 3.0

Another important social issue that directly threatens adequate health status for a large portion of Americans is directly caused by lifestyle factors. Lifestyle and health status, consequently, are intimately connected to social determinants of health, such as reduced healthcare access, ability to consume healthy food, clean air, and live in safe neighborhoods. Moreover, a disadvantaged lifestyle has been associated with poor health status due to lack employment opportunities and the skyrocketing cost of healthcare. These types of disparities leave many Americans vulnerable and with limited options for care. As well, the stress that accompanies poverty can greatly effect an individual’s ability to adopt a healthy lifestyle and mitigate health risk factors associated with a poor diet, lack of exercise, tobacco use, and excessive drinking—coping strategies for increased stress.

The current decline in the U.S. healthcare system is, to a large extent, the product of two basic aspects of the U.S. political economy. One of the major contributing factors to a weak U.S. healthcare system stems from disadvantaged Americans lacking a voice, “a seat at the table” in the healthcare, political arena. Consequently, this population’s issues are often overlooked and under-represented in healthcare policy and reform. Secondly, the U.S. government still plays a minor role in health policy for each of the states. Health-based organizations and agencies have been fragmented and weak in effecting change for population health. As well, health-based agencies and various network organizations have been criticized for being disconnected from the actual delivery of health services. These are only a few contributing factors cited for what is wrong about the U.S. healthcare system today.

 The willingness of healthcare providers and patients to tolerate large, health-based inequalities (such as gaps in income, wealth, education preparation, and housing) has many unforeseen future health consequences. Yet, until we are truly willing to transcend this old paradigm of a reactive, disease-focused, model to proactive, health-focused model, the average health-related quality of life will continue to suffer. 

Time for a Paradigm Shift from Sick-Care to Health-Care…For All        

So, what if our healthcare system actually kept us healthy? What if instead of mostly focusing on restoring health, the U.S. healthcare system did as much, or more, to prevent disease? These salient, provocative questions have recently been proposed in a 2012 TED Talks (https://www.ted.com/talks/rebecca_onie_what_if_our_healthcare_system_kept_us_healthy?language=en) by Rebecca Onie, CEO and co-founder of Health Leads, “a social enterprise that envisions a healthcare system that addresses all patients’ basic resource needs as a standard part of quality care” (https://healthleadsusa.org/). In this 2012 TED Talk, Rebecca challenges her audience to consider that the question is not what patients need to restore health, but what patients need to be healthy.

A Little Background…
Figure 3. Rebecca Onie Health Services Innovator, By Photo by Gail Oskin, 2009, (WireImage), via Wikimedia Commons. Used under Creative Commons Attribution-Share Alike 3.0

Rebecca became frustrated during her internship with Boston Legal Services when she had an “AHA moment” and realized that, over the course of 9-months of her work at this agency, the families she was trying to help to secure adequate housing and resolve unemployment issues actually had underlying, complex social, political, and health issues that needed to first be addressed. She realized that the help she was giving was “too far down stream” for her clients who showed up already in a state of real crisis.
This realization was further accentuated later during her 6-month internship in a pediatric unit at Boston Medical Center where she had the chance to see patients and parents in crisis every day. She began to question physicians in this center over the next 6-months, and asked them, what she considered then, a naïve but fundamental question: “If you had unlimited resources, what is the one thing you would give your patients?” Surprisingly, or not so surprisingly, many physicians told her that he real issue was that there’s no food at home. Children we see are living in impoverished conditions, and there are is nothing we can do. We have no connection to social services, and we have no time to address these real issues.

The Big Question?

“If we know what it takes to have a healthcare system instead of a sick-care system, why don’t we just do it?” (Onie, 2012).

Thus, Health Leads was conceived out of a need to support physicians and healthcare providers in connecting patients to real resources they needed to not only get healthy but to be healthy.

The Big Idea?

Rebecca realized that if Health Leads could support physicians in writing prescriptions for the real health needs of patients (prescriptions for food, heat, and other social services that have a real impact on the underlying causes of sickness and disease) that the current system could truly be transformed into healthcare for the disadvantaged—care that extended beyond treating the immediate physiological diseases presented in the four walls of the clinic. In fact, she found one way that healthcare could address the basic sociopolitical determinants of health and quality of life for disadvantaged populations.

Other Shifts…

The innovative work of social health entrepreneurs like Onie have revolutionized the way we think about and look at health care. However, previous alternative approaches to healthcare such as complementary and alternative medicine (CAM) have been around since antiquity. Yet, given the current rise in health disparities and chronic diseases in the U.S., CAM therapies are gaining new attention, respect, and relevance. 

What Can CAM Do for this Shift?

Figure 4. Massage hand , 2010, By Lubyanka, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=10940918, via Wikimedia Commons. Used under Creative Commons Attribution-Share Alike 3.0

Holistic and health promoting interventions and education are integral to CAM, and certified CAM practitioners (i.e., acupuncturists, chiropractors, and massage therapists) are well-equipped to work alongside traditional physicians in providing patient-centered care that includes spending more time with patients to solve complex social and health issues. Moreover, CAM practitioners see the value in advocating for lifestyle changes that are conducive to promoting improved health and quality of life for patients. CAM practitioners also may reach patient populations that traditional practitioners miss. This is due to the idea that uninsured patients of lower socioeconomic status may seek out CAM providers as a fee-for-service model. Some patients may also seek CAM providers due to ideological beliefs about the benefits of CAM therapies versus traditional interventions. So, including CAM providers as part of an interdisciplinary healthcare team has emerged as a new concept for promoting holistic health and wellness over just treating disease among the U.S. population.

Barriers to Shifting from a Sick-Care to Health-Care Model

A recent article in the New England Journal of Medicine (http://www.nejm.org/doi/full/10.1056/NEJMp1206230#t=article) argued that health promotion and a focus on health-related quality of life have become a topic of much discussion in health policy circles as of late. However, implementation of this new paradigm in U.S. healthcare is not without barriers. Economic and logistical issues plague this change. For one, the current model of care is a task-based model that pays physicians in numbers of “sick visits” per hour. This system is prohibitive of increased time spent with patients and decreases the ability and likelihood that physicians will take the time it requires to educate patients, connect them to outside services, and generally promote nonpharmacological interventions for improving health and preventing disease. It all comes down to money and time. Another formidable obstacle to leap is our current reliance on expensive technological procedures that add cost to care but may do little to promote health and wellness.
Finally, as mentioned earlier, the current healthcare system continues to reduce access to quality care for disadvantaged Americans—perpetuating social and health disparities that reduce the chance for patients to obtain basic, primary health needs. Finally, as mentioned, lack of cohesive and direct government policies that advocate for health promotion at every level continue to present difficulties in transitioning into the new paradigm for health-based care. And finally, patient lifestyles and health behaviors diminish potential for true health promotion and disease prevention—which are perpetuated by sociopolitical disparities among many lower income patients.

Future Directions

Recent efforts toward healthcare reform has brought forth modest improvements thus far. However, future prevention and health promotion will necessitate more profound changes such as the integration of preventive interventions the management and delivery of healthcare. Change is possible but not without addressing identified barriers and providing practical solutions for integration of new innovations and outside therapeutic modalities into the traditional system. Moving forward will require that we as a nation address health needs and health disparities at multiple levels. This a complex issue that will require a multidisciplinary approach as well real health policy reform that addresses the healthcare needs of the disadvantage populations of our nation.

References

Sierpina, V. S., Sierpina, M., Loera, J. A., & Grumbles, L. (2005). Complementary and Integrative Approaches to Dementia. Southern Medical Journal, 98(6), 636-645
Schroeder, S.A. (2007). We can do better-improving the health of the American people. New England Journal of Medicine 357, 1221-1228. DOI: 10.1056/NEJMsa073350
Thompson & Nichter (2015). Is there a role for complementary and alternative medicine in preventive and promotive health? An anthropological assessment in the context of U.S. health reform. Medical Anthropology Quarterly, 30(6), 80-99. DOI 10.1111/maq.12153

Links to Resources
Health Leads:
New England Journal of Medicine:
TED Ideas Worth Spreading:

Photo Credits
CDC. (Photographer). (2012). Percentage of US adults 18-64 years old without health insurance in 2009 [digital image]. Retrieved from Wikimedia Commons website: https://commons.wikimedia.org/wiki/File:Percentage_of_US_adults_18-64_years_old_without_health_insurance_in_2009.png

Lubyanka. (Photographer). (2010). Massage hand [digital image]. Retrieved from Wikimedia Commons website: https://commons.wikimedia.org/wiki/Massage#/media/File:Massage-hand-4.jpg

Oskin, G. (Photographer). (2009). Rebecca Onie health services innovator [digital image]. Retrieved from Wikimedia Commons website: https://commons.wikimedia.org/wiki/File:REBECCA_ONIE_12.JPG
Pelletier, M. (Photographer). (2016). Pill bottle spilled [digital image]. Retrieved from Wikimedia Commons website:https://commons.wikimedia.org/wiki/File:Pill_Bottle_Spilled.jpg



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