More on the meaning of ‘health’ (and wellbeing)

Posted on 15 August 2014 by Helen Wilding

Not got much time but I don’t want to lose this one…

The Journal of Public Health Policy have just published a ‘Special Section’ on “What is health?” with the editors intro entitled “What do we mean when we use the word health?”

The special section centres on an open access article by Bircher and Kuruvilla (2014) introducing the Meikirch Model of Health. The model offers up a particular definition of health:

Health is a state of wellbeing emergent from conducive interactions between individuals’ potentials, life’s demands, and social and environmental determinants

This definition:

resonates with me – ’emergent from conducive interactions’ reminds me of my own post from ages ago now on A systems perspective on health and wellbeing which talks about interactions and emergence.
throws up intrigue – ‘is a state of wellbeing’ connects me to my recent post on Conceptions of wellbeing – if health is ‘a’ state of wellbeing what other states of wellbeing are there? or is health the only state of wellbeing? It strikes me that you could swap the words ‘health’ and ‘wellbeing’ over ‘Wellbeing is a state of health…’ and still get people nodding their heads wisely.
and questions – the abstract also mentions lifecourse approach – so is it a ‘state’ or ‘dynamic’?

Overall I quite like it.

Unfortunately the commentary offered by other authors in the Special Issue aren’t open access and Lancs Library isn’t a subscriber. Trying to source.

Fact – there is no ‘getting there’ – learning is always about ‘getting started’

Posted on 24 July 2014 by Helen Wilding

However high we climb in the pursuit of knowledge we shall still see heights above us, and the more we extend our view, the more conscious we shall be of the immensity which lies beyond.

Sir William George Armstrong

I was reminded of this quote just now as I did a final word count check on my last assignment for my first academic year of my professional doctorate. The word count came in at the perfect number and I am happy with the content – a product that is ‘submittable’ even though the deadline is still 4 days away.

I should be jumping for joy, heading out into the sun with glee but I feel a sharp sense of ‘oh, is that it?’.

Continue reading →

Conceptions of wellbeing

Posted on 27 June 2014 by Helen Wilding

I feel the need to start this post with an acknowledgement of the gap since my last post. Whilst I don’t pretend to think there are people out there missing my blogs – I’m more worried about the number of streams of thoughts I have had which have come and gone and are unrecorded. It’s all because I’ve been busy keeping up with the reading and discussion forum for my PhD modules – and the assignments. I’ve also worked with two others to plan, design and facilitate the first ever Open University Systems Thinking in Practice alumni and friends get together – which was great. The formal taught work for my PhD finished today, I’ve got one more assignment to do – and then hopefully can use the summer to consolidate some of the material I have covered through blogs. It’s been a great journey, just haven’t had time to stop and take stock of it on the way.

Anyway, back to the real reason that I started blogging today. It was prompted by a seminar I participated in last Monday. Newcastle University, Sheffield University and NEF have got some funding to run a series of seminars on the ‘Politics of wellbeing‘. It is essentially people from the discipline of political science coming together to consider what the discipline offers to the ‘shift’ towards wellbeing in policy and politics – both in a critical and a constructive way. This seminar was the second in the series and I was asked to speak.

Preparing the talk led me to articulate and make explicit something that had been going on in the back of my mind for a long time. Continue reading →

So what is the evidence base for the ‘call’ to be evidence based?

Posted on 30 November 2013 by Helen Wilding

Just recently, the concept of ‘evidence-based public health’ or ‘evidence-based policy’ (and therefore, evidence-based public health policy) has started to worry me. It’s so part of our discourse that you don’t often stop to think what does it really mean? and is it ‘really’ happening? and is it really possible? But then when you do, you kind of realise that even the notion of ‘evidence’ is contested – what does it really mean to the people who advocate for ‘evidence-based xxxx’?

After christmas, the module on my PhD is called ‘Knowledge, evidence and theory’ so I suspect/hope I’ll have the opportunity to think of this more then, but in the meantime I’m pondering what does it mean to say that a public health initiative (policy, programme, project, service) is or isn’t underpinned by a sound evidence base? I’ve jumped around a few books and internet searches in order to gain some initial impressions which I hope will form a basis for further inquiry into this area.

Continue reading →

Have the three domains of public health practice had their day?

Posted on 27 October 2013 by Helen Wilding

As part of the introductions for my current PhD module, we were all asked to introduce our job roles through the lens of the ‘three domains of public health’. We all did so – but it was only when I was chatting to another student, that I dared to say that I didn’t really like them and was pleased when she agreed. But before rejecting something outright on the basis of an emotional reaction – it is perhaps best to look where they originally came from and what they were originally for…and explore the thoughts behind my emotional reaction.

Continue reading →

Equity, social determinants and the ‘usual’ public health suspects

Posted on 11 October 2013 by Helen Wilding

I’ve just familiarised myself with WHO’s publication “Equity, social determinants and public health programmes“. It was written in 2010 with a view to drawing lessons from the WHO Global Commission on Social Determinants in order to think further upstream than the traditional public health programmes.

I have to say I struggled to start with. I always groan a little when I see documents about ‘public health’ where the chapter headings are the ‘usual’ suspects – diseases such as cardiovascular disease; diabetes; mental disorders and ‘lifestyle behaviours’ such as alcohol; tobacco; diet. My worry is always that this silos people into thinking of the determinants of each of these ‘usual’ suspects without considering the crossovers between them – what you then get is practitioners fighting for the attention of different stakeholders on a disease by disease or risk by risk basis. Just recently I was at a WHO European Healthy Cities Network conference where there were calls to move away from that perspective to think more holistically about what creates health.

But I thought I’d persevere, after all – equity and social determinants were in the title. And I’m glad I did. In essence the introductory chapter introduces a common analytical framework to consider inequities in major public health priorities i.e. usual suspects (more later). Then this framework is applied in each of 11 chapters to all those ‘usual’ suspects. Then in the final chapter – yeah – they synthesise the findings across the whole lot and highlight those social determinants that should be addressed in order to have an effect across a substantial number of all those ‘usual’ suspects. In other words, they recommend working upstream in an integrated, holistic way – rather than a disease by disease or risk by risk way.

Continue reading →

Is your office killing you?

Posted on 7 October 2013 by Helen Wilding

You only have to search Google images with the key words “dilbert open plan” to find some Dilbert strips that make you giggle – I found the strips of May 31, 2011, November 2, 2012, May 14, 2003 and October 17, 1998 particularly funny. But look down at some of the comments and it all gets a little more serious – on the most part, people don’t like working open plan.

All the Dilbert gags aside, I’ve just spent a few weeks carrying out a literature review into the health harms/benefits of different sorts of office. It led me to conclude that this isn’t a laughing matter…

The short story is – depending in part on your personality and the particular nature of your work – but on the whole…

If your office is shared, larger and/or has a density that makes it feel crowded – your health is at risk. Your health is more at risk if your own workspace in that office is further from a window, nearer to circulation areas and/or the distractions of shared facilities. If you are by the window – especially if you have a green view – you seem to be protected a little. If you have some control – over your own light, your own temperature, your own ventilation – then it helps again. It gets worse if control is removed, for example you have no input into the decor of your office or you are told no personal items on your desk. Continue reading →

On ignorance, confusion and confidence

Posted on 13 September 2013 by Helen Wilding

I’ve just been reading a book that draws on the work of Wittgenstein to state:

“He [Wittgenstein] maintained that there are two main kinds of problem: problems of ignorance (there are things existing that we do not know enough about and therefore we require more information), and problems of confusion (we have the information but we do not understand what it amounts to).”

Hart (1998, page 141)

This got me thinking…

Continue reading →

Just Practicing

sharing my journey through landscapes of practice

More on the meaning of ‘health’ (and wellbeing)

Like this:

Fact – there is no ‘getting there’ – learning is always about ‘getting started’

Like this:

Conceptions of wellbeing

Like this:

So what is the evidence base for the ‘call’ to be evidence based?

Like this:

Have the three domains of public health practice had their day?

Like this:

Equity, social determinants and the ‘usual’ public health suspects

Like this:

Is your office killing you?

Like this:

On ignorance, confusion and confidence

Like this:

Share this:

Like this:

Share this:

Like this:

Share this:

Like this:

Share this:

Like this:

Share this:

Like this:

Share this:

Like this:

Share this:

Like this:

Share this:

Like this:

Share this:

Like this:

Share this:

Like this: