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global health & the med students' perspective by Mind Map: global health & the med students
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global health & the med students' perspective

integrated approach to Global Health

horizontal and integrated programs rather than vertical and disease-by-disease-approach

building up health care systems and structures which can last, with sufficient health care workers (doctors, nurses, etc)

global health 2.0

there is a lot of potential, the majority of the world is young, there are billions of mobile phones in the world. It is not only a waste not to make use of the possibilities, it is necessary if we want to safe lives and improve health on a faster pace than we are doing right now

social media as a tool for gathering people, making the desired change visible

"There are three important reasons why eHealth, or “information and communication techonology (ICT) applications for health” (EC 2011), needs to complement approaches of public health to provide a sufficient answer to the global chronic disease threat."

"First, the sheer size of the challenge and lack of intervention-facilitating health care structures in low and middle income countries (LMIC) forces us to look beyond the traditional structures of health care into new and cost-effective strategies able to reach a large population. " (...) "However, traditional interventions are already facing a overstretched health care demand with lacking infrastructure, health professionals and accessible health care facilities. (source) Humbling as these are for public health interventions, they also provide an unique field of exploration: how can we utilize new communication technologies such as internet, mobile phones and the use of smart phones and their applications (‘Apps’) to facilitate public health interventions in a low-resource setting."

"Important to note is that, although LMIC do not have the same communication networks and internet infrastructure as developed nations, important strives are being made to catch onto development. Telephone use skipped the landline phase, moving straight into mobile communication illustrated by over 3.5 billion mobile phones, 70/100 persons, being used in developing countries.14 Although internet use either through mobile based or through computers, is significantly lower with 5.4/100 and 21.1/100, respectively, annual increases are vast and almost exponential.(ITU) Also in this respect, one of the lessons learnt in high-resource countries needs to be further explored for opportunities in LMICs: eHealth offers an interesting opportunity for private-public partnership, especially in providing infrastructure. "

"Secondly, the current approaches to global health are just not enough, justifying the search for alternatives. Despite the enormous efforts directed at global health priorities as the MDGs, most countries are still not on track for reaching the health targets.15 Expecting this to be radically different for chronic disease and CVD would be naive. Moreover, the nature of interventions, with a strong lifestyle change component, requires approaches creating popular support and internalization of the need to change behavior rather than top-down health professional approaches based on authority."

"Thirdly, a inherent element of ehealth, i.e. the physical distance between two persons, is particularly suited for LMIC-health care structures setting. One of the major challenges remains breaching out of regional and district based hospitals to provide quality care in rural areas" (...) "Moreover, application of eHealth could expand beyond basic instruction and also facilitate knowledge transfer and training on the level of health professionals. Again, examples of elearning are ample, for example in Supercourse16, a network of thousands of scientist sharing close to 5000 lectures on public health and epidemiology.l "

"Using eHealth to advance the Global Health Agenda is an exciting and promising area, which we cannot afford not to neglect if we want to make significant strived for improvement. Ironically, the potential neglect of eHealth for it’s ability to save lives could show parallels to the global lack of attention chronic disease has received. The coming years will be momentum for not only to further development of eHealth tools, but also to define the context of the field. Important issues such as privacy, regulations about standards of care and services, adapting applications to different levels of computer and internet literacy and cultural contexts, as well as continuous development of technology which could facilitate eHealth are only few of topics which need to be explored. However, eHealth offers us an opportunity to respond more powerfully to the current and future reality. Enhancing the field of health care with smart solutions is not optional anymore, and we need to catch up and steer the direction of a changing world."

involving young doctors and future physicians

make a choice for prevention of diseases

dare to challenge policy makers to do what will save lives - eg tabacco control!

focus on non-communicable diseases and the double burden many low and middle income countries face

"Of the 33 million deaths due to chronic disease in 2008, eight out of ten occurred in low-and middle-income countries (LMIC).1 Similar patterns of chronic disease mortality in LMIC and developed countries are observed: cardiovascular disease is the main cause of death (30% of all deaths), followed by cancer (13%), chronic respiratory diseases (7%) and diabetes mellitus (2%).5"

"Currently, chronic disease is responsible for more than half the total disease burden or 33 million deaths of the 58 million globally.1 However, rather than being included in mainstream global health efforts, such as the Millennium Development Goals (MDGs)2 and initiatives of the Gates Foundation3, chronic disease has only recently started to sparsely receive attention as a necessary and urgent focus for Global Health.4"

"Cardiovascular disease (CVD) is not only the main cause of death in LMIC 9,10and thereby claiming over trice the number of deaths malaria, tuberculosis, HIV/AIDS combined9"

recognize and address the social determinants of health

Maybe there is an interesting article by Mike Rowson or Michael Marmot (both UCL) on this in relation to Global Health?

responsibility for health

not only with the government or health care worker, but with people/patients. (ePatientDave for example in a participatory approach to health care, but also tell people they have a shared responsibility of living healthily to the best of their abilities)

compassion for care

reproductive and sexual health issues

pragmatism in saving lives together with idealism (no PEPFAR with abstinence only programmes but save abortions if you observe that is one of the most prominent causes of death!), family planning as a recognized important strategy for health but also economic development.

sustainability, but also public-private partnerships

We need to move away from small scale pet projects and amateurism and get serious about Global Health and learn lessons where we can learn them - for example from the private sector.

Moreover, it is OK to earn money by doing good (favorite example is FairTrade, but there are also great examples of entrepreneurship in Health Care), as long as the human factor remains one of the primary driving forces and ethics are upheld.

Make it a joint responsibility to cure diseases and safe lives

Stimulate R&D investment into neglected tropical diseases diseases

Brazil and India are inspiring in making live saving druks world-wide accessible - create two standards of patents: let those who can pay, but those who cannot not die.

empowerment and leadership in global health

efficiency and organizational skills

Public-private integration

responsibility for donors as well, to promote integration rather than fashions and program-by-program approach

creating change agents

using out-of-the-box tools

medical education in a global perspective

integrated approach of training med students in multi disciplinary topics, bringing the 'academics' of the university life/academic development to a more broader and integrated level.

involving young doctors and future physicians

training (yes, Training) them in leadership and involving compassion for care in the approach to patient safety and healthcare.

Let Global Health and Global Decision making reflect the voices of the future

Pragmatic idealism