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Have the health services reoriented at all?
E-mail: evelyne.deleeuw@deakin.edu.au
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Recently, I had an opportunity to observe the workings of the health care system from the inside. I was admitted to a mixed surgical ward in an Australian public hospital with a mysterious ailment. My personal health required acute promotion.
My participant observation research demonstrated that the calls for action in the Ottawa Charter are still urgent. The Charter, twenty-three years ago, stated
The responsibility for health promotion in health services is shared among individuals, community groups, health professionals, health service institutions and governments. They must work together towards a health care system which contributes to the pursuit of health.HOSPITAL OPERATIONS REVOLVE AROUND STAFF AND PROCEDURES, NOT AROUND THE HEALTH OF PATIENTSThe role of the health sector must move increasingly in a health promotion direction, beyond its responsibility for providing clinical and curative services. Health services need to embrace an expanded mandate which is sensitive and respects cultural needs. This mandate
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NO MATTER HOW EMPOWERED YOU ARE IN HEALTH, A FEVER MAKES YOU FEEBLE
TOO MUCH CARE IS PROVIDED BY ASSUMPTION, TOO LITTLE BASED ON OBSERVATION
THE PATIENT IS A CASE; A CASE IS NOT NECESSARILY A PERSON
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  O. Groene, E. Brandt, W. Schmidt, and J. Moeller The Balanced Scorecard of acute settings: development process, definition of 20 strategic objectives and implementation Int. J. Qual. Health Care, August 1, 2009; 21(4): 259 - 271. [Abstract] [Full Text] [PDF]
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