DVM 2106 Chapter Notes - Chapter 20: Michael Marmot, Global Health, Root Mean Square
20 Aug 2016
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DVM2106
Chapter 20 — Development and Health
-U5MR is one of the most common indicators of health status
-measures like these are useful for comparative purposes but drastically understate
differences in health status between rich and poor countries
-they highlight the most basic facts about health and development: wealthier is healthier
-Preston Curve ^ sheds little light on why differences occur
-one explanation emphasized health care
-in low and middle income countries, resources are not used efficiently
-life expectancy increases with income
-the second explanation emphasizes social determinants of health (conditions under which
people live and work that affect their opportunities to lead healthy lives)
-social gradients refer to access to social and health care opportunities impact health status
-Michael Marmot: stress experienced in one’s life impacts their access to resources within a
social hierarchy
-consequences of psychological stress accumulate over the life course
-every aspect of how a society organizes and distributes their resources and opportunities
affects the health outcomes of its members
-health improvements do not follow automatically from rapidly growing economies
-is a antagonistic/dialectical relationship
-it is critically mediated by politics
-globalization depends on technology and the declines in the cost of information processing,
telecommunication and transportation
-health benefits have been undermined by marketization of healthcare systems, reducing the
affordability of care to people who need it most
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Document Summary
U5mr is one of the most common indicators of health status. Measures like these are useful for comparative purposes but drastically understate differences in health status between rich and poor countries. They highlight the most basic facts about health and development: wealthier is healthier. Preston curve ^ sheds little light on why differences occur. In low and middle income countries, resources are not used ef ciently. The second explanation emphasizes social determinants of health (conditions under which people live and work that affect their opportunities to lead healthy lives) Social gradients refer to access to social and health care opportunities impact health status. Michael marmot: stress experienced in one"s life impacts their access to resources within a social hierarchy. Consequences of psychological stress accumulate over the life course. Every aspect of how a society organizes and distributes their resources and opportunities affects the health outcomes of its members. Health improvements do not follow automatically from rapidly growing economies.
