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Will the Meikirch Model, a New Framework for Health, Induce a Paradigm Shift in Healthcare?

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ABSTRACT

Over the past decades, scientific medicine has realized tremendous advances. Yet, it is felt that the quality, costs, and equity of medicine and public health have not improved correspondingly and, both inside and outside the USA, may even have changed for the worse. An initiative for improving this situation is value-based healthcare, in which value is defined as health outcomes relative to the cost of achieving them. Value-based healthcare was advocated in order to stimulate competition among healthcare providers and thereby reduce costs. The approach may be well grounded economically, but in the care of patients, “value” has ethical and philosophical connotations. The restriction of value to an economic meaning ignores the importance of health and, thus, leads to misunderstandings.

We postulate that a new understanding of the nature of health is necessary. We present the Meikirch model, a conceptual framework for health and disease that views health as a complex adaptive system. We describe this model and analyze some important consequences of its application to healthcare.

The resources each person needs to meet the demands of life are both biological and personal, and both function together. While scientific advances in healthcare are hailed, these advances focus mainly on the biologically given potential (BGP) and tend to neglect the personally acquired potential (PAP) of an individual person. Personal growth to improve the PAP strongly contributes to meeting the demands of life. Therefore, in individual and public health care, personal growth deserves as much attention as the BGP. The conceptual framework of the Meikirch model supports a unified understanding of healthcare and serves to develop common goals, thereby rendering interprofessional and intersectoral cooperation more successful. The Meikirch model can be used as an effective tool to stimulate health literacy and improve health-supporting behavior. If individuals and groups of people involved in healthcare interact based on the model, mutual understanding of and adherence to treatments and preventive measures will improve. In healthcare, the Meikirch model also makes it plain that neither pay-for-performance nor value-based payment is an adequate response to improve person-centered healthcare.

The Meikirch model is not only a unifying theoretical framework for health and disease but also a scaffold for the practice of medicine and public health. It is fully in line with the theory and practice of evidence-based medicine, person-centered healthcare, and integrative medicine. The model offers opportunities to self-motivate people to improve their health-supporting behavior, thereby making preventive approaches and overall healthcare more effective.

We believe that the Meikirch model could induce a paradigm shift in healthcare. The healthcare community is hereby invited to acquaint themselves with this model and to consider its potential ramifications.

No MeSH data available.


Responsibility for healthResponsibility for health is shared by members of society and by the personal acquired potential of each individual and by members of society. Both components of the model have to fully contribute their own part. Well-functioning interactions among the two components are critical for an effective sharing of responsibility.
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FIG5: Responsibility for healthResponsibility for health is shared by members of society and by the personal acquired potential of each individual and by members of society. Both components of the model have to fully contribute their own part. Well-functioning interactions among the two components are critical for an effective sharing of responsibility.

Mentions: The concept that development of one’s own personality is an individual’s personal responsibility is well recognized. The social setting, including the responsibility that resides with the political system, is also of importance [14]. It may render personal growth easier or more difficult (Figure 5). In addition, some techniques for evolution as an individual, such as meditation or prayer, have been available for a long time [15-17]. In recent years, techniques of mind-body medicine have been developed and appear to enhance personal growth, result in more than average happiness, and are associated with longevity [18-21]. In this context, it is also of interest that mindfulness broadens awareness and builds eudaimonic meaning [15]. Translated into the framework of the Meikirch model, these observations support the idea that more attention to the PAP will have important beneficial consequences for the health of individuals


Will the Meikirch Model, a New Framework for Health, Induce a Paradigm Shift in Healthcare?
Responsibility for healthResponsibility for health is shared by members of society and by the personal acquired potential of each individual and by members of society. Both components of the model have to fully contribute their own part. Well-functioning interactions among the two components are critical for an effective sharing of responsibility.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5383372&req=5

FIG5: Responsibility for healthResponsibility for health is shared by members of society and by the personal acquired potential of each individual and by members of society. Both components of the model have to fully contribute their own part. Well-functioning interactions among the two components are critical for an effective sharing of responsibility.
Mentions: The concept that development of one’s own personality is an individual’s personal responsibility is well recognized. The social setting, including the responsibility that resides with the political system, is also of importance [14]. It may render personal growth easier or more difficult (Figure 5). In addition, some techniques for evolution as an individual, such as meditation or prayer, have been available for a long time [15-17]. In recent years, techniques of mind-body medicine have been developed and appear to enhance personal growth, result in more than average happiness, and are associated with longevity [18-21]. In this context, it is also of interest that mindfulness broadens awareness and builds eudaimonic meaning [15]. Translated into the framework of the Meikirch model, these observations support the idea that more attention to the PAP will have important beneficial consequences for the health of individuals

View Article: PubMed Central - HTML - PubMed

ABSTRACT

Over the past decades, scientific medicine has realized tremendous advances. Yet, it is felt that the quality, costs, and equity of medicine and public health have not improved correspondingly and, both inside and outside the USA, may even have changed for the worse. An initiative for improving this situation is value-based healthcare, in which value is defined as health outcomes relative to the cost of achieving them. Value-based healthcare was advocated in order to stimulate competition among healthcare providers and thereby reduce costs. The approach may be well grounded economically, but in the care of patients, “value” has ethical and philosophical connotations. The restriction of value to an economic meaning ignores the importance of health and, thus, leads to misunderstandings.

We postulate that a new understanding of the nature of health is necessary. We present the Meikirch model, a conceptual framework for health and disease that views health as a complex adaptive system. We describe this model and analyze some important consequences of its application to healthcare.

The resources each person needs to meet the demands of life are both biological and personal, and both function together. While scientific advances in healthcare are hailed, these advances focus mainly on the biologically given potential (BGP) and tend to neglect the personally acquired potential (PAP) of an individual person. Personal growth to improve the PAP strongly contributes to meeting the demands of life. Therefore, in individual and public health care, personal growth deserves as much attention as the BGP. The conceptual framework of the Meikirch model supports a unified understanding of healthcare and serves to develop common goals, thereby rendering interprofessional and intersectoral cooperation more successful. The Meikirch model can be used as an effective tool to stimulate health literacy and improve health-supporting behavior. If individuals and groups of people involved in healthcare interact based on the model, mutual understanding of and adherence to treatments and preventive measures will improve. In healthcare, the Meikirch model also makes it plain that neither pay-for-performance nor value-based payment is an adequate response to improve person-centered healthcare.

The Meikirch model is not only a unifying theoretical framework for health and disease but also a scaffold for the practice of medicine and public health. It is fully in line with the theory and practice of evidence-based medicine, person-centered healthcare, and integrative medicine. The model offers opportunities to self-motivate people to improve their health-supporting behavior, thereby making preventive approaches and overall healthcare more effective.

We believe that the Meikirch model could induce a paradigm shift in healthcare. The healthcare community is hereby invited to acquaint themselves with this model and to consider its potential ramifications.

No MeSH data available.