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

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.


Interprofessional and intersectoral cooperation is improved by shared objectivesInterprofessional and intersectoral cooperation functions best when all the involved persons serve the same objective. In the case of healthcare, this is difficult because personal visions of health vary from individual to individual. Thus far, health has been an ill-defined concept, and as a result, the concept has not been unifying. Once the Meikirch model is placed in the center, all participants in the health care system are able to work toward the same objectives, i.e., the health of patients.
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FIG6: Interprofessional and intersectoral cooperation is improved by shared objectivesInterprofessional and intersectoral cooperation functions best when all the involved persons serve the same objective. In the case of healthcare, this is difficult because personal visions of health vary from individual to individual. Thus far, health has been an ill-defined concept, and as a result, the concept has not been unifying. Once the Meikirch model is placed in the center, all participants in the health care system are able to work toward the same objectives, i.e., the health of patients.

Mentions: Today’s healthcare has become complex and requires cooperation among many professionals in different fields [22-23]. For many reasons, this complexity often leads to misunderstandings that may be very costly. Physicians and nurses, for example, sometimes do not agree on their respective competencies. Moreover, different specialties may set different priorities, and administrators may be more concerned with costs than with a patient’s health. Figure 6 illustrates the various professionals and institutions that are concerned with health and shows the multitude of possible interactions. All involved persons have developed their own individual vision of human health; consequently, they cannot agree easily on common goals. This situation may explain some of the many conflicts among persons who share responsibility for some aspects of healthcare. It is our hypothesis that the Meikirch model offers much more precise objectives for the division of labor in the interest of a joint purpose. As a result, the details of conflicts of interest may become more transparent and negotiable. The Meikirch model will thus allow a more rational exchange of opinions about every problem, possibly leading to better solutions and resulting in significantly improved cooperation.


Will the Meikirch Model, a New Framework for Health, Induce a Paradigm Shift in Healthcare?
Interprofessional and intersectoral cooperation is improved by shared objectivesInterprofessional and intersectoral cooperation functions best when all the involved persons serve the same objective. In the case of healthcare, this is difficult because personal visions of health vary from individual to individual. Thus far, health has been an ill-defined concept, and as a result, the concept has not been unifying. Once the Meikirch model is placed in the center, all participants in the health care system are able to work toward the same objectives, i.e., the health of patients.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

FIG6: Interprofessional and intersectoral cooperation is improved by shared objectivesInterprofessional and intersectoral cooperation functions best when all the involved persons serve the same objective. In the case of healthcare, this is difficult because personal visions of health vary from individual to individual. Thus far, health has been an ill-defined concept, and as a result, the concept has not been unifying. Once the Meikirch model is placed in the center, all participants in the health care system are able to work toward the same objectives, i.e., the health of patients.
Mentions: Today’s healthcare has become complex and requires cooperation among many professionals in different fields [22-23]. For many reasons, this complexity often leads to misunderstandings that may be very costly. Physicians and nurses, for example, sometimes do not agree on their respective competencies. Moreover, different specialties may set different priorities, and administrators may be more concerned with costs than with a patient’s health. Figure 6 illustrates the various professionals and institutions that are concerned with health and shows the multitude of possible interactions. All involved persons have developed their own individual vision of human health; consequently, they cannot agree easily on common goals. This situation may explain some of the many conflicts among persons who share responsibility for some aspects of healthcare. It is our hypothesis that the Meikirch model offers much more precise objectives for the division of labor in the interest of a joint purpose. As a result, the details of conflicts of interest may become more transparent and negotiable. The Meikirch model will thus allow a more rational exchange of opinions about every problem, possibly leading to better solutions and resulting in significantly improved cooperation.

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.