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P Atteslander

Publications and source records attributed to P Atteslander.

7 recordsLinked to original sources

[Multi-morbidity--fate or chance?].

The increase of life expectancy in post-industrial societies also entails an increase in multimorbidity. Self-determination of the population and prevention through health organisations are imperative. In this connection different health concepts are discussed, although in most cases theoretical concepts concerning the health and illness behaviour of the population are missing. Present data show that the sphere of social epidemiology must be re-orientated. To this end, the behavioural science must also be taken into consideration in an appropriate manner. Many of the present, often activistic health-programmes are ineffective with regard to long-term impacts. There is a need to sound a warning in respect of an exaggerated economization of the health system: Self-responsibility and self-participation of patients alone cannot substantially stop the largely self-generating costs, which result from medical-technological progress on the one hand and from pretentious demands on the other hand.

Forecasting↗

[Personal responsibility--prevention].

The multifarious structural web of modern health systems is endangered by political pressure, which leads to changing priorities and this renders it difficult, if not impossible to formulate an appropriate and long-term health-policy. Particular risk factors are isolated from the complex connections and used as guidelines for prevention and sanction-measures. Considering the rising multimorbidity we should rather speak of risk indicators. There is an urgent need for scientific observation and foundation of preventive measures to minimise, or if possible stop, misinterpretations of data from short-term health research. Comprehensive health research is non-existent, responsibilities being unsettled and the necessity of long-term thinking has not been realised so far. Therefore, epidemiological studies considering pathogenetic and salutogenetic aspects to the same extent, are mandatory.

Forecasting↗

[Public health].

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Forecasting↗

[Does work cause illness? Thoughts from the viewpoint of social research].

The question as to whether work is responsible for a person's sickness is as old as the industrial working system and it has to be raised again and again, for despite the receding importance of purely gainful employment the well-being and health status of workers and often also of their relatives are determined by work. Purely medical data will not suffice to consider this problem, since the overall social conditions must be taken into consideration. Illness or health also become manifest as social behavioural patterns and must be studied as such. It is not work that makes a person sick, but rather the social environment in which he lives and works. The article shows that the conventional medical concepts of disease are often in need of being complemented by a social dimension. This becomes particularly evident by the fact that the undoubtedly grand successes of medicine based on natural sciences yield an increasing fund of knowledge confronted by an insufficiently developed system of social orientation. In this regard the system of lay knowledge which has always been characterised by knowledge oriented on the lines of action, is growing increasingly important. Effective health prevention in public health points towards the need for an increasingly intensified cooperation between the medical profession and the lay system.

Humans↗