Abstract

In the past decades health care and medicine in most countries got more or less in a state of crisis. This is not surprising because, so far, there is no consensus about the nature of health. This shortcoming inhibits constructive, interdisciplinary dialogues about health values. It renders priority setting controversial and subject to power struggles. A new definition of health, known as the Meikirch Model, could correct this deficiency. It states: “Health is a dynamic state of wellbeing characterized by a physical, mental and social potential, which satisfies the demands of a life commensurate with age, culture, and personal responsibility. If the potential is insufficient to satisfy these de-mands the state is disease.” The potential is composed of a biologically given and a person-ally acquired component. Thus this definition characterizes health with six essential features, which are suitable for an analysis of and priority setting in medical consultations and in health care policy decisions. A wide discussion about this definition of health followed by its imple-mentation is expected to render health care in-dividually and socially more beneficial.

Highlights

  • In most countries health care systems are in a chronic state of crisis

  • The predominant question is how to redirect the self-organization of health care systems and how to integrate them into the respective societies

  • Experienced leaders generally focus with great care on the “product” their organization has to realize. They insist that all persons within their realm of influence know exactly what the purpose of their organization is. When it comes to health care, it is astonishing that the very purpose of the system, i.e. “health” cannot be described

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Summary

Introduction

In most countries health care systems are in a chronic state of crisis. This is due to many reasons, yet a rapid increase in costs and a change in values appear to be predominant. Agreement with this definition has become limited and, at the present time, it can no longer serve as a central concept for the implementation of health care systems. The Meikirch Model appears to be suitable for application in medicine and in health care systems.

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