11/09/2012 • 11:17 AM 0
06/28/2012 • 11:45 AM 0
01/13/2012 • 1:55 PM 0
The current WHO definition of health, formulated in 1948, describes health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” At that time this formulation was groundbreaking because of its breadth and ambition. It overcame the negative definition of health as absence of disease and included the physical, mental, and social domains. Although the definition has been criticised over the past 60 years, it has never been adapted. Criticism is now intensifying, and as populations age and the pattern of illnesses changes the definition may even be counterproductive. The paper summarises the limitations of the WHO definition and describes the proposals for making it more useful that were developed at a conference of international health experts held in the Netherlands. Full article
01/06/2012 • 8:48 PM 0
eHealth Research Evidence (PubMed database) in 2011
Link to full references. Kudos to Open Source!! Still too many references are not available to everyone.
If you have a link to those unavailable here or you are the author, please share a link in the comments area)
- ANA pledges to help patients improve care through use of electronic health information: association joins national Consumer eHealth Program launch. (2011). Comput Inform Nurs, 29(11), 620. doi: 10.1097/01.NCN.0000407668.25110.48
- Atkinson, N. L., Massett, H. A., Mylks, C., McCormack, L. A., Kish-Doto, J., Hesse, B. W., & Wang, M. Q. (2011). Assessing the impact of user-centered research on a clinical trial eHealth tool via counterbalanced research design. [Multicenter Study Randomized Controlled Trial Research Support, N.I.H., Extramural]. Journal of the American Medical Informatics Association, 18(1), 24-31. doi: 10.1136/jamia.2010.006122
- Bacigalupe, G. (2011). Is there a role for social technologies in collaborative healthcare? Family, Systems, & Health, 29, 1, 1-14 . doi: 10.1037/a0022093
- Bacigalupe, G. & Lambe, S. (2011). Virtual intimacy: Information communication technologies and transnational families in therapy. Family Process, 50 (1) 12-26. Doi: 10.1111/j.1545-5300.2010.01343.x Article featured in March of 2011.
- Baker, T. B., Hawkins, R., Pingree, S., Roberts, L. J., McDowell, H. E., Shaw, B. R., . . . Gustafson, D. H. (2011). Optimizing eHealth breast cancer interventions: which types of eHealth services are effective? Transl Behav Med, 1(1), 134-145.
- Black, A. D., Car, J., Pagliari, C., Anandan, C., Cresswell, K., Bokun, T., . . . Sheikh, A. (2011). The impact of eHealth on the quality and safety of health care: a systematic overview. [Research Support, Non-U.S. Gov't Review]. PLoS Med, 8(1), e1000387. doi: 10.1371/journal.pmed.1000387
- Bolka, A., Zadel, B., & Zorko, M. (2011). Personal information protection – exceptional challenges of integrated systems of eHealth. Studies in Health Technology and Informatics, 165, 74-79.
- Chan, C. V., & Kaufman, D. R. (2011). A framework for characterizing eHealth literacy demands and barriers. [Research Support, N.I.H., Extramural]. J Med Internet Res, 13(4), e94. doi: 10.2196/jmir.1750
- Delano, D. (2011). Roadmap of a successful local HIE: The Massachusetts eHealth Collaborative provides an instructive success story. Health Management Technology, 32(9), 20-21.
- Eccleston, C. (2011). Can ‘ehealth’ technology deliver on its promise of pain management for all? [Comment Editorial]. Pain, 152(8), 1701-1702. doi: 10.1016/j.pain.2011.05.004
- Eysenbach, G. (2011). CONSORT-EHEALTH: Improving and Standardizing Evaluation Reports of Web-based and Mobile Health Interventions. [Editorial]. J Med Internet Res, 13(4), e126. doi: 10.2196/jmir.1923
- France, F. R. (2011). eHealth in Belgium, a new “secure” federal network: role of patients, health professions and social security services. Int J Med Inform, 80(2), e12-16. doi: 10.1016/j.ijmedinf.2010.10.005
- Geissbuhler, A. (2011). How can eHealth help fix broken health systems? [Editorial Introductory]. Methods of Information in Medicine, 50(4), 297-298.
- Girard, R. (2011). eHealth: a provincial and regional perspective. [Comment]. Healthcare Management Forum, 24(3), 141-143; discussion 147-148.
- Greenhalgh, T., Russell, J., Ashcroft, R. E., & Parsons, W. (2011). Why National eHealth Programs Need Dead Philosophers: Wittgensteinian Reflections on Policymakers’ Reluctance to Learn from History. Milbank Quarterly, 89(4), 533-563. doi: 10.1111/j.1468-0009.2011.00642.x
- Gusew, N., Bartkiewicz, T., Bautsch, W., Gerlach, A., Goldapp, M., Haux, R., . . . Warnke, R. (2011). A Regional Health Care Network: eHealth.Braunschweig. Domain Fields and Architectural Challenges. Methods of Information in Medicine, 50(5). doi: 10.3414/ME11-02-0010
- Hardiker, N. R., & Grant, M. J. (2011). Factors that influence public engagement with eHealth: A literature review. [Research Support, Non-U.S. Gov't Review]. Int J Med Inform, 80(1), 1-12. doi: 10.1016/j.ijmedinf.2010.10.017
- Hogan, T. P., Wakefield, B., Nazi, K. M., Houston, T. K., & Weaver, F. M. (2011). Promoting access through complementary eHealth technologies: recommendations for VA’s Home Telehealth and personal health record programs. Journal of General Internal Medicine, 26 Suppl 2, 628-635. doi: 10.1007/s11606-011-1765-y
- Iljaz, R. J., Meglic, M., & Svab, I. (2011). Building consensus about eHealth in Slovene primary health care: Delphi study. [Research Support, Non-U.S. Gov't]. BMC Med Inform Decis Mak, 11, 25. doi: 10.1186/1472-6947-11-25
- Knapp, C., Madden, V., Wang, H., Sloyer, P., & Shenkman, E. (2011). Internet use and eHealth literacy of low-income parents whose children have special health care needs. [Research Support, Non-U.S. Gov't]. J Med Internet Res, 13(3), e75. doi: 10.2196/jmir.1697
- Kregar, M., Marcun, T., Dovzan, I., & Cehovin, L. (2011). The role of basic data registers in cross-border interconnection of eHealth solutions. Studies in Health Technology and Informatics, 165, 155-160.
- Leonard, K. J., & Dalziel, S. (2011). How and when eHealth is a good investment for patients managing chronic disease. Healthcare Management Forum, 24(3), 122-136.
- Linn, A. J., Vervloet, M., van Dijk, L., Smit, E. G., & Van Weert, J. C. (2011). Effects of eHealth Interventions on Medication Adherence: A Systematic Review of the Literature. J Med Internet Res, 13(4), e103. doi: 10.2196/jmir.1738
- Lovis, C., Looser, H., Schmid, A., Wagner, J., & Wyss, S. (2011). eHealth in Switzerland – building consensus, awareness and architecture. Studies in Health Technology and Informatics, 165, 57-62.
- Lustria, M. L., Smith, S. A., & Hinnant, C. C. (2011). Exploring digital divides: an examination of eHealth technology use in health information seeking, communication and personal health information management in the USA. Health Informatics J, 17(3), 224-243. doi: 10.1177/1460458211414843
- Madhavan, S., Sanders, A. E., Chou, W. Y., Shuster, A., Boone, K. W., Dente, M. A., . . . Hesse, B. W. (2011). Pediatric palliative care and eHealth opportunities for patient-centered care. [Research Support, N.I.H., Extramural]. American Journal of Preventive Medicine, 40(5 Suppl 2), S208-216. doi: 10.1016/j.amepre.2011.01.013
- Mitsutake, S., Shibata, A., Ishii, K., Okazaki, K., & Oka, K. (2011). [Developing Japanese version of the eHealth Literacy Scale (eHEALS)]. [Research Support, Non-U.S. Gov't]. Nihon Koshu Eisei Zasshi, 58(5), 361-371.
- Mohr, D. C., Cuijpers, P., & Lehman, K. (2011). Supportive accountability: a model for providing human support to enhance adherence to eHealth interventions. [Research Support, Non-U.S. Gov't]. J Med Internet Res, 13(1), e30. doi: 10.2196/jmir.1602
- Norman, C. (2011). eHealth Literacy 2.0: Problems and Opportunities With an Evolving Concept. J Med Internet Res, 13(4), e125. doi: 10.2196/jmir.2035
- Pemu, P. E., Quarshie, A. Q., Josiah-Willock, R., Ojutalayo, F. O., Alema-Mensah, E., & Ofili, E. O. (2011). Socio-demographic psychosocial and clinical characteristics of participants in e-HealthyStrides(c): an interactive ehealth program to improve diabetes self-management skills. [Research Support, N.I.H., Extramural
- Research Support, Non-U.S. Gov't]. Journal of Health Care for the Poor and Underserved, 22(4 Suppl), 146-164. doi: 10.1353/hpu.2011.0162
- Poissant, L., Pereira, J., Tamblyn, R., & Kawasumi, Y. (2005). The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. [Research Support, Non-U.S. Gov't Review]. Journal of the American Medical Informatics Association, 12(5), 505-516. doi: 10.1197/jamia.M1700
- Roberts, J. (2011). eHealth informatics workforce challenges for Europe. Studies in Health Technology and Informatics, 170, 123-128.
- Salzsieder, E., & Augstein, P. (2011). The Karlsburg Diabetes Management System: translation from research to eHealth application. [Evaluation Studies Research Support, Non-U.S. Gov't]. J Diabetes Sci Technol, 5(1), 13-22.
- Scichilone, R. A. (2011). eHealth information management and informatics workforce challenges for Europe. Studies in Health Technology and Informatics, 170, 129-131.
- Shachak, A., & Reis, S. (2009). The impact of electronic medical records on patient-doctor communication during consultation: a narrative literature review. [Research Support, Non-U.S. Gov't Review]. Journal of Evaluation in Clinical Practice, 15(4), 641-649. doi: 10.1111/j.1365-2753.2008.01065.x
- Shepherd, T., & Hain, S. (2011). eHealth in Queensland: Progressing towards a Patient Centric, Networked Model of Care. Healthc Inform Res, 17(3), 190-195. doi: 10.4258/hir.2011.17.3.190
- Smit, F., Lokkerbol, J., Riper, H., Majo, M. C., Boon, B., & Blankers, M. (2011). Modeling the cost-effectiveness of health care systems for alcohol use disorders: how implementation of eHealth interventions improves cost-effectiveness. [Research Support, Non-U.S. Gov't]. J Med Internet Res, 13(3), e56. doi: 10.2196/jmir.1694
- Stellefson, M., Hanik, B., Chaney, B., Chaney, D., Tennant, B., & Chavarria, E. A. (2011). eHealth Literacy Among College Students: A Systematic Review With Implications for eHealth Education. J Med Internet Res, 13(4), e102. doi: 10.2196/jmir.1703
- Stroetmann, K. A., Artmann, J., & Stroetmann, V. (2011). Developing national eHealth infrastructures – results and lessons from Europe. AMIA Annu Symp Proc, 2011, 1347-1354.
- Stroetmann, K. A., & Middleton, B. (2011). Policy needs and options for a common transatlantic approach towards measuring adoption, usage and benefits of eHealth. Studies in Health Technology and Informatics, 170, 17-48.
- van der Vaart, R., van Deursen, A. J., Drossaert, C. H., Taal, E., van Dijk, J. A., & van de Laar, M. A. (2011). Does the eHealth Literacy Scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. [Research Support, Non-U.S. Gov't]. J Med Internet Res, 13(4), e86. doi: 10.2196/jmir.1840
- van Deursen, A. J., & van Dijk, J. A. (2011). Internet skills performance tests: are people ready for eHealth? J Med Internet Res, 13(2), e35. doi: 10.2196/jmir.1581
- van Gemert-Pijnen, J. E., Nijland, N., van Limburg, M., Ossebaard, H. C., Kelders, S. M., Eysenbach, G., & Seydel, E. R. (2011). Frameworks to Improve the Uptake and Impact of eHealth Technologies. J Med Internet Res, 13(4), e111. doi: 10.2196/jmir.1672
- van Limburg, M., van Gemert-Pijnen, J. E., Nijland, N., Ossebaard, H. C., Hendrix, R. M., & Seydel, E. R. (2011). Why Business Modeling is Crucial in the Development of eHealth Technologies. J Med Internet Res, 13(4), e124. doi: 10.2196/jmir.1674
- Vanagas, G. (2011). Willingness to use eHealth services in Lithuanian healthcare institutions. Countrywide survey. Biomedizinische Technik, 56(2), 123-126. doi: 10.1515/BMT.2011.009
- Webster, P. C. (2011). Nothing cutting edge about Canadian ehealth strategy, critics say. CMAJ. doi: 10.1503/cmaj.109-4065
- Westra, B., & Murphy, J. (2011). Alliance for Nursing Informatics pledge to support the Consumer eHealth Program. Comput Inform Nurs, 29(11), 619-620. doi: 10.1097/NCN.0b013e31823ba9f4
- Xie, B. (2011). Effects of an eHealth literacy intervention for older adults. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't]. J Med Internet Res, 13(4), e90. doi: 10.2196/jmir.1880
- Zbib, A., Hodgson, C., & Calderwood, S. (2011). Can eHealth tools enable health organizations to reach their target audience? Healthcare Management Forum, 24(3), 155-159.
01/14/2011 • 1:31 PM 0
According to the British Medical Journal, the British Medical Association (BMA) has taken a big, paternalistic step backward regarding patient participation. Or perhaps it’s a step in the right direction, formalizing their position as embracing 20th century thought: they warn that it’s not wise to let patients see their records, doctors will be deluged with emails, etc.
The concerns are familiar but archaic. Kaiser has ten years of experience showing that email reduces the total number of patient touches, and besides, patients love being able to read and write 24/7; etc. Our co-founder Dr. Danny Sands said, “How can patients participate if they can’t see the same information?” And how are they supposed to participate in shared decision making?
It’s not sufficient to say “The doctor will tell the patient whatever they need to know.” The record shows that time-pressured physicians commonly do not. And as we’ve said many times, whose data is it, anyway? Whose health is it?
11/02/2010 • 2:01 PM 0
Letter from Richard David:
Dear Friends -
Of all the dissapointments of this year’s health reform legislation, maybe the most politically destructive was the intentional exclusion of undocumented immigrants. They can’t even BUY health insurance in the exchanges! This concession to xenophobia is dangerous. Nationalist sentiment and attacks on minoroties in a time of economic crisis and ever expanding wars is not just another political trend. It is a particularly ugly and dangerous direction for American politics.
Michael Lyon, from California, drafted a late-breaker resolution to oppose the exclusion of immigrants from health reform. It is pasted in below. Please support this effort to put APHA on record on this issue.
Building multi-racial support for Latinos and other immigrants is urgently needed. If you want to help build support for this policy statement, please get in touch now or in Denver and we will coordinate our efforts. We need to have copies circulated in every business meeting and scientific session. People should stand up and speak out on this issue in every possible forum.
Opposing the Exclusion of Undocumented Immigrants from Health Care Reform
The American Public Health Association,
Noting that the Obama Health Plan, The Patient Protection and Affordable Care Act (PPACA), not only leaves at least 23 million uninsured[i], but it explicitly excludes ALL undocumented immigrants,[ii] and,
Noting that the PPACA even forbids undocumented immigrants from using their own money to buy health insurance at discounted prices through the exchanges,[iii] and,
Noting that, as a group, undocumented immigrants have arguably the greatest need of having healthcare expanded to them because:
FIRST: Undocumented immigrants are twice as likely to be uninsured as documented immigrants,[iv] and,
SECOND: Undocumented immigrants are excluded from Medicaid and SCHIP[v] by federal law, and,
THIRD: Undocumented immigrants’ future access to healthcare will be more challenging because (1) increasing raids[vi] and deportations[vii], and the Secure Communities Initiative[viii] make undocumented immigrants fearful of being visible, (2) State and County budget cuts are eliminating health services for undocumented immigrants[ix], (3) Anti-immigrant groups are pressing jurisdictions to withdraw health services from undocumented immigrants[x], and (4) Legislators are even at the point of considering withdrawing citizenship from US born children of undocumented immigrants, contravening a 150-year old constitutional right,[xi] and,
FOURTH: Many of the factors contributing to poor health indicators for immigrants in general are worse for undocumented immigrants, such as immigrants’ fears of presenting to health institutions, immigrants’ increasing unemployment rates and the higher cost of buying individual insurance, and health institutions’ fear of losing funding for treating immigrants. Even among the insured, immigrants’ and their children’s access to ambulatory and emergency care is worse than that of citizens,[xii] and,
Noting that measures taken to deny healthcare to undocumented immigrants result in citizens losing healthcare also, as exemplified by the 2004 cancellation of Colorado’s Presumptive (Medicaid) Eligibility program, which had allowed pregnant women to receive prenatal care while their Medicaid applications were processed. The entire program was eliminated because about half of the women were later found to be ineligible by immigration status. Citizen and immigrant women alike were put at risk, as well as their unborn children.[xiii]
And finally, noting that APHA has taken a clear positions against withholding medical care from undocumented immigrants in its resolution 2001-23, which “Urges the President and the Congress to oppose denial of eligibility for programs providing nutritional, prenatal, public health, medical care, and behavioral health benefits and services to any person residing in the United States on the basis of her or his immigration status”, [xiv] its resolution 9501, which “Opposes any mandates and initiatives that would limit access to public health interventions and health services for undocumented and documented immigrants and their children.”[xv] and its resolution LB04-07, which “Deplores and warns against measures curtailing, eliminating, or disrupting health care to undocumented immigrants.”[xvi]
Therefore, the American Public Health Association
Directs its Executive Leadership to communicate to the President, Congress, and media APHA’s opposition to the exclusion of healthcare for undocumented immigrants from Health Reform legislation, and
Directs its Executive Leadership to communicate to the President, Congress, and media APHA’s support of health reform that provides equal, comprehensive, affordable, accessible healthcare for everyone, regardless of status of health, employment, income, or legalization, that is, Single-Payer Healthcare, and
Directs its Executive Leadership to communicate to the President, Congress, and media APHA’s demand that community health centers receiving $11 billion of dollars of federal aid over the next five years through the PPACA[xvii] give undocumented immigrants comprehensive health care, and
Encourages its members and Affiliates to attend future events on immigration reform (public rallies, demonstrations, press conferences and the like) with the demand of comprehensive, affordable, accessible medical care for all immigrants, regardless of legalization status.
[i] Kaiser Health News, “Some Will Remain Uninsured After Reform,” March 24, 2010, http://www.kaiserhealthnews.org/Stories/2010/March/24/Some-Will-Remain-Uninsured.aspx , (Accessed Oct. 3, 2010).
[ii] Kaiser Health News, “Some Will Remain Uninsured After Reform,” March 24, 2010, http://www.kaiserhealthnews.org/Stories/2010/March/24/Some-Will-Remain-Uninsured.aspx , (Accessed Oct. 3, 2010).
[iii] Lewin Group, “Patient Protection and Affordable Care Act (PPACA): Long Term Costs for Governments, Employers, Families and Providers,” http://www.lewin.com/content/publications/LewinGroupAnalysis-PatientProtectionandAffordableCareAct2010.pdf, June 8, 2010, p. 22 (Accessed Oct. 3, 2010).
[iv] Pew Hispanic Center, “Hispanics, Health Insurance and Health Care Access” http://pewresearch.org/pubs/1356/hispanics-health-insurance-health-care-access ,September 25, 2009, (Accessed Oct. 3, 2010),
Working Immigrants, “Health uninsured rates among immigrants: far higher,” http://www.workingimmigrants.com/2009/08/health_uninsured_rates_among_i.html, August 19, 2009, (Accessed Oct. 3, 2010).
[v] Kaiser Commission on Medicaid and the Uninsured, “Summary: Five Basic Facts on Immigrants and Their Health Care,” http://www.kff.org/medicaid/upload/7761.pdf, March, 2008, (Accessed Oct 3, 2010).
[vi] Coalicion de Derechos Humanos, “Massive ICE sweep terrorizes Arizona communities following state passage of anti-immigrant profiling law,” http://www.derechoshumanosaz.net/index.php?option=com_content&task=view&id=166&Itemid=1, April 16, 2010, (Accessed Oct. 3, 2010).
[vii] Common Dreams, “Obama Administration Immigration Deportations Exceed Bush’s Record,” http://www.commondreams.org/print/56327, May 20, 2010, (Accessed Oct. 3, 2010)
[viii] San Francisco Immigrant Legal and Education Network, “San Francisco Immigrant Legal And Education Network Opposes The Implementation Of The Dangerous “Secure Communities” Program In San Francisco,” http://www.sfimmigrantnetwork.org/comments/sfilen_opposes_implementation_of_secure_communities_program_in_san_francisc, May 11, 2010, (Accessed Oct 3, 2010)
[ix] New York Times, “Reprieve Eases Medical Crisis for Illegal Immigrants,” http://www.nytimes.com/2010/01/06/us/06grady.html, January 6, 2010, (Accessed Oct. 3, 2010),
Kaiser Daily Health Policy Report, “Economic Recession Forcing Local Health Departments To Reduce Services to Undocumented Immigrants,” http://www.kaisernetwork.org/daily_reports/rep_index.cfm?DR_ID=57497, March 16, 2009, (Accessed Oct. 3, 2010),
New York Times, “Immigrants Facing Deportation by U.S. Hospitals,” http://www.nytimes.com/2008/08/03/us/03deport.html?_r=1&hp=&pagewanted=all, August 3, 2008, (Accessed Oct. 3, 2010)
[x] Washington Independent, “Anti-Immigration Activists See Opportunity in Health Care Debate,” http://washingtonindependent.com/55044/anti-immigration-activists-see-opportunity-in-health-care-debate, August 14, 2009, (Accessed Oct 3, 2010).
[xi] Newsweek Magazine, “The Next Front on Immigration,” http://www.newsweek.com/2010/08/01/the-next-front-on-immigration.html, August 1, 2010, (Accessed Oct. 3, 2010),
Politico, “John McCain backs citizenship hearings,” http://www.politico.com/news/stories/0810/40589.html, August 4, 2010, (Accessed Oct. 3, 2010).
[xii] Health Affairs, “Left Out: Immigrants’ Access to Health Care and Insurance” January/February 2001. http://www.projectshine.org/files/shared_images/Left_Out.pdf , (Accessed Oct. 20, 2010)
[xiii] Wall Street Journal, “Prenatal Care Is Latest State Cut In Services for Illegal Immigrants,” http://www.uniset.ca/naty/maternity/wsj_imm_med.htm, October 18, 2004, (Accessed Oct. 3, 2010).
[xiv] APHA Policy Statement 2001-23: “Protection of the Health of Resident Immigrants in the United States,” http://www.apha.org/advocacy/policy/policysearch/default.htm?id=262, October 24, 2001, (Accessed Oct. 3, 2010).
[xv] APHA Policy Statement 9501: “Opposition To Anti-Immigrant Statutes,” http://www.apha.org/advocacy/policy/policysearch/default.htm?id=96, (Accessed Oct. 3, 2010).
[xvi] APHA Policy Statement LB04-07 “Responding to Threats to Health Care for Immigrants,” November 9, 2004
[xvii] “PPACA Health Care Reform Timeline” http://stabenow.senate.gov/healthcare/Health_Care_Timeline.pdf, March 23, 2010, (Accessed Oct 3, 2010)
09/21/2010 • 9:55 AM 0
Revista MEDUSS lanza el 1er Concurso Internacional de Fotografía en Salud
Retratar los diversos aspectos de la salud es el objetivo del concurso de fotografía que organiza la revista MEDUSS perteneciente a la Escuela de Medicina de la Universidad San Sebastián sede Puerto Montt y que convocará a fotógrafos e interesados en esta materia, tanto de Chile como del extranjero.
Argentina, México, España, Colombia, Venezuela y Perú, serán los países que junto a Chile podrán participar del 1° Concurso Internacional de Fotografía en Salud y que tendrán la oportunidad de retratar aspectos y tendencias del área de la salud que sean característicos de sus respectivas culturas de origen.
En el concurso pueden participar estudiantes universitarios y profesionales de cualquier área, los que podrán enviar sus trabajos a cuatro categorías distintas: “Relación profesional-paciente”, “Instrumental médico-quirúrgico, “Vida de un paciente” y “Medicina para el alma”.
El jurado conformado por Adolfo Ugarte, Vicerrector de Comunicaciones de la Universidad San Sebastián; Rubén Gennero, MBA MPH Imperial Collage of London UK y Editor de Matasanos.org; Boris Groisman, Médico Genetista, Director de Mancia.org y Jefe de Residentes de Genética Clínica del Centro Nacional de Genética Médica en Buenos Aires, Argentina; Michel Baró y Juan Ignacio Vargas, Médicos Internistas y académicos de la USS; Mario Mendoza, Fotógrafo profesional; y Cristián Duarte, Reportero Gráfico del diario el Llanquihue; serán los encargados de determinar las mejores imágenes del concurso.
Los ganadores podrán acceder a importantes premios como cámaras fotográficas y discos duros entre otros estímulos.
Los interesados deben bajar las bases y enviar sus trabajos hasta el 25 de Octubre mediante la página web de la revista: www.meduss.cl/concurso.
08/20/2010 • 1:29 PM 0
Ambiguous Loss and the Chilean Mineworkers: A Systemic Tragedy
by Gonzalo Bacigalupe, EdD, MPH, Ikerbasque Research Professor, University of Deusto, Bilbao, Spain
For more than two weeks, 33 miners have been buried alive in the North of Chile.
The tragedy occurs at a mine that very recently has had other accidents and where the rescue operations have been frustrated by lack of accurate information about the mine and a general disregard for basic safety norms. Mine accidents happen but in this case the lack of real care for the lives of the mineworkers seems to be the real cause of the tragedy.
These two weeks have been full of political posturing on the part of the government mostly as well as the former governing coalition. Everyone is ready to blame the other although we silently know that this is the responsibility of business greed and government corruption that includes the whole governing spectrum. Chilean copper, gold, and other fine minerals extraction is the core of the country’s economy. In the case of medium and small mines, the overseeing of safety regulations is grounds for corruption and shortcuts, not so dissimilar from the causes of mines accidents or the BP spill in the Gulf of Mexico.
In Chile, inaccurate assessments of the situation have been packed with allusions to religion (God is mention by the President every day) and a general pretense of caring for the miners’ families has permeated the media. Tragedy sells. The fact is we know little about the people underground. Psychologists called to the grounds provided misleading, inaccurate, and vague information about what should be expected and how families could be supported. A disaster of this nature should have been addressed with clear protocols in which the government, civil society and non-governmental organizations know exactly how to act in the aftermaths.
From a psychological and relational perspective, the tragedy contains all the ingredients of what has been coined as “ambiguous loss.” Ambiguous loss differs from ordinary loss in that there is no verification of death or no certainty that the person will come back or return to the way they used to be (Boss, 1999). In Chile, with an unresolved past of disappeared citizens, the ability to resolve ambiguous loss is severely handicapped. Chile, as a society, is still unprepared to deal with the psychological and social sequelae of people suffering ambiguous loss. The anxiety, the loss of meaning, the ambivalence, and the hopelessness that this sort of catastrophe generates continues to paralyze the political establishment via blame games. Civil society and the media end acting in stereotypical and unhelpful ways to deal with ambiguous loss. Reparatory work is unseen in those circumstances. The tragedy of the mineworkers is also about trying to forget our past, to believe that simplistic solutions provide closure, and to think that one side is the one to blame for it all. It is irresponsible for political leaders and the media to continue playing the same game over and over again. We know how to address a loss of this magnitude; what we need now is the political leadership to implement those actions appropriately.
04/30/2010 • 2:24 PM 0
¿Impuestos a la comida chatarra en Chile? Estoy de acuerdo. Pese a que es sabrosa y barata, le cuesta caro al país. La obesidad es su resultado más visible.
La obesidad en Chile afecta a cerca de cuatro millones de personas y causa enfermedades crónicas letales, como la hipertensión vascular, diabetes y varias formas de cáncer. Como consecuencia, el aumento en las expectativas de vida corre el peligro de revertirse debido a un estilo de vida que se apoya en la comida chatarra, una de las causas principales de esta epidemia.
¿Por qué la comida chatarra es nuestra enemiga si tantos la consideran sabrosa y barata? Los alimentos nos debieran nutrir, pero la comida chatarra provoca desnutrición debido a sus ingredientes de baja calidad y no provoca saciedad, generando una adicción invisible. El precio es bajo para el consumidor, pero tiene un alto costo para Chile debido a la mayor demanda por salud, el ausentismo laboral y las deficiencias en el aprendizaje escolar debido a enfermedades físicas y sicológicas causadas por la obesidad.
04/22/2010 • 4:53 PM 1