Salt Awareness Week

Individual

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      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

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Group

[My] attention, priorities, beliefs, mindset(s) .. Knowledge Health literacy (All literacies) Choices Decision making Motivation My health: Physical AND Mental Responsible for..?
Culture Lifestyle Friends - Family Dining custom & practice	Food Industry National - Global action Policy - Law Health Economics (Price of foods) Food labelling Impact of Climate Change

My source: Twi/X

The poly-pill approach to health care ...

"A "polypill" packed with four different medications to treat high blood pressure and cholesterol can cut the risk of heart attacks and strokes by up to 40 per cent when taken with aspirin, a study has suggested." 

individual

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INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group

	aspirin (75 mg), for thinning the blood lisinopril (10 mg), for reducing blood pressure hydrochlorothiazide (12.5 mg), also for reducing blood pressure simvastatin (20 mg), for reducing “bad” LDL cholesterol

 

Does it follow then (triage aside) that in our health and social care interventions we should not restrict ourselves to a single care domain?

 

My source: 

News: 'Polypill' with aspirin offers hope of fewer heart attacks, The Times, 14 November, 2020, p.28.

 

See also:

https://blogs.bmj.com/bmj/2020/11/16/richard-smith-a-new-important-study-supports-wider-use-of-the-polypill/

PRIMEtime CE: a multistate life table model for estimating the cost-effectiveness of interventions affecting diet and physical activity

When I saw Adam Brigg's tweet and thread the figure below stood out.

I have modelled some of the concepts using Hodges' model. I have added some additions, flagging gender* to highlight way this and other factors (often) need to be considered in a multicontextual manner.

There is a lot more of course, including the reference list; for example Squires, et al. which pose some interesting questions.

81. Squires H, Chilcott J, Akehurst R, Burr J, Kelly MP. A framework for developing the structure of public health economic models. Value Health. 2016;19:588–601.

Fig. 1 The PRIMEtime CE conceptual model

individual - self

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INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group- population

Interventions over time individual behaviours motivation	model: outputs AGE, GENDER* Active People Survey DIET - PHYSICAL ACTIVITY cardio-vascular disease - heart disease,  stroke, diabetes,  liver disease, cancers, raised blood pressure, cholesterol, and body weight TIME: chronological-pathological PROCESS
PRACTICE behaviours - social over time social care socio -	population health POLICY health economics health care costs social care costs return on investment - economics

My source (and do follow Adam's full-thread):

2/
The first paper is here. It describes the PRIMEtime CE model.

This builds on @Pete_Scarbs and Linda Cobiac's work on the PRIMEtime model (and PRIME before then). My contribution was to add utilities + health & social care costs.https://t.co/B0Fu9uP4ru pic.twitter.com/aGaMcpwIks

— Adam Briggs (@ADMBriggs) July 17, 2019

Patient Education: Stable - Unstable Plaques c/o twitter ...

individual

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INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group - population

'The patient' Insight, Awareness, Understanding Attention, Engagement, Recall Health Literacy	Stable-Unstable Plaques Statins Post Myocardial Infarction Evidence-Based Care
Love this unstable plaque explanation - why this man should take a statin post MI @Channel4 #GPsBehindClosedDoors - please namecheck this nurse if you know her @theRCN @RCNconnects @NursingTimes @TheBHF @BritishCardioSo @DrPascalMeier @Heart_BMJ @JACCJournals #medshr pic.twitter.com/r1t0VCL0SL — Dr Asif Qasim (@DrAsifQasim) December 5, 2018	Policy Post MI Intervention or Pre MI? Clinics ('Real time'?) Public Health Funding