Hodges' Model: Welcome to the QUAD: Search results for planetary health

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts sorted by relevance for query planetary health. Sort by date Show all posts
Showing posts sorted by relevance for query planetary health. Sort by date Show all posts

Thursday, October 10, 2024

British Computer Society: AI for One Health and Planetary Health

 BCS SPECIALIST GROUP ON ARTIFICIAL INTELLIGENCE (BCS SGAI)! 

AI for One Health and Planetary Health: Where Are We?

Friday November 8th 2024 - British Computer Society London Office (near Moorgate Underground)

Invitation to Register

http://www.bcs-sgai.org/health2024/

A full-day event with invited talks on the following topics:

  • One Health and Planetary Health: the case for considering a unified health perspective
  • Translational Diagnostics in Companion Animals
  • Mixed AI approaches to surfacing information hidden in veterinary electronic health records
  • Hands-on Tutorial: Low-Code/No-Code AI: Democratise AI for Text, Images, and Audio
  • AI for One Health and Planetary Health: is there a generic framework?
  • Low-Code/No-Code AI for Biomedical Image Classification: Visual Impairment as a case stud
  • Low-Code/No-Code AI for Planetary Health: World Fisheries and Aquaculture as a case study
The  21st  century  brings  major  global  challenges,  including  climate  change  and  rapid  population  ageing, calling  for  transdisciplinary  involvement  of  diverse  sectors  and  stakeholders,  including  academics  and students, companies and societal organisations. One Health considers human health, animal health, and our shared  environment  as  parts  of  a  deeply  interconnected  system.  Our  environment  is  changing  and  it  is affecting  our  health.  Planetary  Health  emphasises  that  everything  is  connected:  "the  quality  of  the  air  we breathe and of the water we drink, the quality and quantity of food we produce, our exposure to infectious diseases, and even the habitability of the places where we live". Digitalisation is happening in both human and veterinary medicine. Human-AI collaboration can bring humans and AI together to gain more valuable insights  than  either  could  achieve  alone. The  event  comprises  a  number  of  talks  with  speakers  from  the Animal  and  Plant  Health  Agency  (APHA.gov.uk),  Veterinary  Health  Innovation  Engine  (vHive),  Small Animal  Veterinary  Surveillance  Network  (SAVSNET),  National  Health  Service  (NHS)  England,  and  UK universities.  

Low-code/no-code AI is on the rise with Large Language Models (LLMs) at its core, including multimodal LLMs that can produce content (text, image, video, or audio/speech) as output (generative AI). Come along to the hands-on tutorial if you are interested in content generation and content analysis of text, images and  audio  with  open-source  LLMs from  Google,  Facebook,  Microsoft  and  OpenAI  in  just  3  lines  of python  code  (low-code  AI)  and  LLM  prompting  (no  code  AI).  The  exercises  can  be  executed  in  1  to  5 minutes using Google Colab (free of charge for basic use and without setup to use).  

There will be Certificates of Attendance for those who register and attend the event.

We hope that you will come and join us, and that you enjoy this new offering from the BCS SGAI.

Full details are available at http://www.bcs-sgai.org/health2024/

Reduced delegate fees!!
The  delegate  fee  is  just  £50  plus  VAT  for  BCS  and  SGAI  members  and  £90  plus  VAT  for  others. This includes  attendance  at  the  event,  lunch  and  refreshments.  A  special  rate  of  £35  plus  VAT  is  available  for students. A Group Discount Rate is available for group bookings of three or more.

--------------------------------------------------------
To register for future mailings about SGAI events go to http://www.bcs-sgai.org/register/

Max Bramer
Chair BCS Specialist Group on Artificial Intelligence (bcs-sgai.org)

Tuesday, April 12, 2016

Planetary Health (i) (and the need for a global conceptual framework)

(with thanks to Global Health Now)

In a pointed challenge, Lancet editor-in-chief Richard Horton warned Consortium of Universities for Global Health conference attendees Saturday that an exclusive focus on improving health will fail.

Horton argued instead for planetary health.

“We have to cross outside of health and think about the relationship between health and other dimensions being defined as sustainability,”
Horton said, in a keynote address at the annual CUGH conference, which opened Saturday in San Francisco and attracted more than 1,800 attendees from around the world.

Citing the work of a Lancet Commission that published a 2014 manifesto, Horton argued that the global health community and others need to embrace planetary health. “Our vision is for a planet that nourishes and sustains the diversity of life with which we coexist and on which we depend,” Horton and others wrote in the manifesto.

Brian W. Simpson, Global Health NOW

Full text:

http://www.globalhealthnow.org/news/horton-to-cugh-planetary-health-is-the-solution
[ See below: PJ ]

Best wishes, Neil

Let's build a future where people are no longer dying for lack of healthcare knowledge - Join HIFA: www.hifa2015.org


https://www.globalhealthnow.org/2016-04/horton-cugh-planetary-health-solution

Previously on W2tQ:

One mind, many minds - ONE PLANET. One need, many needs - ONE PLANET: what price stability?

Exoplanets, exobiology, exocortex, exocare ...?

Notes (ii) from Paipa Conference: Q & A

Blog Action Day: h2cm around the water whole

TED: Nic Marks - The Happy Planet Index

Thursday, March 28, 2024

European Public Health Week - Health is a political choice!


European Public Health Week

13-17 May 2024

Health is a political choice! 


"The European Public Health Week (EUPHW) 2024 will focus on the overarching topic - Health is a political choice! - highlighting the interplay between politics and health to create sustainable change for better health in the future. 
We will open the dialogue online and in person in Brussels on Monday, May 13, at the European Observatory on Health Systems and Policies, discussing how to integrate health into the political agenda effectively. We will address health within the context of crises and explore the concepts of a well-being economy and politics. Additionally, we'll delve into the importance of community participation in health politics, implementing Health-in-All-Policies, and the broader application of health considerations across all policy areas. This day aims to set the stage for a week of fruitful discussions, laying the groundwork for actionable insights and strategies to ensure health is prioritised across all levels of political decision-making. Stay tuned for more information on this event!. ..."
INDIVIDUAL
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
GROUP

Mental health
Self-esteem
Personal and Cultural Identity
Sense of security: Crisis <> Peace
Public mental health & well-being
Individual health literacy

Planetary health
Global pandemics - Local inequities
Environment - Cities, Rural, Remote
Pollution control
Evidence (across policy contexts)
Nutrition
local, glocal, global [Geo*]
Social policy
Housing: Climate/Demographic mitigation
Healthy societies, Living alone, Families
Inclusive communities
Social media - Information provenance

Elections - National/International *Politics
Economics
Policy, Regulation
Health systems
Yes, health is a political choice!


Sunday, September 01, 2024

British Computer Society: Real AI 2024 -::- AI for One Health and Planetary Health

In July I posted news of this month's Real AI event 27th September. Plans are in place to attend.

In November, London beckons again:

Friday November 8th 2024

Even as I look forward to September's trip; I'm pinching myself. 

Following a BCS event last year, Hodges' model has been recognised. A video chat and many email exchanges has revealed there is a model possessed with the necessary holistic bandwidth. Hodges' model has the conceptual scope to encompass intelligence(s), One Health and planetary health. 

This also fits with current reading - interrupted by Hardy's A Mathematician's Apology (£2.00) - with posts to follow that will also inform November's co-presentation.

More to follow and clearly I have learned a great deal from engaging with the BCS. While my affiliate  membership has lapsed now, since the early 1990s the Society's publications, specialist groups: medical informatics, nursing, methods, security, expert systems, and now AI have proved well worth getting involved!

I am also hoping for some part-time tutoring at Bolton University in the new academic year.

Tuesday, January 16, 2024

Architectural Epidemiology: Rethinking architecture for community and planetary health

Dear colleagues,

I am pleased to invite you to the first Policy Dialogues session of 2024, from the JHU-UPF Public Policy Center:

Architectural Epidemiology: Rethinking architecture for community and planetary health
Thursday 25th January at 6pm CET
Location: Online :: Language: English


Buildings account for nearly 40% of global greenhouse gas emissions (GHGs) and up to 1/5 of chronic disease. In an era of climate emergency, rising global levels of chronic disease and increasing social inequalities, there is an urgent need to reassess and transform buildings and their social and environmental impacts. The new, transdisciplinary field of Architectural Epidemiology offers a roadmap for overcoming these challenges: it aims to transform the building sector from being a major contributor to climate change and chronic disease to becoming one of the primary forces behind their decline.

The JHU-UPF Public Policy Center is delighted to invite Dr. Adele Houghton (Harvard University) to present her cutting-edge work on Architectural Epidemiology in this Policy Dialogue. She will be joined by Dr. Carme Borrell (Barcelona Public Health Agency), who will respond to and discuss the presentation, offering a European perspective on the possibilities and challenges that this field presents for community and planetary health. The session will be moderated by Dr. Mary Sheehan (Johns Hopkins Bloomberg School of Public Health).

We hope you can join us to learn about and discuss this exciting new field of research and action!

Register here, and please feel free to share within your networks.

Best regards,
Aeve Ribbons
Coordinator of Policy Dialogues

My source: Politics of Health Group Mail List Messages

Visit the PoHG website for lots of interesting links and publications: http://www.pohg.org.uk/

Sunday, March 09, 2014

THE LANCET From public to planetary health: a manifesto

A new vision for planetary health


This manifesto for transforming public health calls for a social movement to support collective public health action at all levels of society. Our aim is to respond to the threats we face: threats to human health and wellbeing, threats to the sustainability of our civilisation, and threats to the natural and human-made systems that support us.

Our vision is for a planet that nourishes and sustains the diversity of life with which we co-exist and on which we depend. Our goal is to create a movement for planetary health.

If you agree with the broad thrust of the manifesto (not necessarily every detail), please register your agreement here ...

Wednesday, January 03, 2018

Modelling Scale: Self, Families, Communities, Organisations - a Planet's Health...

Dear HIFA colleagues,

I would like to wish you all a happy new year and to share with you a powerful quote on the front cover of the current print issue of The Lancet:

"Achieving planetary health will require a renaissance in how we define our place in the world. A new narrative will reject the one streaming into our homes — that happiness comes from relentlessly acquiring more things — and embrace what we know: that what truly makes us happy is time spent with those we love, connection to place and community, feeling connected to something greater than ourselves, taking care of each other."
The quote is from a lecture by Samuel Myers, Planetary Health Alliance at Harvard University, USA. The citation is below and the full text is freely available here:
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32846-5/fulltext

CITATION: Planetary health: protecting human health on a rapidly changing planet
Dr Samuel S Myers
Volume 390, No. 10114, p2860–2868, 23 December 2017
DOI: http://dx.doi.org/10.1016/S0140-6736(17)32846-5

Best wishes, Neil

Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org

<->

My additions:

I am always fascinated by the need for such expansive perspectives, the need to simultaneously factor in scale; how for example, do we warn future generations of environmental hazards?

Such questions are also crucial to "how we define our place in the world"?

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

The Far Future - BBC Radio 4

The Long Now





Political planning
NHS workforce planning
NHS preparedness for (a?) the (this?) Winter


Source: HIFA Dr Neil Pakenham-Walsh with thanks.

Tuesday, March 26, 2019

Word use & implications for research - 'Population health' by Canales, Drevdahl & Kneipp (2019)

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - POPULATION
individual health

a. INTERVENTION in Individual behaviour

4Ps - PURPOSE
My word use -
(contribution to and affected by
a community of practice)
  
scale
Begin: Planetary Health End:

 interventions
  Length and quality of life
 academia - evidence-base
b. INTERVENTION in a healthcare sector
Public Health as a discipline - word use
SMALL-scale:
 health promotion and disease prevention
FROM: individual
CLINICAL - sub-groups
TO: group - population
 A data dictionary?
4Ps - PROCESS
language use - 'pop. health' meaning?

Social and Society

Does the community have a role in local health population management?

a. and b. insufficient to address -
social determinants and health inequities
root - societal and structural levels

History

Community activists for Social Determinants of Health
4Ps - PRACTICE

SOCIO-
TOTAL POP. [health systems Pop.]

population health management
4Ps - POLICY

political & economic systems
low-income
LARGE-scale: community initiatives that attempt to reduce inequities by challenging
poverty and racism


SDOH - inc:
food supply, housing, economic and social
relationships, transportation,
education, and health care

-ECONOMIC


Canales, M.K., Drevdahl, D.J., Kneipp, S.M., (2019) Moving Words, Moving Meanings: The Discourse of Population Health, Journal of Professional Nursing, 35, 2, 71-73, ISSN 8755-7223,
https://doi.org/10.1016/j.profnurs.2019.02.007
(http://www.sciencedirect.com/science/article/pii/S8755722319300201)

Wednesday, July 30, 2025

Book: 'Health and Health Care Inequities' iv

Fittingly, chapter 4 brings us to Political Power and Policy Advocacy. In Hodges' model you can both have your cake; and gratefully receive the cake you're given. This is the health in politics and the health in politics (as, for example, revealed in the health status of political leaders).


As a framework structure, the axes of Hodges' model initially give rise to four symmetric domains (spaces). There is an invitation to begin where you choose. Chapter four reveals some truths, as the 'nexus' - center of the model is mobile (unlike many citizens!) as the 2x2 rendition below suggests, if not illustrates. Borras takes us through health politics, political participation and representation, unequal power and politics, and policy change approaches with illustrative cases.

In an institution (like the NHS), bureaucracy, aka an organisation, the workforce are often acutely aware of policy and procedure. It is like the Force. It permeates everything - the meetings - and yet is remote. Borras seek to shed light on unequal resources and policy influence. Again Borras's literature informed discussion and argument, includes some historical gems, such as Lasswell (1958).

Individual
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group





Political Power and
Policy Advocacy




In chapter 5 on evidence and ideas, discussion of Katherine Smith's 'under 'Six Travelling Ideas' is an excellent resource, with several references including:

Smith, Katherine E (2013) Institutional filters : the translation and re-circulation of ideas about health inequalities within policy. Policy and Politics, 41 (1). pp. 81-100. ISSN 0305-5736 (https://doi.org/10.1332/030557312X655413).

I love the image of ideas as and on a journey, some successful, others fractured, weak, re-contextualised, even non-journeys (falling - 'dead from the press' - I suppose?). At least the journey of Hodges' model is ongoing. A baton for our times. As I wrote in post i, chapter 5 tackles 'evidence' (there's a post or two). It does so in relation to information, ideology, and interests:

If you've read many posts on W2tQ, you may see: I've a chip on my shoulder. Evidence for the safety, benefits, theoretical underpinning ... of Hodges' model is still to be realised. To the satisfaction, that is: of course to the powers that be. Speaking of which: the axial (for me) subtitles arise again in chapter 6; capitalism-imperialism-colonialism-racism nexus (p.87).

To demonstrate the utility of Hodges' model, this is significant.

Please feel free to search for these terms - capitalism-imperialism-colonialism-racism in the search bar above.

I've been interested in drama since playing the part of Francis Nurse in Miller's The Crucible. It took some 50 years to go from armchair to treading the boards again. I played Ken, supported by his wife, trying to run a post office, amid a chaotic and injurious IT system. An 8-9 minute sketch which was part of a Living Newspaper. Interested in writing - as previous posts may reveal, I also keep trying get to the theatre. With the themes of chapter 6, Liberation was thought provoking.

Mind-Body, Private-Public, Socialist-Conservative, Borras adds the global health North-South schism. A prompt for suggesting a brief glossary is expropriation and exploitation^ (p.88). Four stages of capitalism too. This chapter - A critical political economy approach is essential reading for me (and you!?) - a path to a critical care economy (self-care to planetary health).

^There is a note #3 about these on page 99.

See also: Post i : Post ii : Post iii : Post v (to follow)

Merelman, R. M. (1981). Harold D. Lasswell’s Political World: Weak Tea for Hard Times. British Journal of Political Science, 11(4), 471–497. http://www.jstor.org/stable/193766

Arnel M. Borras. (2025) Health and Health Care Inequities - A Critical Political Economy Perspective. Fernwood Publishing.

Liberation image: The Agency
https://theagency.co.uk/news/cast-announced-for-ntombizodwa-nyonis-liberation-at-royal-exchange/

Friday, December 20, 2024

New citations - Practice Without Theory: A Philosophical Inquiry into Contemporary Nursing in South Asia

It is always welcome news when I learn of a paper (Asmat, 2024) recognising and citing Hodges' model from the nursing and wider literature. In this case an educational journal, focussed upon health and social care:

Kainat Asmat (2024). Practice Without Theory: A Philosophical Inquiry into Contemporary Nursing in South Asia: Nursing Practice without Theory. International Journal of Practice-based Learning in Health and Social Care. 12. 125-131. 10.18552/ijpblhsc.v12i2.1068. 

I have quoted at length, but it is good to have a different 'excuse' (not just extending the tail of a relevant book, or paper). ... 

'Similarly, Hodges' Health Career Model exemplifies its use as a tool for reflection during clinical assessments, care planning, and decision-making processes (Doyle & Jones, 2013). The model encourages nurses to reflect on their practice through multiple lenses, ensuring a comprehensive understanding of patient needs and care strategies. The Interpersonal domain emphasizes the relational aspects of nursing, including communication and empathy. The Sociological domain highlights the impact of societal factors and social determinants on health. The Scientific domain focuses on evidence-based practice and the integration of scientific knowledge into care. Finally, the Political domain addresses the influence of healthcare policies and organizational structures on contemporary nursing practice. In contemporary nursing practice, a nurse might use Hodges’ model to provide holistic and personalized care by considering the patient's social background, the scientific basis of their care, interpersonal dynamics, and relevant political or policy-related factors. According to Jones (2017), using conceptual models like Hodges' can greatly enhance nurses' critical thinking, fostering a reflective and engaged nursing workforce.' p.126.

'Collectively, nursing theory remains a cornerstone of contemporary nursing practice, providing an essential framework that guides clinical decision-making, promotes critical thinking, and supports reflective practice. Peter Jones, in his seminal works, underscores the critical role of theoretical models in enhancing nursing practice. His insights provide compelling evidence for the continued relevance of theory in contemporary practice. In "Humans, Information, and Science", Jones (1996a), articulates the interrelationship between human factors, informational processes, and scientific principles in healthcare. He argues that nursing, as a discipline, uniquely integrates these elements to form a comprehensive approach to patient care. This integration is fundamental in moving beyond task-oriented care towards a practice that is reflective and evidence-based. Jones emphasizes that without a theoretical foundation, contemporary nursing practice risks becoming fragmented and superficial, lacking the depth required for truly effective patient care. Similarly, in "An Overarching Theory of Health Communication",  Jones (1996b) explores the necessity of robust communication theories in healthcare. He posits that effective communication is not merely a skill but a complex process grounded in theoretical understanding. This perspective is particularly relevant to nursing, where communication is pivotal in patient interactions, interdisciplinary collaboration, and health education. Jones’ work illustrates that theoretical frameworks in communication enhance nurses' ability to engage with patients and colleagues thoughtfully and effectively, fostering better health outcomes and professional practice. Jones’ analyses reinforce the argument that nursing theory is indispensable in contemporary practice. Likewise, McEwen and Wills (2021) also highlight that nursing theory is integral to the development of nursing as a discipline. They assert that without the theoretical underpinnings, nursing risks regressing to a technical occupation devoid of critical thinking and judgment that characterize nursing professional practice. Thus, the survival and progression of nursing as a distinct profession depend on the continued integration and application of theory in contemporary nursing practice.' p.127.

In addition, the short conclusion is supportive and encouraging for ongoing efforts. As with all discovered citations thus far, I'm not sure of how Kainat Asmat located the publications on Hodges' model? A literature search - no doubt, or perhaps the blog's sidebar listing? The selection made, fits the author's purpose. 

Over the years, I've tried to indicate the scope and scale that Hodges' model can 'reach'. Especially in self-care, family, local, global and planetary health. Now, c/o Asmat (2024), Hodges' model has a much valued connection with South Asia. The required scope of Hodges' model (its inter- and transdisciplinary potential^) is also conceptual, referred to previously as holistic bandwidth. Hence the model's relevance and potential in theory and practice.

Many thanks to Kainat Asmat and the journal's editorial team.*

I will read again and return to the paper in our New Year.

Listed in the bibliography:

Doyle, M., Jones, P. (2013). Hodges’ Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20, 7, 631-640.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2012.01961.x/abstract

Jones, P. (1996a) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598. https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1996.23321.x

Jones, P. (1996b) An overarching theory of health communication? Health Informatics Journal,2,1,28-34.

Where I have now added this paper.

^Still on the agenda as a paper; as with 'revisiting' 1996a. Happy to support others in referencing, or writing more specifically about Hodges' model (a case study, mapping exercise?); especially student nurses, carers and personnel in social care and early career researchers. To which, I'd better add later career nurses, allied disciplines, nurses returning to practice (surely a UK and global policy focus?) and proof of reading (your choice of course on the paper, chapter, book...); and reflection for continuing professional development (CPD). If you're still unsure, it was a relief to put the 'pen' down, well writing is still a major challenge (and pain) here. 

*And, of course - Brian E. Hodges RIP - too.
https://hodges-model.blogspot.com/2023/08/brian-e-hodges-r-i-p.html

Sunday, May 03, 2026

Global Experts call for Paradigm Shift in Medicine, Health and Education to Save Lives and Fight escalating Health Crisis

ACCESS NEWS WIRE – for PRESS RELEASE on Tuesday, 28. April 2026

A global consortium of 64 experts (72 entities, 5 continents) unveiled two coordinated consensus plus policy brief reports, outlining a science‑driven roadmap to confront escalating health crises and to tackle the growing burden of noncommunicable diseases (NCDs—including cardiovascular diseases, cancer, diabetes, etc.: 75% of global deaths; 82% in low-/middle income countries; 90% of all death in European region).

The centerpiece is HEAL—Healthy Eating & Active Living, ideally whole‑food plant‑predominant/vegetarian-vegan diets & daily exercise outdoors/active mobility—as the minimum, first‑line standard in health and care. The authors urge immediate action on Prevention-over-Treatment and reforming education and human‑relevant science (drug failure rate from animal studies is 90-95%, and as high as 99.6% for Alzheimer disease), with a rapid shift from disease‑centered reaction to person‑centered, lifestyle‑first cure and care.


Figure 1. HEAL means choosing a whole-food, plant-predominant (ideally vegan) diets coupled with daily exercise outdoors/in nature to kick-start better health. Credit: iStock/LightFieldStudios.


“Sustainable health is for free but cannot be downloaded or prescribed—it must be lived daily and earned across lifetime through informed lifestyle choices, with HEAL as starting point. As childhood-entrenched health literacy lasts a lifetime; embedding HEAL from primary to tertiary education is the policy priority of our generation.” —Lead author Katharina Wirnitzer | PHT, University of Innsbruck & CCCTIM


Foto 2. Katharina Wirnitzer/Keynote on Vegan Diet in Sports. Credit: ©Katharina Wirnitzer.

Why change is imperative.

  • The paradox: Despite rising health spending and scientific advances, public health gains lag while ever-growing NCDs. The expert panel offers 101 consensus statements and a 10‑step policy roadmap to act across the lifespan—from individual behavior to population‑level change.

  • Why HEAL, and why now: HEAL combines Healthy Eating (whole‑food, plant‑predominant; preferably vegetarian/vegan) with Active Living (regular, ideally daily, including outdoor activity and active mobility). Evidence shows synergistic benefits beyond either alone, reducing reliance on drugs and surgery while improving resilience and sustainability of health systems.

  • Prevention-First (3:1): The reports recommend prioritizing prevention, health maintenance, and health promotion over treatment by 3:1 (Figure 3), making healthy choices the easy, first‑line intervention and reserving medicalized treatment for specific indications.

  • Education and workforce: Embed HEAL from primary through tertiary education and continuously upskill healthcare and education professionals to deliver evidence‑based lifestyle counseling, routine assessment, and monitoring. Improve meal standards and support active mobility in schools and public spaces.

  • Human‑relevant science: Accelerate the transition to non‑animal, human‑relevant methods for basic and preclinical research and for efficacy, safety and toxicity testing through funding priorities, validation, and regulatory adoption.

  • Policy roadmap: Apply Health in All Policies (HiAP) to link individual choices with systemic supports (Figure 4); invest in supportive defaults (healthy public catering, active transport, public‑space design, community HEAL programs); embed HEAL in curricula; and track outcomes with robust evaluation to scale what works.


“Every dollar/euro invested in evidence-based prevention saves multiples in treatment. HEAL is the smartest first investment a health system can make.” —Bernd Haditsch | ÖGK – Austrian Health Insurance Fund, Prevention Unit
“Obesity is a disease with powerful drivers. HEAL gives every patient a proven, first-line foundation to reclaim their health.” —Fatima Cody Stanford | Harvard Medical School & MGH
“A doctor who cannot counsel patients on the Power of Lifestyle, especially on food and movement, is only half-equipped. Lifestyle education in medical school is the missing foundation of modern medicine. Helping our patients to eat a more plant-strong diet is the most powerful healing medicine we can prescribe.”
—Michael Klaper | Moving Medicine Forward
„Plant-forward diets provide a powerful opportunity to concurrently improve health and wellbeing for people, farmed animals and the environment.“ —Andrew Knight | Griffith University


Figure 3. Four areas-of-action, balanced 3:1, to achieve lifelong health. Credit: ©Katharina Wirnitzer.



“Given its cost-effectiveness, Traditional, Integrative, and Complementary Medicine will be the evidence-based mainstream of tomorrow’s global healthcare.” —Tomáš Pfeiffer | ITCIM & SANATOR
“Treatment alone will not sustain health systems. HEAL connects prevention, lifestyle medicine and integrative care to advance salutogenesis on a planetary scale. We must invest far more in creating health.” 
—Georg Seifert |
WHO CC & CCCTIM, Charité Universitätsmedizin Berlin

“The science clearly shows that, when it comes to human health, animal protection is a win-win.
Given human health’s complexity, and
since animal testing virtually fails to cure human diseases, human-relevant methods already outperform animal experimentation and must therefore be implemented with priority in science, with funds going to human-focused research.
Citizens in the EU and US have spoken clearly in favor of this transition.
HEAL can prevent many diseases, avoiding the need for animal studies altogether
.“
—Merel Ritskes-Hoitinga | Universities Aarhus & Utrecht; Doris Wilflingseder | Vetmed Uni Vienna, Aysha Akhtar | Center for Contemporary Sciences, Corina Gericke & Gaby Neumann | Doctors Against Animal Experiments

 

Figure 4. Systemic application of HEAL to reach target groups and improve personal and public health across micro (individuals/families), meso (communities), and macro (state/government/federal policy) levels, ensuring optimal vertical and horizontal permeability and integration. Credit: ©Katharina Wirnitzer.

Key Actions at a Glance.

  • Make HEAL the universal starting point and minimum, first‑line prevention standard.

  • Implement lifestyle‑first counseling before routine prescriptions.

  • Prioritize Prevention-over-Treatment with an 3:1 balance.

  • Mandate lifestyle education in schools; embed HEAL across tertiary programs.

  • Continuously upskill professionals for evidence‑based lifestyle counseling and monitoring.

  • Accelerate adoption of human‑relevant methods to end animal experiments in research, education and regulatory testing.


Figure 5. The Power of Lifestyle: Start with the dual HEAL approach across 6 interconnected areas to improve health and well-being. Credit: ©ACLM. Graphic modification: ©Katharina Wirnitzer (permission: 24.11.2021).


Contact for further information

Katharina C. Wirnitzer—Professor for Sports Public Health with a special focus on Child Public Health

Email: katharina@wirnitzer.at | Cell: +43 (650) 5901794

University College of Teacher Education Tyrol (PHT), Innsbruck, Austria

Sunday, February 25, 2018

2nd Planetary Health Annual Meeting in Edinburgh

Since learning about the 2nd Planetary Health Annual Meeting in Edinburgh late last year, I realise I didn't post the news, which is a gift in terms of the purposes of Hodges' model. So, this post celebrates what is a vital subject and call for action and an invite to present a poster. Unfortunately regards the poster, in my haste I did not check the registration terms and the applicable early bird fee of £250 is too much for me personally. If you are a student, or resident citizen of a low and middle income countries opportunity knocks with a welcome reduced early bird registration fee until 9 March.

The planet and planetary health have featured here on W2tQ, on the now defunct website 1998-2015 and in papers, notably:

Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109.

 Jones, P. (2012). Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model. The Journal Of Community Informatics. 8(3). Retrieved from http://ci-journal.net/index.php/ciej/article/view/876/

Jones P. Exploring the relationship of threshold concepts and Hodges’ model of care from the individual to populations and global health. Rev Cuid. 2017; 8(3): 1697-720. http://dx.doi.org/10.15649/cuidarte.v8i3.464

Another short paper is under review on Hodges' model and the Sustainable Development Goals.

Amid the embarrassment of having to turn the offer down I will follow developments with keen interest and hope that another opportunity may arise.

Friday, January 31, 2025

Saving 'a' School of Nursing ... Cardiff, et al. (2025 ...)?

Individual
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      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group

Nursing has provided many models and theories and (even as some have scoffed), we could be on the cusp of new things; with the ideal model - for reflection, reflective practice, and critical thinking. Surely this is worthy of ongoing undergraduate and post-graduate study?

What message does closing a SoN send to:
  • the public;
  • other universities, colleges and schools;
  • to students (and alumni) selecting subjects for study;
  • to highlighting the mental health impacts on campus for students, faculty and researchers;
  • other disciplines;
  • the policy makers (APPGs ...);~
  • other nations?
You know: students and families know -  #MentalHealthMatters!

Ethics too - with the need for self-care, sustainable services, recognition of ALL the literacies.

Nursing isn't Philosophy (and others..) with dept.s globally also under threat, but you can find it there - in uniform and civilian dress with all the -isms to be negotiated.

Nursing has moved on from its past, but still calls on giving of self, a certain character, self-awareness. ... Closure!? And, just as it was getting all transdisciplinary!

You've exposed here the literal primacy of an individual's 'health career' : how this is impacted by life chances.^

If you hadn't noticed, the robots & AI are coming.  Ah! But of course, you do know that's were the £££ is. Indeed they are already here.

Nursing is an art and science, but in terms of data, the future workforce requirements are stark.

We need to act today - 4 tomorrow!

Each nation needs its own nurses.

Here is a way to contribute to global health; (there must be a way to achieve equity).

Parity of esteem too: health is mental AND physical.

This misses the continuum that touches so many curricula from the SELF to PLANETARY health.

How will we pursue (confirm?):
  • Models of Care & Nursing Theory still has a place?
  • Nursing & Nurses can deliver much a-Cross curricula, and as collaborators in research.
Nursing can contribute so much to the community of lifelong learning.

No! No! Nursing is much more than bio-psycho-social. It is BIOPSYCHOSOCIOPOLITICAL:
- pardon the irony, but thank you for the evidence.

Nursing has much to offer in education, EdTech, informatics, living in the 21st Century.
What about history?
 
What would Betsi and Florence say?

What about the future health of society: improved nutrition, air quality, climate change, emergency preparedness and the true Nat. Health & Care Services?

Especially, as so much is incomplete: 
consider - Social care, Community Care, Older Adults - demographic change, Prevention and Health Education, Public Health & Public Mental Health.

A measure of a culture - society isn't merely how it looks after the sick and disabled, it is also (must be) how it educates its populace. 'Teach your children well.'*

^Nursing knows (really) that it is not merely a case of the social determinants of health. It is all - political, economic, education ...

Does this mean Project 2K is a mistake? Was Project 2K a waste of time, effort and resources? 

What of the students to date: the fees, COVID ..? What was promised to this Profession - these Professionals? Or is this LIFO at work?

How do Nursing's leaders respond - in light of the frequency Nursing is poorly, or not represented at the 'table'?~

Nursing is dynamic, not only shoe leather and mental gymnastics, but the demands placed on curricula, call for a curriculum design, planning, development and evaluation resource.

Nursing can help inform the National Care Services, and provide part of an incredible career pathway.

- wither a Duty of Care - Social Responsibility?

Sorry, what are the reserves? Saving for a lunar campus, no doubt? Well, healthcare will be needed in space too.


Will you switch off the lights, or will the nurse have to return with the keys to 24/7/365 care?

*https://www.youtube.com/watch?v=dQOaUnSmJr8

https://en.wikipedia.org/wiki/Space_Nursing_Society (resurrected?)

Saturday, August 23, 2025

Seeking Alpha?

OK. I admit it. I submit!

Despite many posts tagged economics, references to capitalism, the recent reading of Prof. Borras's 'Health and Health Care Inequities', it looks like the search for 'alpha' has won out.

Health, healthcare, health systems and health services, universal health coverage, universal access, planetary health, social care and more SDG3 are playing catch-up. This is inevitable. That is clear, as and in the lives we live.

We shouldn't be ashamed. 

As curricula (by and large), medicine, and academia keep telling us:

health care is bio-medical, or at best bio-psycho-social.

Business, commerce, neoclassical economics, in short - Capitalism holds sway within the political domain. It influences policy, sustains the existing ill-health care system paradigm. Without which, we must acknowledge of course, COVID, and other threats, the ageing populations in many nations ... society as we know it would be in serious trouble, if not at risk of collapse.

Individual
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      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
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Group



psycho-

bio-medical

-social








"What Is Alpha?
Alpha (α) is a term used in investing to describe an investment strategy’s ability to beat the market, or its “edge.” Alpha is thus also often referred to as excess return or the abnormal rate of return in relation to a benchmark, when adjusted for risk."


The literature in the past has identified the risks of free-ranging reflection. Two sources are referenced in the paper published this month:
61. L. Platt, “The ‘Wicked Problem’ of Reflective Practice: A Critical Literature Review,” Innovations in Practice 9, no. 1 (2014): 44–53. 
62. A. de la Croix and M. Veen, “The Reflective Zombie: Problematizing the Conceptual Framework of Reflection in Medical Education,” Perspectives on Medical Education 7 (2018): 394–400.
There is a truth here, however. It looks to me like the economists, politicians, and policymakers are engaged in navel-gazing.

To fully apprehend health, healthcare, and prevention in the 21st century we must reflect upon and think critically biopsychosociopolitically.

Then collectively the disciplines, embedded in the spiritual 

ALPHA CARE 

is presented to us.

Individual
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      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group





What is Alpha? - https://www.investopedia.com/terms/a/alpha.asp

Image: https://iconscout.com/icons/alpha

Sunday, December 01, 2024

ii Comparison and Contrasting the Meikirch Model and Hodges' model

Meikirch Model

Quite some time has passed since June 1st and part 1. I don't think this post can wait 18 years like that preceding! It is good to see '(Biologically given) potential' emphasized in the Meikirch Model; and the arrows which refer to:


'Whenever the five components and the ten complex interactions (double arrows) cooperate in a purposeful way, health may result. More specifically, a person is healthy, if by the two potentials she or he is in a position to respond satisfactorily to the demands of life.'


The interactions are explained in more detail. Mental health (illness) is there in 'personally acquired potential', but I wonder if it needs to be more explicit? Although, is this a welcome 'break' from the mind-BODY Cartesian divide and its legacy? A shift that enables a more constructive (less stigmatizing) formulation?

Given the climate crisis and experience of COVID, we can hopefully retain a sense of our individual proximity to the environment and green spaces. The importance of access to 'green spaces' seems to be sustained, even if action on air quality (and plastics in the environment) is still playing catch up with WHO air quality recommendations. The interdependence of nations and geography crystallizes more each month. The need for international cooperation apparent in cities, such as Lahore (1). Pollution and smog in Pakistan depends on what happens in India. Water flows, the how, when and whether is noted as a potential trigger for future conflicts.

Both models, the Meikirch, and Hodges' are of course idealizations. As such there are inevitable limitations, assumptions, pros and cons. Like many concepts, environment is a compound or expansive term. Simultaneously, from a primary meaning, we can proceed from the physical environment, to the social, political and the mental environment that these invoke or foster. 

In the SCIENCES domain of Hodges' model we are in 'a' - the environment. Physical reality presents itself in raw and fundamental terms. Across the world climate change is threatening many homes and places a stress the importance of 'shelter' and the homeless. Natural disasters, and acute local weather events which are now repetitive disrupt life and population. Conflicts continue to displace people, climate refugees will follow: (https://www.unhcr.org/refugee-statistics). Contrast this with the ideals of housing design that is sustainable and also enables occupants and communities to feel the environment. 

'Ecosystem' is being applied in ways beyond its original articulation. This past N. summer-autumn reading and reviewing -

Capra and Luisi's (2014) The Systems View of Life - A Unifying Vision.
(i) https://hodges-model.blogspot.com/2024/09/i-systems-view-life.html

- there was much emphasis on complexity, ecosystems, emergence, education, and obviously systems.

In their model, Bircher and Hahn incorporate Complex Adaptive Systems (CAS).
https://meikirch-modell.ch/wp-content/uploads/2017/12/Health-and-diease-as-CAS.pdf

This is helpful as the ecosystem is transformed, before our eyes. Clearly, there isn't one ecosystem, but several and they are all dynami: even if, outdoor clothing and car manufacturers want us to believe that we can create our own private ecosystem that is trans-portable. Systems are like the whirls in moving water, they come and go. Ironically there are now more opportunities to study them - if we so choose. Now weather events reveal the risks of people trying to sustain these mindsets when a local catastrophe strikes. The website for the Meikirch Model includes the table below. 

Theories Concerning
Health and Disease
Type of thinking Epistemology Means for comprehension
Prescientific Personal experience Intuition
Scientific: Meikirch-Model
Scientific argumentation Rational mind

This is constructive as models should encompass what can be presented as 'knowledge' and from there: data, information, facts, myth, wisdom and folk theory. Intuition is listed as a prescientific 'means for comprehension'. Intuition is highly subjective, in contrast to the (supposed) objectivity of the sciences. Intuition is nonetheless significant in mental health care - psychotherapy, and in truth more generally (interpersonal skills); even if it remains 'unscientific' and an enigmatic phenomena. 

On twi/X and here on W2tQ, I've suggested that the bio-medical, and the biopsychosocial models are inadequate as conceptualisations for healthcare and education. We need to fully encompass the subjective and humanistic dimensions of health care and lived experience, giving more attention, if not credence to 'personal experience'. In England and Wales these past months and to follow our parliament has been debating assisted dying for people with terminal illness. Both sides acknowledge the sorry state of palliative care. Policy and ethics - hence the politics of health needs to be explicit in a model of/for healthcare.

Working in mental health you quickly understand how critical it is being able to relate to others, and  develop therapeutic relationships. Get this wrong, and problems may follow. If interpersonal - communication are essential to a health professional's knowledge then awareness and competence in relational skills are also key. In the past two years or so, I've realised the importance of this for Hodges' model and trying to develop a theory to underpin Hodges' model. I believe that this is a strength of Hodges' model. So we need to extend the table above. 

Individual
   |
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :   POLITICAL 
|
Group

choice - life style

reasoning - rationality

my literacy - responsibility

mental illness - fear of stigma

intuition / subjectivity


geography - environment

air pollution - smog & plastics

traffic regulation - metrics

Planetary health

'truth' objectivity

community - relationships

culture

social systems

family

social (all) determinants

international cooperation

transparency / accountability

policies - funding

determinants of health

reporting - citizen science


As part 1 started, I will finish with the title of the paper that prompted these reflections:

Bircher J. und Hahn E. G., (2017). Will the Meikirch Model, a New Framework for Health, Induce a Paradigm Shift in Healthcare? Cureus 9(3): e1081. DOI 10.7759/cureus.1081 

The Meikrich model is not alone in seeking to facilitate and deliver a paradigm shift in healthcare; and, at individual, collective, planetary levels, across social care and education and the disciplines - old and new.
 
(1) https://www.independent.co.uk/climate-change/news/pakistan-lahore-air-pollution-schools-shut-aqi-b2640783.html