Person-Centered and Integrated Care across the Life-Cycle

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Published: Jun 25, 2015
DOI: https://doi.org/10.5750/ijpcm.v5i1.505
Keywords:
Life course complex adaptive process risk and protective factors developmentally sensitive integrated continuum disparities psychosocial economic cultural

Main Article Content

James Appleyard
British Medical Association International Association of Medical Colleges

Abstract

The health and wellbeing of a person are complex adaptive processes related to the consequences of genetic, biological, social, cultural, behavioral, and economic determinants throughout the life course.  Circumstances change as the person develops with accumulative risk and protective factors especially during critical and sensitive periods. A life course perspective offers a more joined up approach with significant implications for long term health gain. There is an emphasis on an integrated continuum of early intervention and education rather than of disconnected and unrelated stages. Each stage in the life of a person exerts influence on the next.Disparities in health outcomes and in the psychosocial factors contributing to them are present early in life and are expressed and compounded during a person's lifetime. Risk factors are embedded in a person's biological makeup, manifested in the disparities in a population's health, and maintained by social, cultural, and economic forces. Research on health disparities has demonstrated the effect of many determinants interacting in various contexts at developmentally sensitive points. We need an integrated conceptual approach to translate this knowledge into effective health and social care

Article Details

Issue
Vol. 5 No. 1 (2015)
Section
Regular Articles
Author Biography

James Appleyard, British Medical Association International Association of Medical Colleges

Past President World Medical AssociationVice President of the British Medical AssociationHon Secretary to the Board of Trustees of the International Association of Medical Colleges 2007-President of the WMA Sept 2003-2004with special areas of interest in Human Rights, Child Health, and Health DatabasesProfessional Work Consultant Children’s Physician at the Kent and Canterbury Hospital from 1971-1998 Professor of Pediatrics, 1985-1995. Dean of Clinical Studies (UK) 1995-1997  St George’s University, Grenada W.I.Dean of Clinical Sciences, Kigezi International School of Medicine, Uganda 2000-2004 British Medical AssociationA Chief Officer for nine years as Chairman of Representative Body 1992-1995.and then as Treasurer 1996-2002 Ethics Chair of the WMA Ethics Committee 1995-1999 Member of the BMAs Ethics Committee 1992-2003Member of the East Kent Research Ethics Committee 2006- Treasurer and (Vice President)  of the British .Paediatric Association. 1983-1988PublicationsOn neonatal topics including coagulation disorders of the New Born,Children with disabilities, medical education, manpower and medical ethics in peer reviewed journals

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