The GEM model of health: a model based on generalized empirical method –Part 4 – Comparisons and contrasts

P. Daly
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Abstract

In this paper, I compare and contrast in summary fashion (1) the GEM definition of health with that of the World Health Organization (WHO); (2) the methodical integration of judgments of fact and value in the GEM model with their incommensurability in most naturalist and normativist theories of health; (3) the significance of differentiating risk factors and disease relative to states of health in the GEM model with the tendency to blur any such difference in current multifactorial accounts of disability and dysfunction; (4) the GEM model’s emphasis on the common core of operations underlying health science and healthcare with the gap separating hermeneutic understanding and scientific explanation that is often the rule in humanistic accounts of health and (5) the role of the ordered and eco-socially conditioned set of relationships in the GEM model of health with the multilevel perspective on health in the developing field of global bioethics. In conclusion, I note that the GEM model offers a unique framework - a higher viewpoint - for integrating in dynamic fashion the manifold viewpoints of clinical practice, the humanities, health science and health policy.
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GEM健康模型:基于广义经验方法的模型-第4部分-比较与对比
在本文中,我以总结的方式进行了比较和对比:(1)GEM对健康的定义与世界卫生组织(WHO)的定义;(2) GEM模型中的事实和价值判断与大多数自然主义和规范主义健康理论中的不可通约性的系统性整合;(3)在GEM模型中区分与健康状况相关的危险因素和疾病的重要性,而在目前的残疾和功能障碍的多因素解释中,这种差异往往是模糊的;(4) GEM模型强调健康科学和医疗保健的共同核心操作,将解释学理解和科学解释分开,这通常是健康的人文主义解释的规则;(5)GEM健康模型中有序和生态社会条件的一系列关系的作用,以及全球生物伦理学发展领域的多层次健康视角。最后,我注意到GEM模式提供了一个独特的框架——一个更高的观点——以动态的方式整合临床实践、人文学科、卫生科学和卫生政策的多种观点。
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