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[Five paradoxes in health promotion]
Olga López-Dicastillo1, Navidad Canga-Armayor1, Agurtzane Mujika1
1Departamento de Enfermería Comunitaria y Materno-Infantil, Facultad de Enfermería, Universidad de Navarra, Pamplona, España.
Health promotion strategies face implementation challenges due to five key paradoxes. Understanding these contradictions, like individual versus group focus, is crucial for effective health promotion practice.
Area of Science:
- Public Health
- Health Policy
- Social Determinants of Health
Background:
- Health promotion, as defined by the World Health Organization, aims to empower individuals and communities to improve their health.
- It encompasses individual, social, economic, and environmental factors influencing wellbeing.
- Implementing health promotion concepts faces significant practical challenges.
Purpose of the Study:
- To identify and describe the inherent paradoxes in health promotion.
- To explore the gap between health promotion rhetoric and its practical implementation.
- To provide insights into the complexities of applying health promotion principles.
Main Methods:
- Conceptual analysis of health promotion principles.
- Identification and description of five key paradoxes in health promotion.
- Examination of the dichotomy between theory and practice in health promotion.
Main Results:
- Five paradoxes in health promotion were identified: patient vs. person, individual vs. group, disease professionals vs. health professionals, disease indicators vs. health indicators, and health as expense vs. investment.
- These paradoxes highlight the complexities and contradictions encountered during health promotion implementation.
- The identified paradoxes explain difficulties in translating health promotion concepts into practice.
Conclusions:
- Explicitly recognizing these paradoxes is essential for understanding the challenges in health promotion implementation.
- Addressing these contradictions is vital for advancing the practical application of health promotion strategies.
- Further research and strategic development are needed to overcome these implementation barriers.
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