{"id":758,"date":"2022-03-07T16:29:34","date_gmt":"2022-03-07T16:29:34","guid":{"rendered":"https:\/\/cilantro.ro\/blog\/?p=758"},"modified":"2025-10-01T07:27:32","modified_gmt":"2025-10-01T07:27:32","slug":"sanatos-sau-bolnav-determinantii-sociali-ai-starii-de-sanatate-pot-face-diferenta-intre-cele-2-stari","status":"publish","type":"post","link":"https:\/\/cilantro.ro\/blog\/index.php\/2022\/03\/07\/sanatos-sau-bolnav-determinantii-sociali-ai-starii-de-sanatate-pot-face-diferenta-intre-cele-2-stari\/","title":{"rendered":"S\u0103n\u0103tos sau bolnav? Determinan\u0163ii sociali ai st\u0103rii de s\u0103n\u0103tate pot face diferen\u0163a \u00eentre cele 2 st\u0103ri"},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Continut<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/cilantro.ro\/blog\/index.php\/2022\/03\/07\/sanatos-sau-bolnav-determinantii-sociali-ai-starii-de-sanatate-pot-face-diferenta-intre-cele-2-stari\/#In_ultimii_ani_a_devenit_din_ce_in_ce_mai_clar_pentru_societatile_avansate_cel_putin_ca_starea_de_sanatate_ca_si_cea_de_boala_de_altfel_este_multifactoriala\" >\u00cen ultimii ani a devenit din ce \u00een ce mai clar (pentru societ\u0103\u0163ile avansate, cel pu\u0163in) c\u0103 starea de s\u0103n\u0103tate (ca \u015fi cea de boal\u0103, de altfel) este multifactorial\u0103.<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"In_ultimii_ani_a_devenit_din_ce_in_ce_mai_clar_pentru_societatile_avansate_cel_putin_ca_starea_de_sanatate_ca_si_cea_de_boala_de_altfel_este_multifactoriala\"><\/span>\u00cen ultimii ani a devenit din ce \u00een ce mai clar (pentru societ\u0103\u0163ile avansate, cel pu\u0163in) c\u0103 starea de s\u0103n\u0103tate (ca \u015fi cea de boal\u0103, de altfel) este multifactorial\u0103.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<!--more-->\n\n\n\n<p class=\"wp-block-paragraph\"> Plec\u00e2nd  de la acest aspect dovedit clar, Organiza\u0163ia Mondial\u0103 a S\u0103n\u0103t\u0103\u0163ii  a \u015fi \u00eenfiin\u0163at un departament care se nume\u015fte chiar a\u015fa : <strong>&#8222;The Department of Social Determinants of Health&#8221;<\/strong>, al c\u0103rui sop ini\u0163ial a fost identifice cauzele sociale ce ar putea conduce la o stare deteriorat\u0103 a s\u0103n\u0103t\u0103\u0163ii. \u00cen continuare OMS a grupat, structurat \u015fi definit aceste cauze (i.e.:determinan\u0163ii sociali), pentru a fi gata s\u0103 fie studiate mai departe \u00een rela\u0163ie cu diverse patologii. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Din punctul de vedere al OMS, Determinan\u0163ii Sociali ai S\u0103n\u0103t\u0103\u0163ii (DSS) sunt reprezenta\u0163i de contextul \u00een care o persoan\u0103 se na\u015fte, cre\u015fte, tr\u0103ie\u015fte, lucreaz\u0103 \u015fi \u00eenainteaza \u00een v\u00e2rst\u0103 (ca s\u0103 nu zic &#8221; \u00eembatr\u00e2ne\u015fte&#8221; \ud83d\ude42 ).  Plec\u00e2nd de la aceast\u0103 defini\u0163ie, programul guvernamental al USA &#8222;Healthy People 2020&#8221; a propus 5 domenii \u00een care s\u0103 poat\u0103 fi organiza\u0163i ace\u015fti 5 factori:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Stabilitate economic\u0103<\/li><li>Educa\u0163ie<\/li><li>S\u0103n\u0103tate \u015fi sistem de s\u0103n\u0103tate<\/li><li>Vecin\u0103tate \u015fi mediu construit<\/li><li>Context social individual \u015fi al comunit\u0103\u0163ii<\/li><\/ol>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1008\" height=\"878\" src=\"https:\/\/cilantro.ro\/blog\/wp-content\/uploads\/2022\/02\/Screenshot-2022-02-25-200600.png\" alt=\"grafic sdoh\" class=\"wp-image-764\" srcset=\"https:\/\/cilantro.ro\/blog\/wp-content\/uploads\/2022\/02\/Screenshot-2022-02-25-200600.png 1008w, https:\/\/cilantro.ro\/blog\/wp-content\/uploads\/2022\/02\/Screenshot-2022-02-25-200600-300x261.png 300w, https:\/\/cilantro.ro\/blog\/wp-content\/uploads\/2022\/02\/Screenshot-2022-02-25-200600-768x669.png 768w\" sizes=\"auto, (max-width: 1008px) 100vw, 1008px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">P\u00e2n\u0103 la aceast\u0103 ora, doar Australia si SUA au g\u00e2ndit pa\u015fi mai departe pentru integrarea acestor factori \u00een practica speciali\u015ftilor de nutri\u0163ie. \u00cens\u0103 trendul este evident, iar  anii ce vor urma vor aduce schimb\u0103ri importante \u00een multe \u0163\u0103ri,  \u00een ceea ce prive\u015fte practica de nutri\u0163ie \u015fi medicina de lifestyle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cum s-ar traduce acest lucru \u00een experien\u0163a ta de client\/pacient care interac\u0163ioneaz\u0103 cu un specialist \u00een nutri\u0163ie ce a fost expus la studiul \u015fi impactul acestor determinan\u0163i? \u00cen primul r\u00e2nd \u015fedin\u0163a\/interac\u0163iunea cu specialistul ar trebui s\u0103 dureze undeva \u00eentre 60 \u015fi 90 de minute (sau chiar mai mult), timp \u00een care dincolo de anamneza nutri\u0163ional\u0103, dietetic\u0103 sau interviul motiva\u0163ional, \u0163i se va administra un chestionar al c\u0103rui rezultat va fi un assesment cantitativ \u015fi calitativ al :<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Satisfac\u0163iei profesionale \u015fi confortului t\u0103u financiar<\/li><li>St\u0103rii tale de s\u0103n\u0103tate (c\u00e2t \u015fi cum dormi, c\u00e2t \u015fi ce sport faci, cu ce \u015fi cu c\u00e2te boli cronice ai fost diagnosticat, etc). <em>Starea sistemului de s\u0103n\u0103tate e studiat\u0103 doar pentru evaluarea la nivel popula\u0163ional<\/em>. *<\/li><li>Zonei \u00een care locuie\u015fti (te ui\u0163i \u00een spate c\u00e2nd intri \u00een scara blocului  ca s\u0103 te asiguri ca e totul ok? \ud83d\ude42 ) \u015fi c\u00e2t de confortabil te sim\u0163i \u00een mediul de acas\u0103 (aici statisticile legate de cre\u015fterea ratei divor\u0163urilor din perioada pandemiei au fost de-a dreptul gr\u0103itoare)<\/li><li>C\u00e2t de mult \u015fi cum socializezi? Ai hobby-uri? Cum arat\u0103 dinamica sau rolul t\u0103u \u00een familie\/rela\u0163ie\/comunitate?<\/li><li>C\u00e2t de mult ai fi sus\u0163inut de familie\/prieteni pentru schimbarea stilului de via\u0163\u0103?<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Toate lucrurile de mai sus sunt extrem de importante pentru c\u0103 odat\u0103 puse \u00een context cu informatiile nutri\u0163ionale \u015fi motiva\u0163ionale vor determina aderen\u0163a ta la noul stil (mai s\u0103n\u0103tos) de via\u0163\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mai mult, DSS au un poten\u0163ial uria\u015f, pentru c\u0103 analiza lor \u015fi implementarea schimb\u0103rilor pe care aceast\u0103 analiz\u0103 le sugereaz\u0103, ar aduce beneficii importante at\u00e2t la nivel individual prin prevenirea patologiilor,  c\u00e2t \u015fi la nivel  popula\u0163ional prin economisirea costurilor (i.e.: prin preven\u0163ie) legate de tratarea acestor patologii. \u00cen felul acesta, speciali\u015ftii \u00een nutri\u0163ie care se vor educa \u00een mod continuu \u015fi vor fi curio\u015fi s\u0103 afle cele mai noi trenduri \u00een cercetare \u015fi implementare ai DSS, vor putea fi considera\u0163i nutritioni\u015fti speciali\u015fti \u00een s\u0103n\u0103tate public\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Exist\u0103 deja studii recente care arat\u0103 c\u0103, cu c\u00e2t imersarea specialistului (i.e.: \u00een nutri\u0163ie\/s\u0103n\u0103tate) \u00een contextul de via\u0163\u0103 al clientului\/pacientului prin analiza c\u00e2t mai multor date furnizate de acesta este mai mare, cu at\u00e2t sunt mai mari \u015fansele de reu\u015fit\u0103 ale schimb\u0103rii stilului de via\u0163\u0103 ale acestuia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu ce beneficiu ram\u00e2i dup\u0103 ce ai citit articolul, dincolo de cel pur informa\u0163ional? Beneficiul major este ca acum \u015ftii ce s\u0103 cau\u0163i atunci c\u00e2nd vrei o schimbare consistent\u0103 pe mai multe planuri, \u00een care s\u0103 fii \u00eenso\u0163it de un specialist care \u00eent\u00e2i se asigur\u0103 c\u0103 te cunoa\u015fte\/\u00ee\u0163i cunoa\u015fte mediul \u015fi te poate ajuta s\u0103 fii mai s\u0103n\u0103tos, dincolo de alc\u0103tuirea unui plan alimentar. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cum se \u00eent\u00e2mpl\u0103 asta? Prin documentare, coaching, mentorat, punerea la dispozi\u0163ie a celor mai recente studii din domeniu, fiind a &#8222;guide on the side&#8221; pentru tine \u00een tranzi\u0163ia c\u0103tre starea de s\u0103n\u0103tate pe care \u0163i-o doresti. Pe scurt, nutri\u0163ie personalizat\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u015etiu c\u0103 \u0163i se poate p\u0103rea o direc\u0163ie &#8221; de viitor&#8221; \u00eens\u0103 vestea bun\u0103 e c\u0103 la \u015fcolile din USA si Australia unde am studiat si continui s\u0103 studiez nutri\u0163ie \u015fi \u015ftiinte conexe, lucrurile acestea se predau \u015fi se implementeaz\u0103. De aici le-am preluat \u015fi eu, actualiz\u00e2ndu-le tot timpul cu literatura de specialitate, a\u015fa \u00eenc\u00e2t s\u0103 pot personaliza tot ce \u00eenseamna nutri\u0163ie \u015fi stil de via\u0163\u0103 pentru fiecare client al meu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pentru c\u0103 m\u0103 va inspira mereu si de fiecare data altfel, pentru c\u0103 CNN lanseaz\u0103 pe 13.03 un documentar despre el (Roadrunner) si pentru c\u0103 ceea ce spunea acum ceva timp are legatur\u0103 cu situa\u0163ia dramatic\u0103 pe care o traverseaz\u0103 acum umanitatea,  \u00ee\u0163i las aici un citat din Anthony Bourdain: <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201c<em>Everybody should come here. Everyone should see how complicated, how deeply troubled, and yet at the same time, beautiful and awesome the world can be. Everyone should experience, even as the clouds gather, what\u2019s at stake, what could be lost, what\u2019s still here.\u201d<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">R\u0103m\u00e2ne\u0163i curio\u015fi, s\u0103n\u0103to\u015fi \u015fi optimi\u015fti!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00cen ultimii ani a devenit din ce \u00een ce mai clar (pentru societ\u0103\u0163ile avansate, cel pu\u0163in) c\u0103 starea de s\u0103n\u0103tate (ca \u015fi cea de boal\u0103, de altfel) este multifactorial\u0103.<\/p>\n","protected":false},"author":2,"featured_media":826,"comment_status":"closed","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,12],"tags":[24],"class_list":["post-758","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-longevitate-si-wellbeing","category-sanatate-si-echilibru","tag-stil-de-viata-sanatos","entry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"Intra aici si afla mai multe despre S\u0103n\u0103tos sau bolnav? 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