Die Gesellschaft und ihre Gesundheit: 20 Jahre Public Health by Bernhard Badura (auth.), Thomas Schott, Claudia Hornberg

By Bernhard Badura (auth.), Thomas Schott, Claudia Hornberg (eds.)

Die Gesundheitswissenschaften liefern die wissenschaftlichen Grundlagen für Gesundheitsförderung, Prävention und Gesundheitssystemgestaltung. Mit ihrer interdisziplinären Forschungs- und Handlungstradition trägt Public well-being gestern wie heute maßgeblich zur Bewältigung zentraler gesellschaftspolitischer Herausforderungen bei. Die Schaffung und Erhaltung gesunder Lebenswelten und die Gewährleistung einer hochwertigen Versorgung im Krankheitsfall sind nur zwei der essentiellen Handlungsfelder. Nach einer ersten Blütezeit zu Beginn des 20. Jahrhunderts und der Diskreditierung durch den Nationalsozialismus kehrte Public wellbeing and fitness nach Jahrzehnten der Abwesenheit erst Ende der 1980er Jahre an die deutschen Universitäten und Fachhochschulen zurück. Die Wiederentdeckung und Neubelebung des Public-Health-Gedankens in Deutschland ist seither geprägt von einem sukzessiven Auf- und Ausbau, vom neuen Selbstverständnis einer aufstrebenden Wissenschaftsdisziplin. Ziel des Buchprojektes ist es, nach rund 20 Jahren, im kritischen Rückblick Erreichtes zu bilanzieren, eine Bestandsaufnahme gegenwärtiger Themenschwerpunkte vorzunehmen und einen Ausblick auf zukünftige Aufgaben in Forschung, Politik und Praxis der Gesundheitsversorgung zu geben.

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Extra info for Die Gesellschaft und ihre Gesundheit: 20 Jahre Public Health in Deutschland: Bilanz und Ausblick einer Wissenschaft

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Das Gemeinschaftsgefühl, die erfahrene Wertschätzung der Mitarbeiter durch das Top-Management, das Vorhandensein gemeinsamer 34 Bernhard Badura Überzeugungen und Werte und das Vertrauen in die Geschäftsführung, korreliert hoch mit depressiver Verstimmung, psychosomatischen Symptomen und dem Wohlbefinden (Tabelle 2). Abbildung 2: Das Unternehmensmodell der Studie: Treiber und Ergebnisse Die eingesetzten multivariaten Auswertungsverfahren zeigen, dass der stärkste Einfluss unter den von uns erhobenen Treibern vom Überzeugungs- und Wertekapital ausgeht, gefolgt von den Arbeitsbedingungen und dem Führungs- und Netzwerkkapital.

B. den Arbeitsplatzverlust, auszugleichen (Granovetter 2005). 3 Ressourcenspirale und Gesundheit: Gesundheit durch Ressourcenakkumulation – Krankheit durch Ressourcenkrise Das Konzept der Ressourcenspirale stellt den Ressourcenaustausch zwischen Mensch und Sozialsystem in den Mittelpunkt. Dieser Austausch kann dazu füh- Elemente einer Theorie der sozialen Gesundheit 59 ren, dass sowohl der Mensch als auch das Sozialsystem vom Austausch profitieren und ihren Ressourcenbestand ausweiten. Der Geben-und-Nehmen-Prozess kann so verlaufen, dass mit jedem Austausch ein höheres Ressourcenniveau erreicht wird.

Freundschaft, Muskelkraft, Gedächtnis) diesem kurzfristigen Verbrauch ein mittel- bis langfristiger Gewinn gegenübersteht, weil diese Ressourcen durch Nutzung mittelfristig gestärkt werden, ändert wenig an der Tatsache, dass die Bewältigung von Belastungen kurzfristige Anstrengungen erfordert und damit zumindest kurzfristige Kosten verursacht. In der Orientierungs- und Kontrollphase der Problembewältigung finden zum Beispiel mentale, emotionale und motorische Aktivitäten statt. Es werden körperliche Energien verbraucht und Ressourcen konsumiert (Schönpflug & Battman 1988).

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