Defining Health in a Comprehensive Context: A New Definition of Integrative Health
Bibliographic record
Abstract
Despite investments in health care, good health remains elusive for many people. Healthcare systems generally are disease-focused and concentrate resources on treatment modalities that often work well for acute or life-threatening illnesses such as physical trauma or infectious disease, but sometimes are poorly suited to the management of chronic illness. 1 Wagner E.H. Austin B.T. von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996; 74: 511-544https://doi.org/10.2307/3350391 Crossref PubMed Scopus (2143) Google Scholar , 2 Wagner E.H. Austin B.T. Von Korff M. Improving outcomes in chronic illness. Manag Care Q. 1996; 4: 12-25http://europepmc.org/abstract/med/10157259 PubMed Google Scholar , 3 Coleman K. Austin B.T. Brach C. Wagner E.H. Evidence on the Chronic Care Model in the new millennium. Health Aff (Millwood). 2009; 28: 75-85https://doi.org/10.1377/hlthaff.28.1.75 Crossref PubMed Scopus (1076) Google Scholar Modifying the healthcare system to recognize the importance of social, behavioral, economic, and environmental determinants of health might better address current population needs. 4 Marmot M. Wilkinson R. Social Determinants of Health. 2nd ed. Oxford University Press, Oxford2006 Google Scholar , 5 Commission on Social Determinants of Health - Final Report 2008. Geneva: WHO. www.who.int/social_determinants/thecommission/finalreport/en/. Accessed January 16, 2016. Google Scholar , 6 Benn H. The environmental determinants of health. Glob Health Promot. 2009; 16: 42-43https://doi.org/10.1177/1757975909103748 Crossref PubMed Google Scholar Such changes face many challenges, but a fundamental step is to incorporate emerging concepts such as integrative medicine and social determinants of health in order to create a working definition of integrative health. Creating a more inclusive definition could support strategic planning of initiatives promoting health across multiple sectors of daily life, not just the clinic. WHO Definition of Health. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference NY, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. www.who.int/about/definition/en/print.html. Accessed October 23, 2016. WHO. Ottawa Charter for Health Promotion. First International Conference on Health Promotion. 1986. www.who.int/healthpromotion/conferences/previous/ottawa/en/index4.html. Accessed October 30, 2015.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".