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Michael Chen-Xu New Zealand Medical Students’ Association nzmsa.nz nzmsa@nzmsa.nz

Michael Chen-Xu New Zealand Medical Students’ Association www.nzmsa.org.nz nzmsa@nzmsa.org.nz. We are NZ’s future health professionals. Increasing costs of healthcare Ageing population, new technology, obesity Significant inequalities in social determinants of health

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Michael Chen-Xu New Zealand Medical Students’ Association nzmsa.nz nzmsa@nzmsa.nz

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  1. Michael Chen-Xu New Zealand Medical Students’ Associationwww.nzmsa.org.nznzmsa@nzmsa.org.nz

  2. We are NZ’s future health professionals • Increasing costs of healthcare • Ageing population, new technology, obesity • Significant inequalities in social determinants of health • Health inequities – ethnic, SES, children • Double burden of infectious and chronic diseases • Climate change • “The biggest global health threat of the 21st century…”1 1 Costello et al. Managing the health effects of climate change. Lancet. 2009;373:1693-733

  3. Vision A paradigm shift: Encouraging health, rather than simply treating disease Means: • Addressing social determinants of health • Abandoning the patriarchal paradigm • Becoming advocates for change

  4. WHO definition of Health • Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity2 2 World Health Organization. 1946. WHO definition of Health, Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June 1946; signed on 22 July 1946 by the representatives of 61 States and entered into force on 7 April 1948.

  5. How to get there? • Challenge of communicating this vision • Enhancing social cohesion Integration of addressing social determinants of health as doctors, particularly in primary care • Alma Ata Declaration • Ottawa Charter

  6. How to get there? Source: Rasanthan et al. Primary healthcare and the social determinants of health: essential and complementary approaches for reducing inequities in health. J Epidemiol Community Health 2011

  7. Health Professionals for a New Century • Empowerment of young professionals • Tangible research opportunities in the community; making that difference quantifiable • Supporting student/young person advocacy: IFMSA projects, P3 foundation, NZMSA • Developing social accountability in education3 • Integrating clinical presentations with public health, equity vs. equality, cultural competency 3Wen LS et al. Social accountability in health professionals’ training. Lancet. 2011

  8. A “call to action”

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