Kwaliteit van leven en gezondheidszorg in verandering

Abstract

This articles explores the role of the concept of ‘quality of life’ within the current health perspective and its implications towards the organization of a health care system. First, the challenge of the classic biomedical paradigm within health sciences by the introduction of a holistic and integrative perspective is discussed. The traditional paradigm is critiqued for its shortcomings in coping with more complex problems like chronic diseases. Second, the introduction of the concept of ‘quality of life’ is placed within this evolution. Both the conceptual difficulties and the strengths of the concept in dealing with new health related problems are considered. Third, the implications of this evolution for the organization of a health care system are looked upon. Key question in this discussion is the health promoting capabilities of a system which is based upon multidisciplinarity. It is argued that a combination of professionalism and personal experiences is crucial for a modern health care system.