caa a22 4500 467896879 CHVBK 20180406152806.0 cr unu---uuuuu 170328e20060701xx s 000 0 eng 10.1007/s11019-005-5642-5 doi (NATIONALLICENCE)springer-10.1007/s11019-005-5642-5 Tengland Per-Anders Health and Society, Malmö University, 205 06, Malmö, Sweden aut The goals of health work: Quality of life, health and welfare [Elektronische Daten] [Per-Anders Tengland] Health-related quality of life is the ultimate general goal for medicine, health care and public health, including health promotion and health education. The other important general goal is health-related welfare. The aim of the paper is to explain what this means and what the consequences of these assumptions are for health work. This involves defining the central terms "health”, "quality of life” and "welfare” and showing what their conceptual relations are. Health-related quality of life has two central meanings: health-related well-being, which constitutes quality of life, and health as ability, which contributes causally to quality of life. Four meanings of health-related welfare are put forward: general well-being, health as ability, other inner properties of the individual, and external factors. States and processes covered by these categories contribute causally to health-related quality of life. Finally, using these distinctions, some more specific goals for medicine and health care, on the one hand, and for public health and health promotion, on the other, are outlined. In the former fields work is primarily directed towards changing the health-related quality of life of the individual through direct measures, "manipulating” the individual, whereas public health work and health promotion primarily use indirect measures and further health through various sorts of health-related welfare changes, e.g. through changing the environment. Springer, 2006 goals of medicine nationallicence health care and public health nationallicence health nationallicence health-related ability nationallicence health-related quality of life nationallicence health-related welfare nationallicence health-related well-being nationallicence health work nationallicence quality of life nationallicence quality of life-related well-being nationallicence welfare nationallicence Medicine, Health Care and Philosophy Kluwer Academic Publishers 9/2(2006-07-01), 155-167 1386-7423 9:2<155 2006 9 11019 https://doi.org/10.1007/s11019-005-5642-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11019-005-5642-5 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Tengland Per-Anders Health and Society, Malmö University, 205 06, Malmö, Sweden aut NATIONALLICENCE 773 0- Medicine, Health Care and Philosophy Kluwer Academic Publishers 9/2(2006-07-01), 155-167 1386-7423 9:2<155 2006 9 11019 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer