The Old Public Health Model

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Dominique Robert’s (2008) theoretical framework in the article “Prison and/as Public Health. Prison and Inmates as Vectors of Health in the New Public Health Era. The Case of Canadian Penitentiaries” focuses on structural elements that explain the use of correctional health care in the prison setting today and how this plays a role in the broader public health strategies in the outside community. He does this by explaining factors such as “the mobilisation of prison as a tool for the new public health” and "the production of inmates into healthcare ‘consumers’, along with the role of actuarial justice.” Robert explains these ideas by firstly differentiating between the old public health model and the new public health model. The old public health model is a health model that is defined by the State that takes central authority in the decision making of the health care of the entire community. The main objective of the old public health model was to protect the health of the population and prevent transmittable diseases. Robert mentions that this health model was very successful and was a huge factor in the increased life expectancies over the past century and a half. Robert then follows to define the new public health model, which has replaced the old public health model in the 20th century. This model is defined by the transition towards the decision making of health from the State to the individual. Individuals are now responsible for “their health, self-care, risk
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