Only about 15 to 20 percent of health-related outcomes are attributable to medical interventions. The rest are related to health behaviors such as diet, physical activity, and smoking status, with the physical, social, and economic environment affecting a person’s ability to make healthy choices and accessing medical care.
The social, behavioral, environmental, and spiritual components are the 4 dimensions of healing and are required for managing complex, chronic diseases.
Mind and Spirit
This dimension addresses the person’s goals for healing—their desires, beliefs, and needs. The following questions help people reveal what they find meaningful, what motivates them, and what provides them with a sense of well-being. In other words: “What matters?” versus “What’s the matter?”
Social support is salutogenic or healing. Healing and disease are intertwined with personal relationships and social support networks, including family, friends, and colleagues. With these questions, a person can help capture the interpersonal components of their daily life.
Behavior and lifestyle can impact up to 70 percent of chronic illnesses; therefore, healthy behaviors are essential for creating health. But behavior change must be connected to what is meaningful for the person or it cannot be sustained. These questions provide a snapshot of a person’s lifestyle which, when coupled with motivation, provides a path forward for change.
The safety and security of one’s physical environment plays a greater role in health than many of us are aware. For instance, an unsafe neighborhood could prevent someone from going on walks. A noisy apartment building along a busy road can aggravate asthma and other pulmonary conditions, as well as produce stress and lack of sleep.
Originally published on Quora