Sunday, March 29

This paper explores the hypothesis that health is an emergent state.

Health is an adaptive state unique to every person. This subjective state must be distinguished from the target state of disease. The experience of health and illness (or poor health) can occur both within the absence and presence of objective disease. as long as the subjective experience of health, also because the finding of objective disease within the community, follow a Pareto distribution, the subsequent questions arise.

What are the processes that allow the emergence of 4 observable states subjective health within the absence of objective disease, subjective health within the presence of objective disease, illness within the absence of objective disease, and illness within the presence of objective disease? If we consider each individual as a singular biological system, these four health states must emerge from physiological network structures and private behaviors. The underlying physiological mechanisms primarily arise from the dynamics of external environmental and internal patho/physiological stimuli, which activate regulatory systems including the hypothalamic-pituitary-adrenal axis and autonomic systema nervosum . along side other systems, they allow feedback interactions between all of the person’s system domains and impact on his system’s entropy.

These interactions affect individual behaviors, emotional, and cognitive responses, also as molecular, cellular, and organ system level functions. This paper explores the hypothesis that health is an emergent state that arises from hierarchical network interactions between an individual’s external environment and internal physiology. As a result, the concept of health synthesizes available qualitative and quantitative evidence of interdependencies and constraints that indicate its top-down and bottom-up causative mechanisms. Thus, to supply effective care, we must use strategies that combine person-centeredness with the scientific approaches that address the molecular network physiology, which together underpin health and disease. Moreover, we propose that healthiness also can be promoted by strengthening resilience and self-efficacy at the private and social level, and via cohesion at the population level. Understanding health as a state that’s both individualized which emerges from multi-scale interdependencies between microlevel physiological mechanisms of health and disease and macrolevel societal domains may provide the idea for a replacement public discourse for health service and health system redesign.