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33 Cards in this Set

  • Front
  • Back

20th century

life expectancy less then 50 years


leading cause of death communicable disease


vitamin deficiencies/poor dental health


19th century

better agriculture improves nutrition


not much gov involvement in health


1850:shattuck report/ modern era of ph begins

21st century

healthcare delivery


enviro probs


life style and communicable disease


alcohol and other drug abuse


disparities


disasters



epidemiology

the study of distribution and detrainments of disease .

epidemeics

influenza of 1918


1797 small pox/syphallis /yellow fever

disability adjusted life years

measures disease burden on life


one daily is a year of healthy life lost.

health adjusted life expectancy

number of healthy years of life expected.



case/control studies

compares those with disease to those without but with similar background or with prior exposure to certain factors.

cohort studies

classified by exposure to one or more

experimental studies

carried out to discover cause of disease or to determine effectiveness of certain drug or procedure.

theory

set of interrelated concepts and propositions used to understand events/situations



model

a mixture of ideas taken from a number of theories

ecological model

a framework for the determinants of health.

eco model vs med model

med model adresses interpersonal intervention


eco adresses multi level interventions

transtheoretical model

precomp


contemplation


preperation


action


maintenance



brofenberners ecological model

microsystem: immediate environment


mesosystem: interaction of two microsystems


exosystem:aspects of individuals environment which affect a person yet they have no direct control over


macrosystem: culture values an expectatins in which society functions





theory of reasoned action

health individuals result from intentions influenced by attitudes.

risk communication

process of information exchange, experts attempt to educate the community at risk.


They should attempt to convey the following:


1.severity


2.non risk messages.


3.public concern


4. prevention strategies


5.potential benefits


6.soruce for addtional info

trust determination theory

upset individuals tend to distrust the messenger

mental noise theory

people under high stress have a hard time hearing and interpreting messages.

negative dominance theory

people under distress view the world in a negative manner.

risk perception theory

understanding what risk means to different people

biological water pollutants.

viruses, bacterias and water pollutants.

wastewater treatment

primary: sludge/scum removal


secondary:breakdown of organic matter


tertiary: filtration and disinfection



levels of medical prevention

primary: preventive treatment


secondary: special attention/ diagonsis


tertiary: highly specialized ongoing care



restorative care

after surgery or treatment

long term

for chonic conditions / disabilities

insurance facts

46.3 million uninsured







cost of healthcare

3.2 trillion


biggest spenders in the world


cost of insurance mirrors cost of care



medicare



insurance for those 65+

medicaid

low income insurance.

dilema of distress

predictors of success among education, health and public safety. (zip code)

The CORe approach

employment, public safety and well being.(where siparities are addressed)


using collected data to allocate resources properly through out the community.