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75 Cards in this Set

  • Front
  • Back
POPULATION HEALTH
THE HEALTH OUTCOMES OF A GROUP OF INDIVIDUALS, INCLUDING THE DISTRIBUTION OF SUCH OUTCOMES WITHIN THE GROUP
DETERMINANTS OF HEALTH (6)
- BIOLOGY
- BEHAVIORS
- PHYSICAL ENVIRONMENT
- POLICIES AND INTERVENTIONS
- ACCESS TO QUALITY HEALTH CARE
- SOCIAL ENVIRONMENT
POPULATION HEALTH FRAMEWORK
PUBLIC HEALTH
WHAT WE DO AS A SOCIETY COLLECTIVELY TO ASSURE CONDITIONS IN WHICH PEOPLE CAN BE HEALTHY
WHAT ARE THE MAIN FUNCTIONS OF PUBLIC HEALTH (7)
- PROMOTION OF SANITATION
- CONTROL OF COMMUNICABALE DISEASE
- REGULATION OF FOOD AND WATER
- OPERATION OF STATE LABORATORIES
- HEALTH EDUCATION
- MAINTENANCE OF VITAL STATISTICS
- LIMITED MEDICAL CARE DELIVERY
EPIDEMIOLOGY
THE STUDY OF HOW DISEASE IS DISTRIBUTED IN POPULATIONS AND THE FACTORS THAT INFLUENCE OR DETERMINE THE DISTRIBUTION
OBJECTIVES OF EPIDEMIOLOGY (5)
- ID CAUSES OF DISEASE AND RISK FACTORS
- QUANTIFY BURDEN OF DISEASAE IN COMMUNITY
- STUDY NATURAL HISTORY / PROGNOSIS OF DISEASE
- EVALUATE EXISTING AND NEW PREVENTIVE / THERAPEUTIC MEASURES
- PROVIDE FOUNDATION FOR PUBLIC POLICY REGARDING DISEASE PREVENTION AND HEALTH PROMOTION
WHAT IS THE SCIENTIFIC BASIS OF PUBLIC HEALTH ACTIVITIES (3)
- PATHOLOGY AND TOXICOLOGY {BASIC SCI}
- INTERNAL MEDICINE AND PEDIATRICS {CLINICAL / MED SCI}
- EPIDEMIOLOGY, ENV HEALTH SCIENCE, HEALTH ED, AND BEHAV SCI {PUB HEALTH SCI}
HEALTH
STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL BEING, AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY
ILLNESS
A SOCIALLY DEFINED CONCEPT REFERRING TO A HEALTH STATE THAT DEVIATES WHAT IS CONSIDERED NORMAL IN A GIVEN COMMUNITY
DISEASE
A PATHOLOGICAL PROCESS THAT IMPAIRS BODILY FUNCTION
HEALTH CONTINUUM
TYPES OF PREVENTION (3)
- PRIMARY (IMMUNIZATION)
- SECONDARY (SCREENING FOR CANCER)
- TERTIARY (REHAB FOR A STROKE)
PRIMARY PREVENTION
PREVENTING THE INITIAL DEVELOPMENT OF A DISEASE
SECONDARY PREVENTION
EARLY DETECTION OF EXISTING DISEASE TO REDUCE SEVERITY AND COMPLICATIONS
TERTIARY PREVENTION
REDUCING THE IMPACT OF THE DISEASE
WHY DO WE NEED POPULATION HEALTH (4)
- CHANGING DEMOGRAPHICS
- RISE OF CHRONIC DISEASE AND DISABILITY
- FRAGMENTATION
- FINANCING AND ACCREDITATION
POPULATION HEALTH MANAGEMENT
A VARIETY OF APPROACHES DEVELOPED TO FOSTER HEALTH AND QUALITY OF CARE IMPROVEMENTS WHILE MANAGING COSTS FOR A DEFINED POPULATION
POPULATION HEALTH MANAGEMENT STRATEGIES (6)
- LIFESTYLE
- DEMAND
- DISEASE
- CATASTROPHIC
- DISABILITY
- INTEGRATED
LIFESTYLE MANAGEMENT
USE THE TECHNIQUES OF HEALTH BEHAVIOR CHANGE IN A HEALTH PROMOTION OR PREVENTION CONTEXT TO IMPROVE INDIVIDUALS HEALTH HABITS AND REDUCE HEALTH RISKS
DEMAND MANAGEMENT
USE REMOTE PATIENT MANAGEMENT TO DIRECT INDIVIDUALS TOWARD APPROPRIATE UTILIZATION OF MEDICAL CARE SERVICES
DISEASE MANAGEMENT
FOCUS ON A PARTICULAR DISEASE AND ATTEMPT TO PROVIDE MEDICAL AND CARE MANAGEMENT SERVICES
CATASTROPHIC CARE MANAGEMENT
CONCENTRATE ON PROVIDING THE SPECTRUM OF SERVICES REQUIRED BY INDIVIDUALS WHO SUFFER FROM CATASTROPHIC ILLNESSES OR INJURIES THAT ARE TYPICALLY DEFINED BY EITHER CONDITION OR EXPENSIVE CLAIMS
DISABILITY MANAGEMENT
DEVELOPED FROM AN EMPLOYER PERSPECTIVE AND TRY TO BRIDGE THE GAP BETWEEN HEALTHCARE MANAGEMENT AND DISABILITY MANAGEMENT TO REDUCE LOST WORKER PRODUCTIVITY DUE TO ILLNESS OR INJURY
INTEGRATED POPULATION HEALTH MANAGEMENT
PROMOTES COMPREHENSIVE CONSIDERATION OF THE HEALTH AND WELL BEING OF EACH MEMBER OF A POPULATION BY COORDINATING DIFFERENT HEALTH AND CARE MANAGEMENT STRATEGIES
FRAMEWORK FOR POP HEALTH MANAGEMENT
POP HEALTH MGMT DEFINING QUESTIONS (5)
- WHAT IS TO BE MANAGED IN POP HEALTH MGMT
- WHO IS TO BE MANAGED
- WHERE CAN POP HEALTH MGMT OCCUR
- WHY DOES POP HEALTH NEED TO BE MANAGED
- HOW CAN POP HEALTH MGMT OCCUR
SOCIAL GRADIENT
LIFE EXPECTANCY IS SHORTER AND MOST DISEASES ARE MORE COMMON FURTHER DOWN THE SOCIAL LADDER IN EACH SOCIETY
SOCIAL DETERMINANTS (10)
- SOCIAL GRADIENT
- STRESS
- EARLY LIFE
- SOCIAL EXCLUSION
- WORK
- UNEMPLOYMENT
- SOCIAL SUPPORT
- ADDICTION
- FOOD
- TRANSPORT
FRAMEWORK FOR PREVENTING CHRONIC DISEASE AND PROMOTING HEALTH
GLASS AND MCANTEE MODEL
PARITY OF HEALTH CARE (BALANCE OF PARADIGMS)
STRATEGIES FOR DEFINING A POPULATION (7)
- AGE
- INCOME
- GEOGRAPHY
- COMMUNITY
- EMPLOYER
- INSURANCE COVERAGE
- HEALTH STATUS
GENERIC MODEL OF DISEASE EVOLUTION
EPIDEMIOLOGIC TRIAD OF DISEASE
TRANSMISSION
THE TRANSFER OF A DISEASE CAUSING MICROORGANISM FROM ONE ENVIRONMENT TO ANOTHER, PARTICULARLY FROM AN EXTERNAL ENVIRONMENT TO A SUSCEPTIBLE INDIVIDUAL
CATEGORIES OF TRANSMISSION (4)
- CONTACT
- DROPLET
- VEHICLE
- VECTOR
DIRECT TRANSMISSION
A FORM OF CONTACT TRANSMISSION; BACTERIA / VIRUSES USUALLY CANNOT SURVIVE FOR LONG PERIODS OF TIME OUTSIDE THE BODY
INDIRECT TRANSMISSION
A FORM OF CONTACT TRANSMISSION; MUST BE ABLE TO SURVIVE OUTSIDE THE BODY FOR AN EXTENDED TIME
VEHICLE TRANSMISSION
INDIRECT TRANSMISSION VIA A MEDIUM
ICEBERG CONCEPT OF DISEASE
ENDEMIC
USUAL OCCURRENCE OF A CONDITION WITHIN A GEOGRAPHIC AREA
EPIDEMIC
OCCURRENCE OF A CONDITION CLEARLY IN EXCESS OF NORMAL EXPECTANCY
PANDEMIC
AN EPIDEMIC OCCURRING OVER A VERY WIDE AREA USUALLY AFFECTING A LARGE POPULATION
HERD IMMUNITY
THE RESISTANCE OF A GROUP OF PEOPLE TO AN ATTACK BY A DISEASE TO WHICH A LARGE PROPORTION OF THE MEMBERS OF THE GROUP ARE IMMUNE
KEY QUESTIONS TO ESTABLISH THE OCCURRENCE OF DISEASE (3)
- WHO WAS ATTACKED BY THE DISEASE
- WHEN DID THE DISEASE OCCUR
- WHERE DID THE CASES ARISE
MORBIDITY
THE FREQUENCY OF DISEASE OCCURRENCE
MORTALITY
THE FREQUENCY OF DEATHS FROM THE DISEASE
MORBIDITY RATES
TELLS US HOW FAST THE DISEASE IS OCCURRING IN THE POPULATION
MORBIDITY PROPORTIONS
TELLS US WHAT FRACTION OF THE POPULATION IS AFFECTED
INCIDENCE RATE OF MORBIDITY (DEFINITION)
THE NUMBER OF NEW CASES OF A DISEASE THAT OCCUR DURING A SPECIFIED PERIOD OF TIME IN A POPULATION AT RISK FOR DEVELOPING THE DISEASE
INCIDENCE RATE OF MORBIDITY (FORMULA)
NUMBER OF NEW CASES DURING A SPECIFIED (PERIOD OF TIME / NUMBER OF PERSONS AT RISK FOR DEVELOPING THE DISEASE IN THAT PERIOD OF TIME) X 1000
INCIDENCE DENSITY OF MORBIDITY (FORMULA)
(NO OF NEW CASES/ THE SUM OF THE TIME PERIODS OF OBSERVATION OF EACH PERSON WHO HAS BEEN OBSERVED FOR ALL OR PART OF THE TIME PERIOD ) X 1000
USES OF ATTACK RATE OF MORBIDITY (3)
- COMPARING THE RISK OF DISEASE W/ DIFFERENT EXPOSURES
- ILLNESS W/ SUDDEN ONSET, IMPLICIT TIME PERIOD
- SIMILAR TO INCIDENT RATE
ATTACK RATE OF MORBIDITY (FORMULA)
NUMBER OF PEOPLE AT RISK IN WHO A CERTAIN ILLNESS DEVELOPS/ TOTAL NUMBER OF PEOPLE AT RISK
PREVALENCE OF MORBIDITY (DEFINITION)
ANSWERS THE QUESTION WHAT PROPORTION OF THE POPULATION IS AFFECTED BY THE DISEASE AT THAT TIME?
PREVALENCE OF MORBIDITY (FORMULA)
(NUMBER OF CASES OF A DISEASE PRESENT IN THE POPULATION AT A SPECIFIED TIME/ NUMBER OF PERSONS IN THE POPULATION AT THE SPECIFIED TIME ) X 1000
ISSUES WITH PREVALENCE (4)
- INTENT IS NOT TO DETERMINE WHEN THE DISEASE DEVELOPED
- DOES NOT TAKE INTO CONSIDERATION DURATION OF DISEASE
- NUMERATOR INCLUDES A MIX OF PEOPLE AT DIFFERENT POINT IN THE DISEASE
- NOT A MEASURE OF RISK
POINT PREVALENCE
PREVALENCE OF THE DISEASE AT A CERTAIN POINT IN TIME; MOST OFTEN USED
PERIOD PREVALENCE
PREVALENCE OF THE DISEASE AT ANY POINT DURING A CERTAIN TIME PERIOD
WHATS THE DIFFERENCE B/T INCIDENCE AND PREVALENCE
PREVALENCE IS A MEASURE OF THE BURDEN OF DISEASE IN A COMMUNITY; INCIDENCE HELPS DETERMINE THE CAUSE OF THE DISEASE
MEASURES OF MORBIDITY (3)
- INCIDENCE RATE
- ATTACK RATE
- REVALENCE
MEASURES OF MORTALITY (3)
- MORTALITY RATES
- CASE FATALITY RATES
- PROPORTIONATE MORTALITY
MORTALITY RATE (DEFINITION)
ANNUAL DEATH RATE
MORTALITLY RATE (FORMULA)
(TOTAL NUMBER OF DEATHS FROM ALL CAUSES IN 1 YEAR/ NUMBER OF PERSONS IN THE POPULATION AT MIDYEAR)x1000
TO CALCULATE AGE / DISEASE SPECIFIC MORTALITY RATES
(TOTAL NUMBER OF DEATHS FROM A DISEASE IN ONE YEAR OF A CERTAIN AGE/ NUMBER OF THE POPULATION YOUNGER THAN THAT AGE AT MIDYEAR)x1000
CASE FATALITY RATE (DEFINITION)
THE PERCENTAGE OF PEOPLE DIAGNOSED AS HAVING A CERTAIN DISEASE THAT DIE WITHIN A CERTAIN TIME AFTER DIAGNOSIS
CASE FATALITY RATE (FORMULA)
(NUMBER OF INDIVIDUALS DYING DURING A SPECIFIED PERIOD OF TIME AFTER DISEASE ONSET/ NUMBER OF INDIVIDUALS WITH THE SPECIFIED DISEASE)x100
PROPORTIONATE MORTALITY (DEFINITION)
THE PROPORTION OF DEATHS CAUSED BY A SPECIFIC DISEASE OVER THE TOTAL NUMBER OF DEATHS ALL CAUSES
PROPORTIONATE MORTALITY (FORMULA)
(NUMBER OF DEATHS FROM ___ DISEASE IN THE US IN A CERTAIN YEAR/ TOTAL DEATHS IN THE US IN THAT YEAR )x 100
PROBLEMS WITH MORTALITY DATA
- QUALITY ISSUES WITH CERTIFICATES
- CHANGES IN WAY DEATH IS CODED
- CHANGES IN THE DEFINITION OF DISEASE
EPIDEMIOLOGY STUDY CLASSIFICATIONS (3)
- DESCRIPTIVE
- ANALYTICAL
- INTERVENTION (EXPERIMENT)
DESCRIPTIVE STUDY
FOCUSES ON THE DISTRIBUTION AND FREQUENCY OF DISEASES, KNOWN AND POSSIBLE CAUSES OF DISEASES
ANALYTICAL STUDIES
FOCUSE ON THE STRENGTH OF ASSOCIATIONS B/T DISEASES AND OTHER FACTORS WITH PARTICULAR EMPHASIS ON WHETHER SUCH ASSOCIATIONS ARE CASUAL
INTERVENTION STUDIES
FOCUS ON WHETHER INTERVENTIONS AIMED AT PREVENTING A DISEASE OR IMPROVING ITS OUTCOME ACTUALLY DO SO