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22 Cards in this Set

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Biological model
scientific model focused on disease diagnosis and treatment of individuals
Burden of disease
Burden of disease is a measure used to assess and compare the relative impact different diseases injuries on the populations
assess and compare impact
Define "determinants of health"
Determinants of health is a characteristic that brings about a change in health either better or worse
Epidemiology
epidemiology is the study of patterns and causes of diseases in populations
Life expectancy
Measure used to describe population health life expectancy. measures how long on average a person is expected to live based on current age and sex-specific death rates.
It is the number of years of life a person born today is expected to live!
Morbidity vs mortality
Morbidity is another term for illness. mobilities are not deaths!
Mortality is another term for death. mortality rate is the number of deaths due to a disease divided by the total population
Risk factor
A variable that potentially increases the susceptibility developing a condition or disease (for example physical inactivity is a risk factor for type 2 diabetes)
Health promotion
Process of enabling people to take control over those factors that determine health and well-being
What is public health?

Public Health is a component of health care that focuses on prevention promotion and protection rather than treatment
it focuses on populations rather than individuals
it looks at contributing factors that cause illness and injury.

A combination of science practical skills and beliefs that is directed to the maintenance of the health of all people. It is one of the efforts organised by society to protect promote and restore the people's health through collective and social actions.

Ill health
Primarily about how an individual experiences disease and disease itself.
It represents a set of signs and symptoms of medically diagnosed pathological abnormalities
Health WHO
A state of complete physical social emotional well-being and not merely an absence of disease or infirmity
5 Core public health functions/areas in Australia
1. Health monitoring and surveillance
2. Disease prevention and control
3. Health protection
4. Health promotion
5. Health policy planning and management
Public health surveillance
A continuous and systematic process of collection analysis interpretation and dissemination of descriptive information of monitoring health problems.

data can be obtained from births and deaths registries, notifiable disease reporting hospital discharge systems cancer and birth defects registries
Public health surveillance
A continuous and systematic process of collection analysis interpretation and dissemination of descriptive information of monitoring health problems.

data can be obtained from births and deaths registries, notifiable disease reporting hospital discharge systems cancer and birth defects registries
Examples in public health areas
Public health surveillance - systematic collection, analysis, interpretation dissemination of descriptive information obtained from e.g. births/deaths records, notifiable disease reporting, hospital discharge systems to monitor health problems.

Disease prevention and control - surveillance house education immunization and cancer screening

Health promotion and health protection - occupational health and safety, physical activity, nutrition maternal and child health, tobacco, drugs and alcohol and injury prevention

Health policy, planning and management - epidemiology , evaluation research workforce development, clinical guidelines
Common Public health themes
At the heart of public health practice, are the following themes:
1. Collaborative practice across all sectors ( intersectoral collaboration - government, housing, transport, etc.
2. Multidisciplinary approaches - allied health professionals
3. Enabling partnerships
4. Reducing inequality
5. Enhancing political support for public health policy
History of Public Health -
1842 - Edwin Chadwick publishes the Sentry conditions of the labor and population of Great Britain and argues for improvements to sanitation health needed public action

1848 - the Public Health Act in the UK linked to the Industrial Revolution

1854 Jon Snow convince authorities to remove the handle of the Broad Street water pump as he believes it is the link to the cholera outbreak

1860 s - Louis Pasteur pasteurization and Florence Nightingale emphasize the need for specialist training for public health nurses

1884 - Robert koch discovered etiology anthrax and cholera. Nobel Prize for identifying cause of TB consumption.

Joseph Lister - British surgeon introduced the concept of anti sepsis - washing hands and surgical instruments. use of disinfectant in surgery and germ theory

John Snow
http://m.youtube.com/watch?v=XCQbi8zzrkc
Biomedical model
Emphasis on individuals
No minimum personal responsibility
Focus on curative dimension
Diagnosis and treatment of syndromes and diseases affecting visical conditions of an individual - some extension to mental health / social problems
Benefits to individuals is supreme
expensive
Creates dependency
Highly technocentric
Maximize chances of best possible outcome
Basic science inputs are narrow and focused
High Commercialization
Ultimate goals is to read the individual from suffering
Public health model
Emphasis on the population
The person is responsible for organizing and influencing societal and political forces
Focus on preventative dimension
Reduction of risk factors for physical diseases as well as mental
and social problems
Greatest good for the greatest number
Impressive especially in terms of investments per person
Realize of people and indigenous technologies - mosquito nets, malaria
liberating
seeks to minimize the chance that the worst possible outcome will occur
Basic science inputs are broader
Low commercialization
Ultimate school is social justice
Old public health
Old public health
involved the recognition of lifestyle diseases as influencing health.
Influence of some infectious disease environmental health was also emphasized

population health and intervention included:
epidemiological studies applying the social determinants of health
strategies that focus on factors impacting health of individuals rather than communities
acknowledging influence of environment and relationship to health and wellbeing
Australia's 9 public health areas
AUSTRALIAN 9 PUBLIC HEALTH AREAS
Asthma
Arthritis & Musculoscoletal
Cancer control
CVD health
Type 2 diabetes
Obesity
Injury prevention and Control
Dementia
Mental Health

They were idenitified because:
Contribute significantly to burden of disease in Australia
Chronic disease is leading cause of death and disability in Australia (morbidity and mortality)
Require higher use of health care services costing large sums of money
In most instances conditions are preventable
Account for 77% of all underlying causes of death