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42 Cards in this Set

  • Front
  • Back
(For Managers and Policy Makers)
Health of a population determines HC utilization.
planning a health service is planned by what 2 things?
Health trends and demographics
For Managers and Policy Makers
The health appraisal should determine what 3 things?
education, prevention, and therapies
Evaluating HC organizations on contributions made to what?
Community
For Managers and Policy Makers
Use of __ and ___ a concern
justice and equity
For Managers and Policy MakersMeasure of health status and utilization evaluates what 4 things?
existing programs, plan new strategies, measure progress, discontinue a servie
What is Health?
from society for academic medicine?
absence of illness and disease
a state of physical and mental well-being that facilitates the achievements of individual and societal goals
What is Health from WHO?
complete state of physical, mental and social well being, not just merely absence of disease
(social; need positive relationships)
Biopsychosocial model of health
Social- pos. relationships
-supportive networks for stresses, self
-for wellbeing of community and population
To promote, restore, maintain health
Biomedical Model
Existence of illness or disease
having a clinical diagnosis and medical intervention

meaning optimum health exists when you are free of symptoms and don't need treatment
Illness
identified by a person's perception and evaluation of how he/she is feeling
people are ill when they infer a diminished capacity to perform tasks and roles that are expected by society
ex- feels sick so doesn't go to school. Next day goes.
Disease
based on professional evaluation
caused by more than 1 factor (poverty, overcrowding)
Epidemiology Model
Host (organism/human)
Agent (bad diet/tobacco)
Environment (external- phys/soc/cult)
Example of behavioral risk factors
lack of exercise
high fat diet
unsafe sex
smoking (increases risk of heart and lunge disease)
Behavior modification
education
personal motivation
financial incentives
environmental inducements
Acute condition
relatively severe, often treatable, short duration (sudden kidney interuption)
Subacute conditions
some acute features
post acute treatment after discharge (head trauma)
Chronic Condition
less severe but long and continuous
can be controlled (asthma)
can be serious (hypertension)
Holistic Health
Holistic Medicine
HH: What makes a person whole/complete
growing interest
HM: treat the whole person, spiritual is added to medical, mental, and social
Wellness Model
efforts and programs that prevent disease and optimize well-being
Wellness Model's three factors
1. understand risk factors (done through health risk appraisal), interventions take place
2. intervention (modify behavior)
primary, secondary, tertiary)
3. adequate public health and social services
Therapeutic Preventions
primary- handwashing to decrease infection spreading
secondary- treatment of disease to block progression (paps)
tertiary- rehabilitation,
Public Health aka population
To fulfill society's interest in assuring conditions in which people can be healthy
-science and art of preventing disease, prolonging life, promoting health through community effore
-maximize pop's health status
Public Health Roles
1. prevention
2. h. promotion
3. h. protection
-environmental protection agency, homeland secrity
Medicine vs. Public Health
Medicine: focuses on individual patient
Public: focuses on populations
identify environment, social and behavior THEN deveolop population-based interventions, prevent/promote
Medicine vs Public Health Occupations
Medicine: nurses, dentists, therapists, health educators
Public Health: ^ + sanitarians, FDInspectors
Environmental Health
Aims to prevent the spread of disease through WATER, AIR and FOOD
Quality of Life
-overall satifaction with life during and following a persons encounter with the health care delivery system
-indicator of how satisfied a person was with the experiences while receiving health care (comfort, respect, privacy, security, autonomy)
quality of life goal
have a positive effect on an individual ability to functino, meet obligations, feelings of self-worth
Determinants of Health
Genetic Make up 20
Individual Behaviors 50
Medical Practice 10
Social and Environmental 20
Determinants of Health
examples of each G I M E/S
Genetic: cancer, diabetes
Individual behavior: smoking, exercise
Medical practice: check-ups
Social/Environmental: Rural area with lack of equipment
Blum's Force Fields (4)
****Environment (phy, soc, cult, eco)
***Lifestyle (behavior, tude. toward hlth)
**Heredity (current lifestyle.hlth prc thatll impact future
*Medical Care (health care delivery system)
Distributive Justice
key concept related to ACCESS
What are the 2 justices -> Theories of Equitable Distribution
Marketing (economic good) vs Social Justice (good)
Theories of Equitable Distribution
Marketing Justice & its Principles
-fair distribution of health care to market forces in a fee economy
- people make rational choices in their decision to buy health care products and services
-people consult with their physicians who know what is best for them
-the market works best without interference from government
Market Justice in association with Libertarianism
-those who work, get their resources
-HC is not a central priority
Theories of Equitable Distribution
Social Justice & Principles
-health care is a social good, should be based on need rather than cost
-shared responsibility
-greatest good for greatest amount of people
Morbidity
Disease of disability
Mortality
death rate

For any rate:
= # of individuals died from Cancer in a give year
./.Total Population
= fraction X 100
= % or rate
Longevity
Life expectancy
Incidence
# of new cases occurring/population at risk
prevalence
measure the total number of cases at specific point in time/specified population
Crude Death Rate
Total deaths/total population