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18 Cards in this Set

  • Front
  • Back

Key issues related to Public Health

- Sustainability of the current system


- Equity for citizens


- Accountability


- Effect of healthcare reform

Five health intervention strategies

1. Health promotion


2. Specific protection


3. Early case finding


4. Prompt treatment


5. Disease management and rehabilitation

Two general intervention strategies

1. Health promotion


2. Specific protection

Health promotion: attempts to modify behaviors or reduce injury including factors

- Nutrition counseling


- Genetic counseling


- Health education activities


- Adequate housing


- Workplace safety


- Community development

Specific protection:provides individuals with resistance to factors or modify environments

- Protective equipment


- Immunizations


- Regulatory controls

Early case finding and prompt treatment reduces individual pain and suffering and is less costly to the individual andsociety

Early case finding:


- Screening tests


- Disease risk targeting


- Periodic physical exams and age based screenings


Prompt treatment:


- Stop or eradicate disease


- Limit disability


- Prevent death

Rehabilitation and disease management return individuals that experienced a condition to maximum level of function

- Physical therapy


- Speech therapy


- Medications

Primary prevention

prevention of disease or injury through reducing exposure or risk factor levels

Secondary prevention

Identification and control of disease in early stages

Tertiary prevention

Prevent disability by restoring function to individuals after damage

3 levels of intervention

- Long term care practice


- Public health practice


- Medical practice

Long term care

special needs that require services in a specialized setting (retirement communities; also movement towards home and community settings)

Public health practice

Primary responsibilities:


- Health promotion


- Specific protection


- Most early case findings

Medical practice

Provides services under the care of a physician

On the health care pyramid, what do the sizes of the tiers correspond to?

The size of the population served

Acts as the first contactfor the basic health needs of individuals and families

Primary care


- Urgent care


- Family physician or pediatrician

Specialized care for individuals referred by primary care facilities

Secondary care


- Urologist


- Physiatrist

More specialized and technologically advanced settings for individuals referred by primary or secondary care facilities

Tertiary care


- Cardiac surgeon


- Neurosurgeon