W3 - PT through a public health lens

what is public health

the science and art of preventing disease, prolonging life, and promoting health through the organized efforts and informed choices of society, organizations, public and private communities, and individuals

who is the “grandfather” of public health

C-E. A. Winslow

what are the 5 social determinants of health

education access/quality, health care/quality, neighborhood/build environment, social/community context, economic stability

examples of measures of education access/quality

graduation rates, average level of education, langauge/literacy rates

examples of measures of health care and quality

early access, geographical availability, trust in HC system, insurance, health literacy

examples of measures of neighborhood and built environment

exposure to pollutants, exposure to stressors, access to health resources, transportation access

examples of measures of social and commuunity context

family, support systems, opportunities to build networks

examples of measures of economic stability

access to resources, ability to pay for appointments, cost of living

what are common determinants of health that have been documented to have a negative impact on PT outcomes

SES, race. gender, disability status

why is SES a barrier to PT

associated with increased likelihood to miss appointments

why is race a barrier to PT

worse outcomes reported more often for marginalized groups post-PT

why is gender a barrier to PT

unconscious bias of the PT for exercise prescription based on gender

why is disability status a barrier to PT

those with poorest health and lowest incomes are least likely to receive all health services

why do disparities exist?

various -isms, SES, distrust of HCPs

what are 3 conceptual ways to mitigate disease/disability and improve health outcomes

expand access, decrease cost, improve quality of care

what are the levels of the Pyramid of Health Impact framework, from bottom to top?

socioeconomic factors, chancing context, long-lasting protective interventions, clinical interventions, counseling/education

where on the Pyramid of Health Impact do PTs tend to reside?

at the top in clinical interventions

from bottom to top of the Pyramid of Health Impact, there is increasing ___ ____ needed; from top to bottom, there is increasing ___ ___

individual effort, population impact

what are 6 examples of tools to use as a PT to impact SDOH to have a positive impact on public health?

implementing evidence, motivational interviewing, community partners, health literacy, systems thinking, upstream approach