Health Exam Babey

Praying on my knees God!!

Primary Prevention

Preventing people from engaging in bad behavior or catching an illness ie. DARE

Secondary Prevention

Being proactive in spotting early signs/symptoms, controlling an illness ie. Mammograms

Tertiary Prevention

Rehab, prevention of further problems or illness getting worse, trying to cure ie. Radiation Therapy

10 Essential Functions of PUBH

1. Monitor Health

2. Diagnose and Investigate

3. Inform, educate, and empower

4. Mobilize community partnerships

5. Develop policies

6. Enforce laws

7. Link to and provide care

8. Assure a competent workforce

9. Evaluate

10. Research

Difference between PUBH and medical care?

PUBH=Broad, focus on prevention and control of disease.

Medical=Focuses strictly on treatment/cure.

Monitor Health

Assessment

ID and solve community problems.

What's going on in our community?

-ID health risks, collaborate w/ private providers, attention to vital stats, and using appropriate methods/tech to communicate data.

Diagnose and Investigate

Assessment

Problems/hazards in the community.

How effective is our response?

-Epidemiologic investigations, active infectious disease epidemiology programs, access to PUBH labs.

Inform, educate, and empower

Policy Development

How well do we keep all segments of our state/community informed about health issues?

-Accessible health info, health education and promotion programs, health communication plans.

Mobilize community partnerships

Policy Development

How well do we engage people in state/community health issues?

-Building partnerships, facilitating partnerships.

Develop policies

Policy Development

Plans that support individuals and community health efforts.

What policies in both the government and private sector promote health in our state/community?

-Effective local public health, state leveling planning, alignment of resources and strategies.

Enforce laws

Assurance

Regulations that protect health and ensure safety.

Link to and provide care

Assurance

Are people in my state receiving the health services that they need?

Assure a competent workforce

Assurance

Do we have a competent public health staff?

-Adoption of continuous quality improvement, active partnerships, educational training, efficient processes for licensure of professionals.

Evaluate Effectiveness

Assurance

Are we meeting the needs of the population we serve?

Research

All 3

For new insights and innovative solutions to health programs.

Determinant of health?

Something that determines or influences an individuals health ie. age, income, gender, etc.

Define Public Health.

Science and art of preventing disease.

Public Health Approach to Prevention

1. Define and describe the problem-what's the issue, signs and symptoms.

2. ID cause-Collect and analyze data

3. Break down into manageable components: TAPES

a. Technical-Cause known?

b. Administrative-Quality of care? Who provides care?

c. Political-Legal problems? Controversial?

d. Economic-Costs with prevention/treatment.

e. Sociocultural and Behavioral-Lifestyle, stigma.

4. Develop and test interventions-Experiments

5. Implement Interventions-Laws/programs

6. Evaluate interventions-Did it work?

Top cause of death?

Tobacco (Heart disease is #1 illness/disease.)

Father of Epidemiology

John Snow

Cholera outbreak in London 1854. Discovered Miasmas/dirty air. Mapped city and found contaminated water hole.

Incidence

Number of NEW cases in a population.

Prevalence

Total number of cases existing in a defined population at a single point in time.

Epidemic Curve

Figure that shows the number of new cases of disease caused by an infection over time.

Why is data essential to PUBH?

ID what health issues we currently have, be able to ID our needs and how they can be met, see how severe health problems really are, ID changes and compare current issues and rates with issues and rates of the past.

System of epidemiologic surveillance

Effectively/efficiently monitoring health, focuses on reported diseases as soon as they are diagnosed, that way diseases can be investigated immediately.

PUBH focuses on _____________.

Prevention

Framington Heart Study

5000 men and women in Massachusetts aged 30-62 were studied every 2 years for a long time.

Study identified- high BP, high cholesterol, smoking, obesity, diabetes, and physical activity as major risk factors to long term health.

Gostin's 7 models of public health intervention

1. Power to tax and spend-Tax tobacco products more.

2. Power to alter the information environment-Regulate businesses to label products.

3. Power to alter the built environment.

4. Power to alter the socioeconomic environment.

5. Direct regulation of persons, professionals, and businesses-Individual behaviors like seat belts and helmets on motorcycles.

6. Indirect regulation through tort system.

7. Deregulation-Laws as a barrier to health.

CDC Health Pyramid

Basic characteristics of health system?

Agencies for planning, funding, and regulating.

Money to finance

Those who provide heath services like the gov. and hospitals.

Name 6 Protocol conditions for clinical research

1. Social Value-Significant to society?

2. Scientific validity-Measures what it promises?

3. Fair subject selection-Randomized and equal chance.

4. Acceptable risk-benefit ratio-Benefits should outweigh the risks.

5. Informed consent-Subjects agree to what they're getting into.

6. Respect for enrolled subjects.

4 principles for distributing scarce resources

1. Health maximization-Resources allocated in such a way that the total beneficial impact on health is large as possible.

2. Equity-Ensure everyone has equal chance of receiving a scarce resource.

3. Priority to the worst-Organ recipient lists.

4. Personal responsibility-Lower priority should be given to people whose health problems may relate to own health behaviors.

Stanford Prison Experiment

Psych. experiment where basement was a prison. Some were guards and some were prisoners. Got serious and was unethical because prisoners were harmed.

10 essential benefits that private health insurance must provide.

1. Ambulatory patient services.

2. Emergency services.

3. Hospitalization

4. Maternity and newborn care

5. Mental health and substance use

6. Prescription drugs

7. Rehab services

8. Lab services

9. Preventative and wellness services

10. Peds services