PPH MOD 1 .1

Population Health 1.1

health outcomes of a group of individuals, including the distribution of such outcomes w/in the group

Population Health Simplified 1.1

• distribution of health outcomes w/in a pop

• health determinants that influence distribution

• policies & interventions that impact these determinants

Pop Health Frameworks: SEM 1.1

Socioecological Model of Health

• variety of factors affect health

• interplay (overlap) between individual, interpersonal relationships, organization, community, and society

• identification of factors at different levels that contribute to poor health

• development of approaches to disease prevention/health promotion

Pop Health Frameworks: CUPH 1.1

Center for Urban Population Health

• policy, programs, & practice are at the base. these heavily influence health factors

• health factors (health behaviors, clinical care, social/economical factors, physical environment) greatly contribute to health outcomes

• health outcomes (Double M’s Mortality Morbidity) are the result of health factors and the impact of programs/policies. health outcomes depict the disease or well-being of a community

Pop Health Frameworks: HI Pyramid 1.1

Health Impact Pyramid

• public action and interventions at the base of the pyramid require less effort and have greater population impact

• at the top of the pyramid the traits become individualized. designed to help individuals

• CRUCIAL POINT: if interventions at the top were universally and effectively applied then they would have large population impact

Populations 1.1

historically vulnerable populations

• racially or ethnically minoritized groups

• pregnant

• disabled

• LGBTQ +

  (think populations that would have the most benefit from assistance)

Five Factors Impacting Individual Health

1. healthcare (10%)

2. genetic predisposition (30%)

3. behavioral patterns (40%)

4. social circumstances (15%)

5. environmental exposure (5%)

   take home: most of the determinants of health are outside the healthcare system

Take Home Point 1.1

difference between what happens w/an individual & what happens across entire populations

• determinants of health in a population are not always the causes of these cases

Determinant 1.1

a factor that casually affects the nature or outcome of something

Impact of Education on Health1.1

lower educational attainment is associated with worsened health outcomes

Effect on Income on Health 1.1

as income increases, the % of people with poor health decreases (improved health)

education + income= heavy correlation, but although they are heavily correlated they could independently influence health

Disinvested Neighborhoods and Potential Impact on Health 1.1

choices ppl make are a result of what’s available to them

• less economic opportunity

• higher crime rates

• subpar living

• lower education (school quality)

• less access to high quality medical services

• lack of transportation

One v. Many Determinants 1.1

determinants may be influencing each other and acting together to influence a health outcome

Upstream Determinants 1.1

macro factors that comprise social-structural influences on health & health systems, gov policies, and social, physical, economic, & environmental factors that determine health

upstream efforts= bigger intervention opportunities

Role of the Pharmacist 1.1

• analyze health outcomes

• identify trends

• design and evaluate population health interventions/programs

Effect of Income on Health con 1.1

higher income is associated w/improved health within racial/ethnic groups

Income & Life expectancy

higher household income associated w/longer life expectancy

take home 1.1

the choices we make are often due to the choices we have

choices ppl make are a result of whats available to them

take home SDOH 1.1

determinants influence each other & act together to influence outcomes

take home MED 1.1

patterns of med use can reveal patterns of disease w/in community