1: Social Determinants of Health Flashcards
What is Health?
Absence of symptoms, as well as
What does a good Health System do?
Deliver quality services to all people, when and where they need them
What does a good health system require?
- robust financing mechanism
- well trained & adequately paid workforce
- reliable information on which to base policies and decisions
- well maintained facilities and logistics to deliver quality medicines and technologies
3 Components/Functions
- Financing
- Delivery/Provision
- Regulation
Bodenheimer & Grumbach characterize U.S. healthcare system as…
A paradox because someone people receive too much or too little, the system is not equitable, over use, underinsured
Evidence for U.S. healthcare system being a paradox
17% of gross domestic product but performs less well on many health outcomes,
Why do we spend so much on health care?
…. lecture 1, tech, prices, insufficient system , specialists, fragmented system
How do we measure health/health outcomes?
We look at certain indicators such as infant mortality, life expectancy, prevalence of chronic conditions, etc.
Define: Infant mortality
the death of an infant before 1st birthday
Factors Contributing to Health Status
-Money
-Healthier Lifestyles
- inequality
- downstream,/ nutrition
midstream/ living condition
top stream/ race
Key points beyond HC System? to solve
- Americans are sicker than other rich nations
- Americans do not live as long as citizens in other rich nations
- More babies & mothers die in U.S.
What are the Social Determinants of Health?
The conditions in which people are born. grow, live, work, and age within the healthcare system
Define: Health Inequities
The unfair and avoidable differences in health status within or between countries
What is race?
Characteristics defined at a distance such as body shape, skin color, and hair texture
Race is a…
Social construct, it attaches social significance to physical differences
Primary Prevention
The goal is to protect healthy people from developing a disease or experiencing an injury in the first place
Secondary Prevention
Happens after an illness or serious risk factors have been diagnosed. The goal is to stop or slow the progress of the disease in their earliest stages
Tertiary Prevention
Focusing on helping people manage complicated, long term health problems. (e.g. cancer)
Public Health Prevention
Rewards the unknown, taken for granted, people don’t notice so they aren’t as appreciative
Upstream Factor
e.g. race, ses
Midstream Factor
….e.g. neighborhood , working conditions
Downstream Factor
…. e.g. nutrition exercise
Problems with cultural competency?
It is a lifelong journey of learning, but most often only taught hours worth of information, it can reinforce bias
