22 - Health Improvement Flashcards

1
Q

What are the three domains of public health?

A
  • Health Improvement
  • Health protection
  • Healthcare public health
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2
Q

What is the ‘left shift’ in population health?

A

Population strategies

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3
Q

What is the virtuous cycle of public health?

A

A complex chains of events that reinforce themselves through a feedback loop

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4
Q

What are the requirements for heath improvement?

A
  • Resources
  • Skills
  • System Level Working (working together)
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5
Q

How can we understand health needs on a population level?

A
  • Research
  • Routine Data
  • Health Needs Assessment
  • Health equity audit
  • Service improvement and evaluation
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6
Q

What is a logic model?

A

Logic models identify, describe and arrange the critical aspects of an intervention to represent how the intervention produces change

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7
Q

Give an example of an actual logic model used in the NHS.

A
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8
Q

What are some primordial and primary preventions for smoking?

A
  • Laws
  • Cost
  • Packaging
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9
Q

What are some secondary preventions for smoking-related disease?

A
  • Ask, Advice, Ask
  • Screening
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10
Q

What are some population level screening programmes in the NHS?

A
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11
Q

What are some issues with evaluating the impact of health improvement initiatives?

A
  • Might not predict certain outcomes so won’t measure them
  • Some changes might take a long time to see
  • Can be difficult to replicate findings from research studies into real world setting
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12
Q

What is lead time bias?

A
  • Early diagnosis falsely appears to prolong survival
  • Patients live same length of time but longer knowing they have the disease
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13
Q

What is length time bias?

A
  • Screening programmes better at pick up slow growing less aggressive cases
  • Diseases detectable through screening are more likely to have favourable diagnosis
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14
Q

What is social prescribing?

A
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15
Q

Who is often targeted in social prescribing?

A
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16
Q

What are some services available on social prescribing?

A
  • Sports clubs
  • Volunteering
  • Religious groups
  • Parks and outdoor spaces
  • Community groups
17
Q

What are the benefits of social prescribing?

A
  • More holistic care
  • Less GP appointments needed
  • Clinicians can focus on medical issues
  • More cost effective for GP practices
  • Increases GP links with community services
18
Q

What is the process of social prescribing?

A
19
Q

What are some social presriptions for social isolation?

A