Core 1: Health Priorities in Australia Flashcards
What are priority health issues?
Health issues that are of greatest concerns to govts and organisations due to the effect they have on the overall health of Australians and burden of health on the economy.
What is epidemiology?
The study of patterns and causes of health and disease in populations and the application of this study to improve health.
Who uses epidemiology?
1) Individual consumers
2) Policy developers at all levels of government
3) Manufacturers of health products
4) Providers of health service
What are some limitations of epidemiology?
• Doesn’t always show the significant variations in health status among population groups (ATSI and Non-ATSI)
• Doesn’t accurately indicate quality of life (distress, impairment, disability, handicap etc)
• Cannot provide whole health picture (data on mental health are incomplete or non-existent)
• Fail to explain ‘why’ health inequities persist
• Doesn’t account for determinants that shape health (social, economic, environmental & cultural)
- Does not measure positive aspects of health
What are the measures of epidemiology?
Mortality, Morbidity, Life expectancy and Infant Mortality
What are the criteria when selecting priority health issues?
1) Social justice principles
2) Priority population groups
3) Prevalence of the condition
4) Potential for prevention and early intervention
5) Costs to the individual and community
What are social justice principles?
Equity, diversity and supportive environments.
Define equity and diversity.
Equity= resources allocated in accordance with the needs of individuals and populations. Diversity= refers to cultural differences between individuals and groups
Define prevalence
number of cases within a population at a given time
Define and give examples of direct costs.
Direct costs – money spent on diagnosing, treating and caring for the sick and the money spent of prevention (For eg: hospital admissions, pharmaceutical prescriptions, prevention initiative, research, screening and education)
Define and give examples of indirect costs.
the value of the output lost when people become too ill to work or die prematurely (For eg: cost of forgone earnings, absenteeism and the retraining of replacement workers).
What are the 7 priority areas?
1) injury
2) arthritis
3) asthma
4) Cancer
5) diabetes
6) CVD
7) mental illness
What groups are experiencing inequities?
- ATSI
- Socioeconomically disadvantaged ppl
- Rural and remote ppl
- Overseas born people
- The elderly
- People with disability
What are some stats that prove that ATSI people face inequities?
- 10 years lower life expectancy than other Australians
- 4x higher death rate
- 2x higher child mortality
What are some causes of inequities for ATSI?
• Access to education • Decreased health knowledge • Access to health care • Location • Generational trauma • Cultural practice • Dispossession • Discrimination • Disability • Lack of employment • Income - Housing
What are sociocultural determinants affecting ATSI and rural and remote people?
ATSI= - Less-educated - Less money - High dom violence rate - Increased crime - Discrimination - Loss of dignity Rural and Remote= - Larger families - Social isolation - Limited access to visitors - Stoic attitude of men
What are socioeconomic determinants affecting ATSI and rural and remote people?
ATSI= - Lowest income bracket - High unemployment - Higher rates in dropping out - Less likely to complete study - Risky behaviours Rural and Remote= - Less education - Increased hazards - High unemployment - Declining infrastructure affecting economic resources
What are environmental determinants affecting ATSI and rural and remote people?
ATSI= - Limited access to health services - Difficylty accessing dentists/gp/long wait time - Overcrowding in housing - Remote - Less recreational activities Rural and Remote= - Limited access to health services - Natural disasters - Long travel distances - Closure of health services - Reduced internet access
What are the roles of individuals in addressing ATSI/ rural and remote health inequities?
- Making decisions in regards to your health
- Knowledge
- Maintaining a healthy lifestyle
- Not participating in risky behaviours
- Promote health within family
What are the roles of communities in addressing ATSI/ rural and remote health inequities?
- Communities and atsi leaders were and are involved with the implementation of Close the Gap programs
- Community groups include:
• Aus indigenous doctors association
• National community controlled health organisation
• Aboriginal comm controlled health services
• Abo med services - Work with individuals and governments to achieve better health
What is the role of the government in addressing ATSI/ rural and remote health inequities?
- Main role is lager health promos and funding • goal to reduce key risk factors - Close the gap at a national level - education - medical services - royal flying doctor service
What are the 3 forms of CVD?
- Coronary Heart Disease – poor supply of blood to the muscular walls of the heart by its own blood supply vessels, the coronary arteries
- Stroke – interruption of the supply of blood to the brain
- Peripheral Vascular Disease – a disease of the arteries, arterioles and capillaries that affect the limbs, usually reducing blood supply to the legs.
Differentiate between Atherosclerosis and Arteriosclerosis
- ATHEROSCLEROSIS – build-up of fatty and/or fibrous material on the interior walls of the arteries.
- ARTERIOSCLEROSIS – hardening of the arteries.
Describe the extent of CVD on mortality
- Mortality rate has declined since 1980
- Coronary Heart Disease – the leading cause of death in the population overall (12% of all deaths in 2015)
- Stoke is the next leading cause of death – 7% of all deaths in 2015