Definitions Flashcards

1
Q

Health legislation

A

Set of all legal Regilative documents which control the variety of health care systems

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2
Q

What is public health

A

the health of a population living within one border of a country

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3
Q

What is public health international colla

A

Neighbour and workd nations come together to improve the health of their populations aswell as prevent any worsening of their condition

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4
Q

European health strategy

A

Healthier together in the EU

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5
Q

Surveillance method

A

Ongoing method of collecting. Interpretation. And analysing data essential to the planning, implementation and planning of public health practice

Sources of surveillance
vital records e.g birth records, infants mortality, divorce
Lab records

Passive surveillance
-gather data from potential reporting individuals

Active surveillance
- surveillance system gives stimulus to individuals in the form of personal feedback or other insentives

Sentinel surveillance
- randomly or intentionally selects a small group of individuals to gather it’s data from

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6
Q

Observation

A

Method of data involving being close to to things such that the observer can directly perceive and record the environment under study

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7
Q

social prophylaxis

A

social prophylaxis occurs After a social factor has been identifies & consists of the development of preventative programs that inhibit any kind of influence/impact by this factor

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8
Q

social therapy

A

introduction of sociotherapeutic factors with inclusion of positive factors that should promote re-establishment of health.

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9
Q

primary prophylaxis

A

interventions in the susceptible stage to reduce risk factors and prevent the occurence of disease

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10
Q

secondary prophylaxis

A

early detection of disease in order to prevent it’s progression
-screening, checkups, excercise

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11
Q

tertiary prophylaxis

A

full picture of disease is present and aim is the limitation of disability and provide rehabilitation

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12
Q

prevention

A

an activity that aims to eliminate risk factors

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13
Q

etiology

A

study of the cause of a disease

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14
Q

therapy

A

trying to positivley affect the person w/ the disease

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15
Q

SOCIAL ETIOLOGY

A

social risk factors that can causes diseases e.g.
- htn, smoking, obesty
most risk factors are social risk factors except genetic

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16
Q

SOCIAL PREVENTION

A

prevention of risk factors after they’ve been identified

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17
Q

SOCIAL THERAPY

A

removal of risk factors and the introduction of positive factors. e.g. excercise and diet
can potentially cure a disease

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18
Q

rehab

A

support pt’s after complete/ partial recovery of a disease using physical factors

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19
Q

SOCIAL REHAB

A

introduction of positive social factors to help individuals to progress to healthy life andre-introduction into society

the GPis responsible for the social rehab and gather’s a team especially for the pt and disease e.g.

child require paediatric consultant for the disease, social team, educators etc

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20
Q

health determinants (acc 2 who)

A
  • heredity
    -lifestyle
    public health services ,
    environment.
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21
Q

individual health

A

lowest level of health.
consists of
genetic, social, mental & physical health, which is influenced, by lifestyle & environment

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22
Q

Disease VS Illness

A

Disease: biological & physical phenomena that manifest as changes & malfunctions of the human body

can only be managed not cured

Illness: experience of the disease

can usually be cured

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23
Q

disability

A

difficulty of a person to carry out basic activities

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24
Q

Group health

A

⇒ the health of social and ethnic groups within a population

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25
Q

Public health

A

⇒ the health of a population and a society as a whole living w/in the border of one country

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26
Q

morbidity

A

totality of all new and old registered diseases for a certain year for which medical help was searched for

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27
Q

demography

A

studies the characteristics of

the human populations e.g. size, growth, density, distribution, vital statistic

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28
Q

Medical Demography

A

studies the demographic processes closely related to the health of
the population

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29
Q

population

A

demographic pop: number of people in a given area

statisics pop: all the units in consideration

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30
Q

1)population STATIC:

A
studies 
~size,
~distribution & 
~structure of a pop by 
--age
-- sex
mainly uses the census
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31
Q

2)population DYNAMIC :

A

studies population change & the processes that influence that change

uses registries
1)immigration 2)civil like birth and death 3)residence

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32
Q

census (every 10 years)

A

total process of collecting, compiling and publishing Demographic, Economic and Social data , at a specified time, to all persons in a country / delimited territory.

In Bulgaria don’t have exact how
many people are leaving.
conducted by NATIONAL STATISTIC INSTITUTE BG

uk= office for national statistics

eurape EUROSTAT

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33
Q

law of 70 d/2 pop boom

A

used to calculate the notion of doubling time

  • if pop grows 1%/ year in 70 years it should have doubled it’s original population
  • if 2% a year then it doubles in 70/2 years= 25 years
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34
Q

postulation pyramid.

A

Important to study ratio of children
and elderly, and the dependent .

Intrested in the work force and which part will go
to elderly and retire.
-expansive, stationary and constrictive

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35
Q

demographic ageing

A

shift in country’s distribution toward older ages.
shown by
1)increased mean population age,
2)decline fertility rates = decline in proportion of children
3) Increase in life expectancy=increase in elderly

changes voting as elderly are most consistent. increase in age related health problems

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36
Q

what is the Demographic Transition Model

A

a model that describes the population DYNAMIC

first described in the 1940s.

presents four stages in the evolution of the population in a society and the 2 ways the change is shown

change over space: as many countries at any one time can show population characteristics of different stages

change over time: in theory countries progress through all stages at some time

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37
Q

health determinants according to ECHI

A

Personal and biological factors

health behaviours

Living and working conditions

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38
Q

Disability free life expectancy

A

= the no of remaining years that a person of a certain age is supposed to live w/o disability

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39
Q

demographic determinism’ apocalyptic demography

A

when intervening values are ignored and media mis use demographic data to present a crisis w/o all the factual data

40
Q

live birth

A

The complete expulsion from its
mother of a product of conception, irrespective of the duration
of pregnancy, which, after such separation, breathes or shows
any other evidence of life, such as beating of the heart,
pulsation of the umbilical cord, or definite movement of
voluntary muscles, whether or not the umbilical cord has been
cut or the placenta is attached;

41
Q

Death -

A

The complete loss of function of the cerebral neocortex

and brain stem.

42
Q

Maternal death

A

The death of a women while pregnant or within 42 days of termination of pregnancy, irrespective of the
duration and site of the pregnancy, from any cause related to or
aggravated by the pregnancy or its management but not from
accidental or incidental causes

43
Q

vital registration

A

the recording of key life
cycle or vital events, According to the United Nations (2003)
these are: “A live birth, death, fetal death, marriage, divorce,
adoption, legitimation of birth, recognition of parenthood,
annulment of marriage or legal separation.”

44
Q

ICD

A

01 Certain infectious or parasitic diseases

02 Neoplasms

03 Diseases of the blood or blood-forming organs

04 Diseases of the immune system

05 Endocrine, nutritional or metabolic diseases

06 Mental, behavioural or neurodevelopmental disorders

07 Sleep-wake disorders

08 Diseases of the nervous system

09 Diseases of the visual system

10 Diseases of the ear or mastoid process

11 Diseases of the circulatory system

12 Diseases of the respiratory system

13 Diseases of the digestive system

14 Diseases of the skin

15 Diseases of the musculoskeletal system or connective tissue

16 Diseases of the genitourinary system

17 Conditions related to sexual health

18 Pregnancy, childbirth or the puerperium

19 Certain conditions originating in the perinatal period

20 Developmental anomalies

21 Symptoms, signs or clinical findings, not elsewhere classified

22 Injury, poisoning or certain other consequences of external causes

23 External causes of morbidity or mortality

24 Factors influencing health status or contact with health services

45
Q

Primary infertility

A
  • The couple has never
    conceived, despite cohabitation and exposure
    to pregnancy for a period of 2 years.
46
Q

Secondary infertility

A

The couple has
previously conceived, but is subsequently
unable to conceive despite cohabitation and
exposure to pregnancy for a period of 2 years.
If the woman has breast-fed a previous infant,
then exposure to pregnancy is calculated from
the end of lactational amenorroehea.

47
Q

chance

A

the ratio something will happen

48
Q

Ecological

Fallacy

A

interpretation of statistical data where inferences about the nature of individuals are deduced from inference for the group to which those individuals belong.

49
Q

placebo

A

a pharmaceutical substance with NO ACTIVE INGREDIENT

50
Q

double and triple blinding

A

double-blind study, neither the patients nor the researchers/doctors know which study group the patients are in.

In a triple-blind study, the patients, clinicians and the people carrying out the statistical analysis do not know which treatment patients had.

51
Q

Policy

A

principle or protocol to guide decisions & achieve rational outcomes

52
Q

Health

strategy

A

Long- term goals

  • Sustainable
  • Constant over time

Approved by council of Ministers after proposal of
Minister of health
• Adopted by National Assembly

53
Q

Health policy

A

Short- term
- Flexible
- Detailed documents of how health strategy is
achieved
- Several policies needed to implement a Health
strategy
• Managed & implemented by Council of Ministers

54
Q

Health

Management

A

Realisation of the priorities & achieving the results

55
Q

maternal certificates

A

410 days => 90% of insurable income
• 135 days with 3 medical certificates:
• 45 days before the term - medical certificate from GP/OG
• 42 days after birth –document of maternity given when being discharged from hospital
• 48 days – medical certificate from the child’s paediatrician
• 275 days - paid by the NHI
• Paid vacation until the child turns 2 years (minimal salary)
• Single payment for the birth of a child - 250 Lev, (twins 500lev)

56
Q

Family Anamnesis

A

information about disorders from which the direct blood relations have suffered from in the past.

57
Q

what is medical establishments

A

Article 21 states
1) The health establishments are structures of the
national system of health care in which medical and
non-medical specialists carry activities related to
preservation and building-up of the health of citizens.
2) Health establishments in the meaning of law are;
- National centers for the problems of the public
health
- National Expert Physician Commission
- Health Consulting Rooms under Art.26

58
Q

what is health insurance

A

Health Insurance is a process of collecting health insurance
fees, the management of resources and spending for
healthcare activities and services

59
Q

working capacity

A

state of an organisms to carry out theri work responsibilities

60
Q

working incapacity

A

state of not being able to carry out work responsibilities d/2
-illness, injury, increased working conditions

61
Q

permanent incapicty

A

pathological changes of a disease that have a progressive and or irreversible character rendering the person unable to work for a long time or forever

62
Q

temporary incapacity

A

state of not a being able to work for a period of time but is expected to fully recover and work normally

63
Q

partial capacty

A

can’t work as usual

64
Q

complete incapacity

A

can’t work at all. require special regimen

65
Q

dispensary

A

an active method for observation of the health status of the different groups of the population.

66
Q

dispensarisation

A

complex of medical and public actions for active search, active observation and active recovery

67
Q

Health management

A

methodical systematic control and improvements of business processes to achieve predetermines objectives.

Regulation of a system by decreasing it’s entropy

68
Q

management of human resources

A

rocess of effective utilization of the personnel in order to realize the aims of an organization at one hand + satisfaction of the needs + expectations of people at the other hand.

69
Q

family planning

A

Refers to factors that may be considered by a couple in a committed relationship & each individual involved in deciding if & when to have children. Consider no. of children a couple wish to have & at what age they wish to have them

70
Q

congenital abnormlaties

A

structural or functional anomalies present during intrauterine life and can be identified
1-prenatally
2-at birth
3- after birth

71
Q

family

A

2 or more people living together related by birth, marriage or adoption

unit of healthcare

72
Q

family health

A

positive interaction of family members where EACH member ENJOYS OPTIMUM physical, socal , spiritual and mental wellbeing

73
Q

interview

A

conversation betw interviewer and interviewee in order to ELICIT certain info

can be
closed
open
semiclosed

74
Q

sociallogical survery

A

method whw=ere subjects respond to a series of statements or questions via
1. INQmethods- Questionaire

  1. interview
  2. surveillance methods- observation
75
Q

questionaire

A

instrurent of medical research involving answering questions in writing and answering them in writing

76
Q

5 req of questionaiire

A

relevant, accurate, have all req info, predise giving of certain info, easily understood,

77
Q

Planning and organization Program of the scientific investigation

A
Aim 
Object 
Units of observation 
Indices of observation 
Place 
Time 
Statistical analyses 
Methodology
78
Q

• Data are paired

A

when 2 or more measurements are made on the same observational unit (subjects, couples, and so on).

79
Q

• Data are unpaired

A

where only one type of measurement is made on each unit.

80
Q

Population

A

A collection of all possible individuals, objects or measurements of interest.

81
Q

Sample

A

A portion (or part) of the population of interest

82
Q

Descriptive statisti

A

The procedure used to organize and summarize masses of numerical data.

83
Q

Variance

A

the measure of the variability between data

84
Q

Standard deviation

A

uncertainty with which the sample mean estimates individual measurements

85
Q

Standard Error of Mean (SEM)

A

measures the uncertainty with which the sample mean estimates a population mean.

86
Q

CI FOR A POPULATION PROPORTI

A

statistical probability that a characteristic is likely to occur within the population.

87
Q

probability

A

measures the likelihood an effect will occur 0-1

88
Q

p value

A

measures how true a result by measuring how large the difference would be in a random sample if the null hypothesis IS TRUE in comparison to the difference in the study

89
Q

standard error of proportion

A

square root of

(sample proportionx 100 - sample proportion) / total number of outcomes

90
Q

health culture

A

good health and wellbeing that FLOURISHES across -geographic-demographic-social sectors and allows everyone in the COMMUNITY to make CHOICES that IMPROVE healthy LIFESTYLE

91
Q

health behaviour

A

ACTIONS to MAINTAIN-ATTAIN-REGAIN good health and reflects the HEALTH VIEWS.

92
Q

health education

A

process of INFORMING and MOTIVATING and HELPING people to maintain a HEALTHY L.S
a n d
ADVOCATES healthy environment by facilitating changes to ENFORCE the HEALTHY L.S
a n d
conducts TRAINING and RESEARCH to that end

93
Q

autonomy

A

capacity for self determination

  • right to choose doc
  • right for further info
94
Q

informed consent

follows DUVAsteps

disclosure
understanding
vuluntary
agreement

A

process of the treating health care provider disclosing appropriate information to a COMPETANT pt in order for them to VOLUNTARILY accept or reject treatment

95
Q

medical mistake

A

any preventable adverse effect of care regardless if it is EVIDENT or HARMFUL to the pt