Determinants, Prerequisites and Context

Question 1

Determinant

Answer 1

Factors within one’s context that play a significant role in determining health.

Question 2

Biology and genetics

Answer 2

You can’t control what genes you have. However, gene expression can be controlled by environmental factors.

Question 3

Health service

Answer 3

Some people have access, some don’t.

Question 4

Income and status

Answer 4

Affects choice in purchase and stress levels.

Question 5

Social support

Answer 5

Family, friends, community centres and coworkers can affect well-being.

Question 6

Personal health and coping

Answer 6

Is lifestyle behavioural.

Question 7

Education and Literacy

Answer 7

Higher education means better health. Some schools promote health. Pamphlets with information are given out. However, some people have difficulty with following instructions and have a literacy level of elementary school.

Question 8

Employment and work conditions

Answer 8

Some companies promote health and provide health insurance. The work environment and work relationships also impact.

Question 9

Healthy child development

Answer 9

The first years of life are important. Poor self esteem may tax the healthcare system.

Question 10

Gender

Answer 10

Defines health experiences. Certain diseases may be a concern of some people. Gender equality means that women gain more advantage.

Question 11

Culture

Answer 11

Determines which treatments are ok and what people believe is ok. It can also influence eating habits.

Question 12

Social environment

Answer 12

Family, resources, friends and how we interact with others.

Question 13

Physical environment

Answer 13

Clean air, clean water, weather, industry and geography.

Question 14

Context

Answer 14

All interrelated conditions where things occur. Can be internal and external.

Question 15

Values of Canadian Health Act and Medicare

Answer 15

It must be universally accessible, have public funding, be single payer and non profit.

Question 16

Principles of Canadian Health Act

Answer 16

1. Public Administration
2. Comprehensiveness
3. Universally covered
4. Portability of benefit
5. Accessiblity

Question 17

Public Administration

Answer 17

Nonprofit, responsiveness, government direction, accountability, proof that programs work.

Question 18

Comprehensiveness

Answer 18

Everything is in the plan, everyone is covered, differs by province.

Question 19

Universally covered

Answer 19

Negates favouritism, everyone gets service, access in not necessarily easy.

Question 20

Portability of benefit

Answer 20

Home province covers you in other provinces and when travelling aboard.

Question 21

Accessibility

Answer 21

Getting reasonable care for necessary services and facilities.

Question 22

Levels of Healthacare

Answer 22

1. Health Promotion
2. Disease and Injury prevention: has primary, secondary and tertiary prevention
3. Diagnosis and Treatment: Has primary, secondary and tertiary care.
4. Rehabilitation
5. Supportive care

Question 23

Health Promotion

Answer 23

Encourage healthy choices.

Question 24

Primary prevention

Answer 24

Preventing disease or injury before it happens.

Question 25

Secondary prevention

Answer 25

Early detection and preventing from getting worse.

Question 26

Tertiary prevention

Answer 26

Identified treatment begins

Question 27

Primary care

Answer 27

First contact with clinic, hospital or physician

Question 28

Secondary care

Answer 28

Set up with care, referrals.

Question 29

Tertiary care

Answer 29

Specialized care.

Question 30

Rehabilitation

Answer 30

Bringing back to previous/optimal function

Question 31

Supportive care

Answer 31

Includes long term care, residential care or palatable care.

Question 32

Social justice

Answer 32

Ensures everyone has equal benefits and everything is distributed equally.

Question 33

Equity

Answer 33

Is about fairness not necessarily equality. Focus on disadvantaged communities.

Question 34

Primary health care

Answer 34

Refers to all 5 principles and emphasizes that people should be at the centre of health care. Shows big picture on a broad spectrum. Includes:

1. Interdisciplinary and Intersectoral collaboration
2. Accessibility
3. Public Participation
4. Health promotion and disease prevention
5. Appropriate skills and technology