Health and health needs assessment Flashcards
Define health?
A state of complete physical, mental and social wellbeing and not merely the absence of disease
What are the three main domains of public health?
Define each.
PIS: protection, improvement, service improvement
Health improvement: aimed at preventing disease, reducing inequality, promoting heath
Health protection: aimed at controlling infectious disease risk and environmental hazards
Service improvement: aimed at organising and delivering safe, high quality services
Define public health?
The science and art of preventing disease, prolonging life and promoting health through organised efforts of society
What are some determinants of health inequalities?
PROGRESS
Place of residence Race/ethnicity Occupation Gender Religion Education Socio-economic status Social capital / resources
What’s the inverse care law?
Availability of medical or social care tends to vary inversely with need of the population
Equality vs equity?
Equality = equal shares, everyone gets the same
Equity = people with the most need get more so that everyone’s at an even level
What is a health needs assessment?
Systematic review the health issues affecting the population
Which leads to agreed priorities
And resource allocation that will improve health and decrease inequality
Draw the health needs assessment planning cycle?
N PIE
Needs assessment –> planning –> implementation –> evaluation –> needs assessment
What are 3 types of health needs assessment?
Epidemiological:
Comparative
Corporate
What 3 things are assessed in a health needs assessment?
Need: ability to benefit from an intervention
Supply: what’s provided
Demand: what people ask for
What are the types of need? Who came up with these?
Bradshaw’s needs
FENC
Felt: individual perceptions of deviations from normal health (people’s views on ill-health)
Expressed: seeking help to overcome variation in normal health (what people ask for to help with their ill-health)
Normative: professional defines intervention for expressed need (what Drs think)
Comparative: comparison between severity, range of interventions and cost (?)
Draw three circles for need, demand, supply.
Three interlocking circles
What’s needed and supplied but not demanded?
GU contact tracing
Health promotion
Some screening
Needed but not supplied or demanded?
Some palliative care services
Contraceptive services in some countries
Needed and demanded but not supplied?
Waiting lists
TB services
