Health Improvement Flashcards

1
Q

How do we measure health?

A
  • health status (presence/absence of disease)
  • body structure or function
    (life expectancy/mortality/morbidity, disability adjusted life years, bp, temp, x-ray, tumour size (signs), disease specific checklist
    ,co-morbidity)
  • symptoms/quality of life (self-efficacy, extent to which condition affects normal life)
  • research/health outcomes/physiological indicators (clotting time)
  • overall measures = health services, burden of disease, cost, waiting times in A&E, supply and demand, quality
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2
Q

What contributes to increased costs?

A
  • population growth
  • ageing population
  • medical technology
  • increase in prevalence of chronic conditions
  • staffing costs
  • failure of productivity in NHS to match other sectors
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3
Q

What does the NHS long term plan 2019 involve?

A
  • making sure everyone gets the best start
  • deliver world-class care for major health problems
  • supporting people to age well
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4
Q

What is the significance of epigenetics?

A
  • study of changes in organisms cause by modification of gene expression rather than alteration of genetic code itself
  • environment changes gene expression
  • interplay between individual and environment
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5
Q

What is the Article 9 Lisbon Treaty?

A

social protection
fight against exclusion
promote educations and training
protection of human rights

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6
Q

What are the WHO health 2020 values?

A
  • good practice
  • value-based framework
  • social solidarity
  • universal healthcare access
  • health and wellbeing at the core of human and societal development
  • shared values of sustainability, participation, equity and dignity
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7
Q

What are the WHO sustainable development goals for 2030?

A
  • no poverty
  • zero hunger
  • good health and wellbeing
  • quality education
  • gender equality
  • cleanwater and sanitation
  • affordable and clean energy
  • decent work and economic growth
  • climate action
  • life below water
  • life on land
  • sustainable cities and communities
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8
Q

What is the Tallin Charter 2008?

A
  • strategies for action to tackle inequities in health and to deal with present and emerging health challenges
  • innovative tools and approaches
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9
Q

What are the priority issues in health 2020?

A
  • closing health gaps
  • prevention and control of non-communicable diseases and communicable diseases and health security
  • strengthening of health and public health systems
  • action on environment and health
  • support health services in countries affected by emergencies and public health crises
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10
Q

What are social determinants of health?

A
  • any social factor which can potentially impact on health and well being
  • any cultural influences such as perspectives on gender/family status/race etc.
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11
Q

What does the NHS 10 year plan involve?

A
  • out of hospital care to dissolve divide between primary and community health services (personalised care plans, reduce pressure on emergency hospital services)
  • better care for major health conditions (Stroke, diabetes, resp disease, CVD)
  • support NHS staff
  • use taxpayers investment to max effect
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12
Q

What are health inequalities?

A

Unjust and avoidable differences in people’s health outcomes across the population and between specific population groups

  • avoidable as go against principles of social justice
  • do not occur randomly/by chance
  • socially determined by circumstances beyond individuals control
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13
Q

What are health risks?

A
  • combination of likelihood of occurrence of a harm and severity of that harm
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14
Q

What is disease surveillance?

A
  • collection, analysis and interpretation of large volumes of data originating from a variety of sources
  • used to serve as early warning system for impending health emergencies, document impact of intervention, monitor epidemiology of health problems
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15
Q

What is health surveillance?

A
  • allows early identification of ill health and helps identify corrective action needed
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16
Q

What is evidence based medicine?

A
  • integration of best research evidence with clinical expertise and patient values
17
Q

What are the steps of practicing EBM?

A
  • ask focused question
  • track down evidence
  • critically appraise evidence for validity, effect size, precision
  • apply evidence in practice
18
Q

What is PICO?

A

Patient population
Intervention
Control
Outcome