Health Improvement In Context Flashcards
Name the 3 different models of health?
WHO definition
Pathogenic
Salutogenic
What is the WHO definition of health?
“Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”
“The extent to which an individual or group is able to realize aspirations and satisfy needs and to change or cope with the environment”
How do doctors tend to view health?
Pathogenic view of health. Health is the absence of disease
What is a salutogenic view of health?
Everyone is a bit unhealthy and focuses on improving health to full potential.
What are the 4 factors in Lalonde basic health field model?
Environment
Lifestyle
Human biology
Health organisation
What are the 3 sections of public health?
Health improvement
Health protection
Healthcare public health
What is the PICO framework?
Population
Intervention
Comparison
Outcome
What intervention is recommended by WHO for smoking?
MPOWER Monitor tobaccos use Protect people from tobacco smoke Offer help to quit tobacco use Warn about the dangers of tobacco Enforce bans on tobacco advertising and promotion Raise taxes on tobacco products
What are Kingdon’s three streams to choosing an intervention/
Problems, proposals and politics all converge to give us out policy window
What is the Overton window?
A window representing popular opinion and mindsets.
What products are used as an intervention in smoking cessation?
NRT patch Champix E-cigarette NRT inhalator NRT lozenge NRT mouth spray NRT spray NRT gum Bupropion
What are the 4 models used when considering behaviour change
- COM-B (capacity, opportunity, motivation, behaviour)
- Health belief model
- Social norm theory
- Trans-theoretical model
What can be used to compare against when assessing the successfulness of local intervention?
- Local comparison - CIPFA nearest neighbours
- Historic benchmarking - same place, may be change in measurements over time
3.
What is looked at in the logic model?
Situation - current stats Reach Inputs Outputs Outcomes (short/median/long term)
What is the donebedian model?
Structure - budget, personnel, facilities
Process - how does the journey go / the intervention
Outcomes - service support, pharmacological interventions, testing, appointments with GP, marketing
