Health Promotions Classes 4-6 Flashcards

1
Q

health disparity

A

population-specific differences in the presence of disease, health outcomes, quality of health care and access to health care services that exist across racial and ethnic groups

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2
Q

health equity:

A

attainment of the highest level of health for all people.

Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities

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3
Q

Groups at risk for health disparities

A

Women, racial and ethnic minorities, disabled, nursing home residents, rural populations, LGBT

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4
Q

Healthy People 2020 goal

A

eliminate health disparities and improve health equity for all people

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5
Q

Ontario’s Family Health Team (FHT) model most closely mirrors…

A

Principles of the Patient-Centered Medical Home

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6
Q

Problems with fee-for -service payment

A

aggravates problems by providing perverse incentives which rewarded high-volume practices at the expense of person-centered care

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7
Q

Joint Principles of the Patient-Centered Medical Home

A
  • Physician-Directed Medical Practice
  • Whole-Person Orientation
  • Trust between patient and physician forms the basis for trust in the team.
  • Coordinated or Integrated Care
  • Electronic health records (EHRs), corridor consultations, and team meetings help coordinate care among team members.
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8
Q

Family Health Team (FHT) responsibilities outline

A

Primary care physician more focused on preventative care
- get paid using capitation system
- cheaper for them to keep patients
healthy
- they save money by not having them
make appointments
- tools like nurse phone system help

Most family physicians remain involved in their patients’ care regardless of whether a patient is in the hospital, at home, or in a nursing home

Specialists are available on-site and work with primary care physician
- payed on a “fee per session” basis

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9
Q

Ways FHT has reduced costs and increased efficiency

A

3-hour evening and weekend clinics for walk-in and scheduled patients

After-hours on-call system

Telephone access to Triage Nursing reduces telephone calls to physicians by 80%.
- FHT physicians provide backup support to the nurses and receive reports on each patient the following morning.

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10
Q

FHT Physician income is derived from:

A

a blended funding model

 - capitation
 - fees for services
 - bonuses
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11
Q

Capitation

A

A payment system for health care service providers.

It pays a physician or group of physicians a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care.

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12
Q

The FHT model benefits

A

Increases access to primary care for Ontarians and addresses physicians’ frustrations with practice.

Teams have potential to provide comprehensive care management for chronically ill patients.

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13
Q

Logic Model

A

A logic model is a planning tool to clarify and graphically display what your project intends to do and what it hopes to accomplish and impact.

A logic model:

  1. Summarizes key program elements
  2. Explains rationale behind program activities
  3. Clarifies intended outcomes
  4. Provides a communication tool

Think of a logic model as a map that you develop to clarify and communicate what your project intends to do and its presumed impact.

(also known as a logical framework, theory of change, or program matrix)

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14
Q

Health Promotion is the integration of theory and models in 4 areas:

A
  1. Conceptualization
  2. Development
  3. Implementation
  4. Evaluation
    • Evaluation is both art and science
      • cyclical process
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15
Q

Types of Evaluation

A

Formative Evaluation

Summative Evaluation

Both are designed to strengthen quality, or implementation, or environmental context of program

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16
Q

Formative Evaluation

A
  1. Needs assessment
    • figure out what type of program serves the population’s needs
  2. feasibility assessment
    • whether evaluation is feasible to conduct
  3. process evaluation
    • monitors whether program complies with protocol
17
Q

Summative Evaluation

A

Examines the effects of programs

 - what is the program efficacy?
 - is the program cost effective?
18
Q

Questions to be asked when evaluating:

A

what is the definition and scope of the problem?

where does the program occur?

How pervasive is the problem?