HSPH PBL 3: GPs Health Promotion Agenda Flashcards
What is public health?
The science and art of preventing disease, prolonging life and promoting health through the organised efforts of society
What are the three main domains of public health goals?
> Improve services (for prevention, treatment and care)
Health protection (control infectious disease and environmental hazards such as public health emergencies)
Health improvement (societal interventions e.g. housing, education)
What are the three most common musculoskeletal disorders globally?
Osteoarthritis, rheumatoid arthritis, osteoporosis and lower back pain
What are the four most common musculoskeletal disorders in Tower Hamlets?
Arthritis, back pain, trauma to limbs and diseases of muscle/bone/joints
What are the most common symptoms of musculoskeletal disorders?
Pain, stiffness, swelling, disability, limitation of movement, functional limitations, sleep disturbance, fatigue and widespread pain
What were the goals of the Bone and Joint Decade (2000-2010)?
Raise awareness and suffering and cost to society of musculoskeletal conditions, empowering patients to make decision about their care, promoting cost-effective prevention and treatment and advancing understanding of these conditions.
What is the Bone and Joint Decade Monitor Project?
A global health needs assessment to:
> Identify current global burden of musculoskeletal conditions
> Estimate future magnitude
> Establish what can be achieved by effective prevention and treatment
> Establish present care provision and ideal care provision
> Determine costs and priorities
> Establish methods to monitor the extent to which the goals are being achieved
What is risk?
The probability of an event happening along with the severity of the consequences of the event
What is health literacy?
The individual’s cognitive and social skills that determine the ability to access, understand and use health information in a way that will promote their own health
What is patient education?
Any set of planned educational activities that intend to improve patient’s health behaviours and/or health status
What is therapeutic patient education?
Designed to train patients in the skill of self-management, adapting treatment to their specific chronic disease as well as enabling coping processes and skills
What is patient centred care?
Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions
What are the four principles of person-centred care outlined by the Health Foundation framework?
> Afford people dignity, compassion and respect
Offer coordinated care
Offer personalised care
Support people to recognise their own strengths and a abilities to enable independence and fulfilment
What are Picker’s eight principles of patient centred care?
> Respect patients values and needs
Coordinate and integrate care
Inform and educate (keep patient informed)
Physical comfort (improve pain or environment)
Emotional support and alleviate fear/anxiety
Involve family and friends
Provide continuity and transition of care
Improve access to care
Outline the challenges in the scenario
GP has to include many questions as part of public health in the appointment so it isn’t patient-centred, computer screen checklist of questions distracts GP from patient-centred approach, perceived interference on doctor-patient relationship by having a predetermined agenda, those with lower health literacy may not understand the doctors change in focus away from what they are saying (as part of a public health policy).
