Inequities of Health Flashcards
week 2
What do the social determinants of health affect?
risk associted with developing disease
disease (why same disease affects dif people differently)
capacity of people to prevent and treat disease
what is health inequity?
Differences in health status among population
Health status/ outcome due to UNJUST, UNFAIR or PREVENTABLE factors
what is the social gradient?
Graded relationship between SES an health in which poorest have worst health status.
What are the 4 causes of the social gradient?
Natural selection (poorer= earlier events in life)
behavioral/ cultural (triggers their disproportiante ill health via drinking, smoking etc)
structural (poor housing, overcrowding, access to education, unemployment)
psychosocial/social capital (stress inducing factors)
Inverse care law
mismatch between patient’s needs and medical care supply
victim blaming
blaming individual for illness without considering context
institutionalised racism
institutions or systems that create or maintain racial inequity, often as a result of hidden institutional biases in policies, practices and procedures, that privilege some groups and disadvantage others
social exclusions
(social/institutional factors that put people in an involuntary position to be excluded from accessing resources, services and assets).
What are the three broad factors that address health inequities
Health Care Provider - Provider level
Health care services - Service level
Health care systems - Systems level
What are the five areas of service improvement (Part of the Chronic Disease Model of Care) that allow Health Inequities to be addressed from a service level?
Organisational influences
Information systems
Delivery System
Health Literacy and self-mangement support
Community and other health linkages
What are the 5 System Impovements that allow Health Inequities to be addressed from a system level?
Universal coverage
Access to primary health care
workforce innovation
financial subsidies/incentives
Better integration between health systems for the continuity of care
What are the service improvement areas at a Service level for addressing health inequities?
organisational influences, information systems, delivery systems, health literacy and self-management support and community linkages
what are the system improvement areas for addressing health inequities?
Universal coverage, access to primary health care, workforce innovation, financial subsidies/ incentives and better integration between health systems for continuity of care
What are the SoDH
Sexy Strippers Eat Salad Wilst Unzipping Some Assholes Fancy Trosuser
Social gradient
Stress
Early life
Social exclusion
Work
Unemployment
Social support
Addiction
Food
Transport
Describe Maslow’s Hierarchy of needs.
(bottom to top)
Physiological- breathing, food, water etc
safety - of body, employment, morality etc
love/Belonging- friendship, family, sexual intimacy
Esteem - confidence, achiveent, respect of others etc
Self-actualisation- morality, creativity, spontaneity, problem solving, lack of predjudice
