Introducton To Public Health Flashcards
Public health definition Important
The science and art of preventing disease prolonging life and improving health through organised efforts of society
Equity defintion Important
Giving people what they need to achieve equal outcomes
Equality defintion Important
Giving everyone the same rights, opportunities and resources
Horizontal equity defintion Important
Equal treatment for people with the equal health care needs
Vertical equity defintion Important
Unequal treatment for unequal health care needs
Inverse care law defintion Important
Availability of health care tends to vary inversely with its needs
Determinants of heath (PROGRESS)
P - place of residence
R - race
O - occupation
G - gender
R - religion
E - education
S - socio-economic
S - social capital
3 domains of public health practice
- Health improvement = societal interventions aimed at preventing disease, promoting health and reducing inequalities
- Health protection = measures to control infectious disease an environmental hazards
- Improving services = organisation and delivery of safe, high quality services
Assessing quality of health care
- Maxwells dimensions of the quality of healthcare
- Donabedians framework of health service evaluation
Maxwells dimensions of the quality of healthcare (3 A’s and 3 E’s)
Acceptability
Accessibility
Appropriateness
Effectiveness
Efficiency
Equity
Donabedians framework of health service evaluation
- Structure - what actually is the service e.g. how many heart surgeons there are
- Process – how does the process work
- Outcome – 5 Ds = death, disease, disability, discomfort, dissatisfaction
Issues with health outcomes: - Link between health service and health outcome can be difficult to
confirm - Time lag between service and outcome may be long
- Large sample sizes may be needed
- Data may not be available or have a problem with it (CART = completeness, accuracy, relevance, timeliness)
