Lecture 1 Flashcards

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1
Q

common thread each discipline shares in behavioral science?

A

each discipline (like bio, psychology, sociology, etc) attempt to explain peoples behavior

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2
Q

behavior science definition in dentistry?

A

the study to understand or explain the behavior of people in relation to oral health

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3
Q

we have literature for behavior for which population? implication?

A

we have it for pediatric but lack scientific literature in ‘adult’ behvaior modification in dentistry

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4
Q

biomedical model of illness considered?

A

‘old school philosophy’

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5
Q

why is biomedical model of illness considered old school philospphy? when established?

A

mid-19th century

  1. focus on only ‘dental illness’
    - biological factors
  2. behavioral and social behaviors are considered to be of secondary importance
  3. DMD’s efforts are exclusively on the ‘biological’ aspects of the disease
    - drill and fill mentality
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6
Q

the major problems associated with the biomiedical model of illness

A
  1. overlooks the great variation in how people ‘feel’ and or experience disease
  2. people with varying SES status, culture, and people in general prioritize and express their need for care differently
  3. generalizing and stereotyping people can lead to risk management issues given todays general trend towards ‘informed’ and ‘educated’ consumers
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7
Q

health status paradox in US

A

increases in life expectancy and ecrease in mortality rate
BUT
higher reports of
- disability
- symptoms
general disatisifcations with their helath

*people living LONGER WITH CHRONIC DISEASES

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8
Q

1948 WHO definition of health

A

“…health is a state of complete physical, mental, adn social well-being and not merely the absence of disease or infirmity”

*note it says complete

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9
Q

what did Ewless and Symnett say in 1999? implications?

A

there are SIX dimensions of health that turn the WHO definition into a multi-faceted comcept which can be experienced in different ways by different people at different times and in different places

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10
Q

Ewless and Symnett said what six dimension of health exist?

A
  1. physical health
  2. mental health
  3. emotional health
  4. social health
  5. spiritual health
  6. societal health
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11
Q

primary prevention *

A

considers ALL the harmful possibilities with foresight for diseases or conditions and prophylactically applies the preventive regimes known to the scientific field so they are never manifested or if they are, itis with a much lower incidence rate

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12
Q

doctors earn living through which model?

A

through secondary prevention

- treating when disease or condition is encountered

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13
Q

secondary prevenetion definition

A

approach taken ONCE DISEASE OR CONDITION IS ENCOUNTERED AND IS TYPICALLY TREATED MORE RAPIDLY
- approach most common in dentistry

more prevalent therapeutic or rehabilitation aspect

*he said seems more like treatment than prevention

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14
Q

example of postponed vs prevented

A

Not smoking cigarettes (behavior) reduces risk of heart attack

  • so result of non smokers living longer and so so more of them exposed to the risk of heart disease attack in old age

so costs are POSTPONED RATHER than prevented

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15
Q

smoking is considered what?

A

a BEHAVIOR

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16
Q

what do global economists say about age and benefit in society? used in the US?

A

AGE 55 IS BALANCE POINT
- where the benefit of a few more productive years are more or less equivalent to the added costs of surviving into old age

*this is NOT the viewpoint or practice in the US and many industrialized countries

17
Q

why preventative behavior works before and after retirement

A

before
- economic gain from any preventative measure that can reduce health related disability or improve woring capacity

after
- economic savings from anything thtat enhances independence and reduces the need for medical dental and soical supports later

18
Q

T/F premium for health, disability, life and malpractice insurance are all based on the same behavioral - economic model

A

True

19
Q

humanitarian argument

A

there is a attachment of how people value their health

  • so changes to a healthier lifestyle imply personal costs which individuals must balance against their valuation of health
20
Q

comparing treatment decisions for elderly and young dental patient

A

under 40
- did fixed

over 60
- did removable

21
Q

panel recommendations on lung cancer screening

A

People aged 55-79 with a lengthy history of at least moderate smoking should be screened if they have smoked in the past 15 years
- was not implented until 2013

22
Q

what is covered by health insurance for lung cancer scans?

A

low dose scans covered by all health insurances

*55 as minimum age for screening for anyone who has a ‘30-pack year habit’ and has smoked in past 15 years (pack a day for 30 years) or two packs a day for 15 years