Medicine, Public Health and the community Flashcards
What is meant by health?
“a state of complete physical, mental and social well being and not merely the absence of disease or infirmity.”
What did the Institute of medicine report do with their report The future of public health in 1988
Expressed the need for Public Heath professionals to establish a central mission and core functions. Establishing a 4 part definition of public health.
What is the four part function of public health?
- Mission
- Substance
- Organizational framework
- Core functions
What are the mission, substance and organizational framework of public health?
Mission: To fulfill society’s interest in assuring conditions in which people can be healthy.
Substance: Organized community efforts aimed at the prevention of disease and the promotion of health.
Organizational framework: Both activities undertaken within the formal structure of government and the associated efforts of private and voluntary organizations and individuals.
What are the three core functions?
Assessment
Policy Development
Assurance
When we say the following, what do we mean?
Assurance
Assessment
Policy Development
Assurance - Makin sure “it” happens
Assessment - knowing what needs to be done
Policy development - being part of the solution
What are the mission and vision of public health in the US today?
Vision
Health People Living in Healthy Communities
Mission
Promote physical and mental health
and
prevent disease, injury and disability
What are six things public health focus accomplishes?
Prevents epidemics and the spread of disease
Protects against environmental hazards
Responds to disasters and assists communities in recovery
Prevents injuries
Promotes healthy behaviors
Assures the quality and accessibility of health services
What are the assessment components of the ten essential services?
Assessment
- Monitor health status to ID community health problems
- Diagnose and investigate health problems and health hazards in the community
- Evaluate the effectiveness, accessibility and quality of services
- Research for new insights and innovative solutions to health problems efforts
What are the assurance components of the 10 essential services?
Assurance
- Enforce laws and regulations that protect health and ensure safety
- Link people to personnel health services and
- assure the provision of health care
- Assure a competent public health and health care workforce
What is the policy development component of the 10 essential services?
developing policies and plans that support health
What were the three major eras in the public health history of the US?
- Prior to 1949 - Battling Epidemics (Infectious Diseases, then Building State and Local Infrastructure
- 1950-1999 : Filling gaps in medical care delivery
- 2000- present: Preparing for and responding to community health threats, manmade and natural
What did the Hill Burton Act of 1946 do?
Provided extensive funding to build hospitals
What were the big deal events associated with the 1950-1999 public health focus?
- Increased focus on the poor and access to care
- Expansion of local health departments to improve access for all
- Department of Health Education and Welfare , 1953
- Medicare and Medicaid programs established , 1965
- OSHA and EPA , 1970
- DHHS, Department of Health and Human Services, 1979
- 1988 IOM redefines the basic core functions of P.H.
What were the noteable events associated with the pre 1949 era of public health in the US?
- 1790’s Yellow Fever outbreak, 1st Board of Health established in Philadelphia
- 1872 APHA established, to reveal the causes of communicable diseases
- Many diseases from poor sanitation, hygiene and lack of education.
- Establishment of local and County public health departments
- Establishment of NIH and FDA (1930), SSA (1935), CDC and Hill Burton Act (1946), WHO 1948