MODULE 2 Flashcards
Individual measures of SEP
Income
Education
Occupation
Housing
What is a way to measure an area/populations overall SEP
NZDEP (NZ deprivation score) iOS TECQL Income (Own home) Support (Transport) Employment (Communication) Qualifications Living space
How do you measure SEP using income from the NZDEP
- 18-64 living on the benefit
- Equivalised households with income below certain threshold
How do you measure SEP using Support from the NZDEP
Less than 65 living in a single parent family
How do you measure SEP using Employment from the NZDEP
16-64 unemployed
How do you measure SEP using Qualifications from the NZDEP
18-64 with qualifications
How do you measure SEP using communication from the NZDEP
If they have a telephone
How do you measure SEP using Living space from the NZDEP
Equivalised households below a certain bedroom occupancy threshold
How do you measure SEP using Transport from the NZDEP
If they have a car or not
Explain the gini coefficient
The Gini coefficient is a measure of statistical dispersion intended to represent the income distribution of a nation’s residents, and is the most commonly used measure of inequality.
Explain the Lorenz curve + equation
Lorenz curve is a graphical representation of the distribution of income or of wealth
(A-B)/A
Describe the determinant of health ACCESS (List the 5 As)
Accessibility Affordability Accommodation Availability Acceptability
Describe accessibility
(Geographic Barriers)
Geographical/temporal
The relationship between the location of supply and the location of clients, taking account of client transportation resources and travel time, distance and cost.
Describe affordability
(Financial Barriers)
The cost of provider services in relation to the client’s ability and willingness to pay for these services.
Describe availability
(Existence of Services Barriers)
The relationship between what’s available to the client’s needs
Describe acceptability
(Psycho-social Barriers)
The relationship between client perspective of services offered and willingness to interact with provisions
Describe accommodation
(Organizational Barriers)
The relationship between the manner in which supply resources are organised and the expectation of clients.
Does it cater to the needs of the patient e.g opening hours
Describe relative measures
Risk Ratio (EGO/CGO) – Extremal Quotient (highest rate/lowest rate) – HAVE NO UNITS
Describe absolute measures
– Risk Difference (EGO – CGO)
– Range (highest rate– lowest rate)
– HAVE UNITS
List the levels of health systems
Primary = GP Secondary = Hospital Tertiary = Specialization within hospital
What makes a healthy built environment?
CASHET Cleanliness (air/sanitation) Access to wholesome foods Safety within community good Housing standards Exercise exposure Transport accessibility
Name the elements of the built environment
A-BAUS Above ground Below ground Across (transport) Urban designs Structures (hospitals, houses etc)
What is Maori health exemplified by
HERR Health outcomes Exposure to determinants health system Responsiveness Representation in the workforce
List the causes of disparities in Maori Health
- Treaty of Waitangi
- Superior/inferior
- Christianity vs land use
Explain Te tiriti o Waitangi
Issues because the ToW
- Sovereignty vs government
2a. Right to sell land to Queen vs exclusive right for Queen to buy the land
2b. Protection of land values - Same rights as English
- Protection under British citizen ship
How did the taking away of land affect the balance of society
-Increased competition
-Decrease resources
-Decrease food
-Decreased spirituality
= Increased poverty = Increased land alienation
=entrenchment of poverty = trans generational
