Population Health Approach Flashcards
What are factors that can affect your personal health?
o Lifestyle decision
o Housing and food that is in budget
o Social stressors
o On a larger scale by education, occupation, income, and community connectedness
Further from this we are affected by culture, economy, and policies
What do we know about poverty and health?
Poverty is bad for your health and health improves at each step of the social and income ladder
What is the Health Canada Definition of Population Health?
Population health refers to the health of a population as measured by health status indicators and as influenced by social, economic and physical environments, personal health practices, individual capacity and coping skills, human biology, early childhood development, and health services.
As an approach, population health focuses on the interrelated conditions and factors that influence the health of populations over the life course, identifies systematic variations in their patterns of occurrence, and applies the resulting knowledge to develop and implement policies and actions to improve the health and well-being of those populations.
What are the key elements of a population health approach according to Health Canada?
MEMORY: healthy populations prevents an EPIDEMIC
E - evidence based decisions
P - population health status measurements
I - increase upstream investments
D - DOH focus
E - Exhibit accountability
M - multiple strategies applied
I - Involvement of the public (employ mechanisms to increase this)
C - collaborate across sectors and levels
What does a Population Health Approach focus on?
Focus on health of populations
What does a Population Health Approach aim to address?
The determinants of health and their interactions
What should a nurse using the Population Health Approach base her decisions on?
Evidence
The Population Health Approach believes in increasing ______ investments
Upstream
Why does the Population Health Approach state we need to apply multiple strategies?
Not enough to just treat a condition, we need protection to prevent illness. We are too complex for a single strategy to work.
Why does the Population Health Approach state we need to collaborate across sectors and levels?
o Not only the ministry of health, also environmental sectors, housing, transportation, sanitation etc. all affect health
What key element of the Population Health Approach is rooted in the belief that people need a voice in policies and understand what we are trying to do because we cannot simply give orders and expect people to follow?
Employ mechanisms for public involvement
Who, according to the Population Health Approach, must demonstrate accountability for health outcomes?
Everyone that touches health, government, individuals, etc.
What are the 5 levels of the socio-ecological framework?
Individual
Interpersonal-Social relationships
Organizational structures
Community-physical structures
Public policies
What level of the socio-ecological framework includes my personal health behaviours such as smoking or eating habits?
Individual
What level of the socio-ecological framework includes a really toxic relationship with a partner or family member?
Interpersonal - social relationships
What level of the socio-ecological framework includes the school I go to and my place of employment?
Organizational structures
What level of the socio-ecological framework includes the noise pollution we encounter in downtown or the smoke from the fires in the summer or the mold in my home?
Community-physical environments
What level of the socio-ecological framework includes the local and provincial laws and regulations?
Public policies
What does the socio-ecological framework highlight?
- The framework recognizes that behaviours are influenced by multiple factors and that they also impact those factors
- This approach highlights the importance of considering context (social and physical environment) when addressing health issues
What is the socio-ecological framework?
A model of health that considers various factors at different levels that impacts the health of the population
It’s the one with multiple circles inside each other like nesting dolls…I’m not paying for the upgrade to attach it here lol
How many levels of prevention are part of the socio-ecological framework and what are they?
First - individual
Second - relationships
Third - community - a combination of the physical and social settings (organizations)
Fourth - societal
Describe the first level of prevention in the socio-ecological framework
Involves identifying biological and personal history factors that increase the likelihood of adverse health impact
Such factors may include
Age
Education
Income
Substance use
History of abuse
Prevention strategies at this level aim to promote attitudes, beliefs, and behaviours that can help prevent adverse effects
Describe the second level of prevention in the socio-ecological framework
A person’s close social circle-peers, partners, and family members influences their behaviors and contributes to their experience
Prevention strategies at this level may include
Parenting or family focused prevention programs
Mentoring and peer programs designed to strengthen
* Parent-child communication
* Promote positive peer norms
* Problem-solving skills
* Promote healthy relationships
Describe the third level of prevention in the socio-ecological framework
Examines the impact of social settings on adverse events. These social settings include:
Schools
Workplaces
Neighborhoods