promotion of health and wellebing Flashcards
Old public health
government actions that focused on changing physical environment to prevent the spread of disease.
providing:
safe water
sanitation and sewage disposal
improved nutrition, housing conditions and better work condition
biomedical model of health
focuses on physical or biological aspects of disease and illness.
medical model practised by health professionals
associated with the diagnosis, treatment and cure of disease.
‘band aid’ or ‘quick-fix’ approach
biomedical model of health: advances in medical technology
following World War II saw the discovery of antibiotics. contributed to further reduction in death rates from infectious diseases
new public health
approach to health that considers the ways in which physical, sociocultural and political environments impact on health.
Aka the social model of health.
social model of health
approach that recognises improvements in h+w
directing effort towards addressing the physical, sociocultural and political environments of health that have an impact on individuals and population groups
social model of health: principals
enable access to healthcare inter-sectoral collaboration to reduce social inequities empowers individuals and communities addresses the broader determinants
ottawa health promotion
approach to health developed by WHO
aims to reduce inequalities in health
reflects the social model of health
provides five action areas to improve health status
all are centred around enabling, mediating and advocacy.
ottawa health promotion; strategies for health promotion
enable
mediate
advocate
ottawa health promotion; strategies for health promotion- enable
by ensuring equal opportunities and resources are available to enable all people to achieve optimal health and wellbeing.
ottawa health promotion; strategies for health promotion- mediate
funding, legislation and policies, and to physical and sociocultural environment.
helping these groups resolve such conflict and produce outcomes that promote health and wellbeing.
ottawa health promotion; strategies for health promotion- advocate
gain support from governments and societies in general to make the changes necessary
to improve the factors that influence health and wellbeing for everyone.
campaigning or public speaking
Action areas of the Ottawa Charter
Build healthy public policy Create supportive environments Strengthen community action Develop personal skills Reorient health services
Australia’s health system
responsibility of all levels of government:
two main components:
public healthcare:
services and schemes include public hospitals, Medicare, the PBS and NDIS
private health care:
private health insurance, private hospitals and medical practitioners in private practices.
medicare
Medicare is Australia’s universal health insurance scheme. gives all Australians, permanent residents and people from countries with a reciprocal agreement access to healthcare that is subsidised by the government.
services covered by medicare
in- public hospital treating(75%)
x-rays
dental service
consultation
medicare safety net
provides extra financial assistance for those that have significant out of pocket costs for Medicare services.
Once an individual/family has contributed a certain amount out of their own pocket to Medicare services in a calendar year further financial support is provided by the government
making Medicare services cheaper for the remainder of that year.
not covered by medicare
ambulance services
allied health services
home nursing care or treatment
pharmaceutical Benefits Scheme (PBS)
aim was to provide essential medicines to people who needed them, regardless of their ability to pay.
medicines are now subsidised and consumers must make a patient co-payment.
National Disability Insurance Scheme (NDIS)
provides services and support for people with permanent, significant disabilities, and their families and carers
federal government as an independent agency responsible
australia’s role in promoting health
funding
sustainability
access
equity
private health insurance incentives
lifetime health cover
rebate
medicare levy surcharge
action area of OC: build healthy public policy
decisions made by government and organisations regarding laws and policies that affect health and wellbeing.
eg- removing tax on healthy foods