Public Health / PPS Flashcards
PUBLIC HEALTH:
Define “public health”
The science & art of preventing disease, prolonging life and improving health through organised efforts of society
EQUALITY & EQUITY:
Define equity
What is fair and just
EQUALITY & EQUITY:
Define equality
Having equal shares. This may not always be equitable
EQUALITY & EQUITY:
Define horizontal equity
Equal treatment for equal need
EQUALITY & EQUITY:
Define vertical equity and give an example
Unequal treatment for unequal need. E.g poorer areas have a need for more services.
E.g common cold and pneumonia need different treatment
EQUALITY & EQUITY:
How do you asses equity?
Look at the inequality - discuss if this is equitable
DETERMINANTS OF HEALTH:
What are the 8 broad determinants of health?
PROGRESS
P - place of residence
R- race
O - occupation
G - gender
R - religion
E - education
S - socioeconomic status
S - social capital
DOMAINS OF PUBLIC HEALTH:
What are the 3 domains of public health?
- Health improvement
- Health protection
- Improving services
DOMAINS OF PUBLIC HEALTH:
What is health improvement?
Social interventions aimed at
- preventing disease
- promoting health
- reducing inequalities
DOMAINS OF PUBLIC HEALTH:
What is health protection?
Measures to control infectious disease and environmental hazards
DOMAINS OF PUBLIC HEALTH:
What is improving services?
Organisation and delivery of safe, high quality services
DOMAINS OF PUBLIC HEALTH:
What are Maxwell’s Dimensions of the quality of healthcare
3A’s + 3E’s
Acceptability
Accessibility
Appropriateness
Effectiveness
Efficiency
Equity
HEALTH CARE EVALUATION:
What are the 3 components of evaluation?
- Structure
- Process
- Outcome
HEALTH CARE EVALUATION:
What is structure + give an example
Structure = what is there
E.g. number of hospitals
HEALTH CARE EVALUATION:
What is process and give an example
What goes on?
E.g. how many patients are seen
HEALTH CARE EVALUATION:
What is outcome and give an example
Quantitate measure of service.
E.g Number of deaths / number of satisfied patients
HEALTH CARE EVALUATION:
Give 4 methods for qualitatively assessing healthcare
- Focus groups
- Survey
- Interview
- Observation
HEALTH NEEDS ASSESSMENT:
Define health needs assessment
Systemic approach for reviewing health issues affecting a population. Allows for agreed priorities and resource allocation to improve health and social inequalities.
HEALTH NEEDS ASSESSMENT:
Define ‘’need”
Ability to benefit from an intervention
HEALTH NEEDS ASSESSMENT:
Define “demand”
What people ask for
HEALTH NEEDS ASSESSMENT:
Define supply
What is provided
HEALTH NEEDS ASSESSMENT:
Define “health need”
Ability to benefit from an intervention, measured using mortality / morbidity
HEALTH NEEDS ASSESSMENT:
Define “health care need”
Need for health care / ability to benefit from healthcare
HEALTH NEEDS ASSESSMENT:
Give an example of something that is supplied but not demanded
Routine C-section for women with previous C-section
