Screening Flashcards

1
Q

what makes up health promotion

A

health education, screening and prevention

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2
Q

who took over overseeing preventive services and distributing them out to states from the CDC

A

US Preventative Services Task Force (USPSTF)

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3
Q

what is the purpose of screening

A

detect the disease in the early stages to stop disease from progressing and treat the disease also well as reduce cost of disease mgt

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4
Q

types of screenings: individual screening

A

-one person tested
-often chosen based on risk factors
-sometimes chosen based on universal screening
-ex) mammogram for a female w/ fam hx of BC

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5
Q

types of screenings: group or mass screening

A

-target population selected on basis of increased risk
-ex) vision screening in school children or testing for PKU in neonates

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6
Q

types of screenings: one test disease specific screening

A

-single test
-detects characteristic indicating high risk
-ex) A1c & DM or cholesterol levels & hypercholesterolemia

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7
Q

types of screenings: multiple test screening

A

-2 or more tests to detect one disease
- ex) tb screening -> blood test or skin test then if positive x rays and sputum cultures

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8
Q

screening criteria

A

-detection (are there well documented diagnostic criteria/resources or treatments to support screening)
-diagnostic criteria (disease should have early asym state + risk factors)
-screening measures (safe, cost effective, accurate)

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9
Q

advantages of screening

A

-cost effective
-can be individual or large pops
-some are mandated by law
-can be one test or multiple
-creates opportunity for health teaching

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10
Q

disadvantages of screenings

A

-possibility of errors (false positive or negatives)
-serious consequences to errors

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11
Q

what question should we ask ourselves when selection a disease to screen for

A

“just because we can, does it mean we should?”
-does it warrant a community problem
-can the disease be detected by screening
-health benefits
-tangible

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12
Q

when should a screen be done

A

-it has benefit w/ early detection
-if effective treatments are available
-there is follow up care
-it is safe
-low rate of false positives and over treatment

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13
Q

epidemiology

A

method used to find cause of disease (and outcomes) in populations

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14
Q

Morbidity

A

diseased state or disability from any cause (includes range or degree of illness)

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15
Q

mortality

A

deaths in a given population as a result of a specific disease/illness/event

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16
Q

significance

A

level of priority of disease as public health concern

17
Q

significance

A

level of priority of disease as public health concern

18
Q

incidence

A

rate of a new population problem & estimates risk of individual developing disease

19
Q

prevalence

A

proportion of the population with disease at any one point in time

20
Q

reliability

A

extent a measuring procedure yields consistent results on repeated administrations of the scale (exact same results everytime)

21
Q

reliability: inter observer

A

same results when 2 person’s do tests

22
Q

reliability: intra observer

A

same person able to reproduce results

23
Q

validity

A

degree a measuring procedure accurately reflects or assesses or captures the specific concept that the researcher is attempting to measure (what you actually want to measure)

24
Q

test sensitivity

A

the ability of a test to correctly identify those with the disease (true positive)

25
Q

test specificity

A

the ability of a test to correctly identify those without the disease (true negative)

26
Q

low sensitivity would equal

A

false positives

27
Q

low specificity would equal

A

false negative

28
Q

sensitivity and specificity are apart of what

A

validity

29
Q

what screening issues need clarified

A

prevention, ameliorative, curative (what are costs to the pt)

30
Q

cost of health screenings

A

-social & political forces becoming more cost conscious vs past practice
-do costs result in improved health? are benefits worth it?

31
Q

3 approaches may be used to evaluate

A

-cost benefit ratio
-cost effectiveness
-cost efficiency analysis
*determine optimal use of resources to achieve desired health outcome

32
Q

clinical preventive services

A

-saves years of life and help people live better during those years
-save money
-provide quality care
-reduce death, disability, and disease

33
Q

USPSTF Grading: A

A

service recommended, high certainty that the net benefit is substantial

34
Q

USPSTF Grading: B

A

recommends, there is a high certainty that the net benefits is moderate or there is moderate certainty that the new benefit is moderate to substantial

35
Q

USPSTF Grading: C

A

recommends selectively offering or providing this service to individual pts based on professional judgement and pt preference

36
Q

USPSTF Grading: D

A

recommends against the service

37
Q

USPSTF Grading: I

A

insufficient evidence

38
Q
A