Sstudy deck Flashcards
Health Promtion
Increasing people’s well-being and self-actualization.
Working with patients to encourage, support, maintain, and restore patients health.
Population health
The whole populations health status, collective factors, and conditions are considered together
Primary health care (PHC)
Essential care made accessible to communities at an affordable cost and that can be maintained. This forms an integral part of the Canadian healthcare system.
Primary care
A person-centered approach to health care with a more specific focus than PHC. Primary care is focused on the specific care delivery to a patient within a healthcare setting.
Difference bw disease and illness
Disease is a loss of health that is objective and illness is a loss of health that is subjective
Well Being
Positive feeling accompanying lack of ill health and achievement of personal goals
Challenges in defining health?
Difficult to measure (Subjective)
Idealistic
Hard to implement in busy healthcare setting
No consensus on definition of “wellbeing”
WHO defention of health
State of COMPLETE physicial, social and emotional wellbeing NOT merely ABSESENCE of disease
Indigenous view of health
everything in life is connected …
Indigenous people understand health as a balance of diverse and interconnected pieces that work together, ideally to result in a healthy world
4 Elements of indigenous health
health is defined as the balance between a person’s emotional, physical, spiritual and mental.
Poor health is said to be any type of disruption in the balance of these four elements of health
Six phases in the evolution of primary care/prevention
Health Protection Era (1830s)
Sanitary Control Era (1840-70)
Contagion Control Era (1880-1930)
Preventative Medicine Era (1940-60)
Primary HealthCare Era (1970-80)
Health Promotion Era (1990s -on)
Biomedical health promotion
Absence of disease
Reducing morbidity + premature mortality
Target whole populations
Using primary, secondary and tertiary methods
Primordial Disease prevention
Initiatives that prevent conditions that would enable
the risk factors for disease from developing
avoiding the development of risk factors in the first place
Primary Disease Prevention
Protection against a disease before signs and
symptoms occur
Treating the risk factors for a disease (treating high blood pressure)
Secondary Disease Prevention
Activities that promote early detection of disease (screening)
Tertiary Disease Prevention
Early stage cancer treatment
Activities initiated in the convalescence stage to Tertiary prevent progression
Quaternanry Disease Prevention
Actions identify individuals or populations at risk of overmedicalization
Behavioural Health Promotion
Emphasizes lifestyle
Encourages positive behavioural shifts
Targeting individuals and groups
People are responsible for their own behaviours
Socioeconomic Health Promotion
Emphasis on identifying root causes (SDoH)
Focuses on policies and physical, social, and economical environments
Makes health choices more realistic to populations,
upstream thinking
Lalonde Report
Brought term “Health Promotion into prominence”
Introduced health field concept
individuals and organizations encouraged to accept responsibility for their own health
Health field concept
Lalonde report
Advocated that preventative care was just as important as treatment and cures
Epp Report
Achieving health for all
A shift from health being individual responsibility to collective responsibility
Reduce inequalities + increase intervention
“Stop blaming the victim”
initial DoH identified in Lalondes report
Genetic and bio factors
Lifestyle
Environmental
Availability of health services
Ottawa Charter for Health Promotion
WHO
Identified prereqs for health
Advocated that health promotion include concepts of wellbeing
Attention given to equity
Rests on political, social, economic, environmental, cultural, behavioural, and biological advocacy
Declerattion of Alma-Alta
WHO
- Global cooperation and Peace are necessary
- Local/community needs must drive health promotion
- Prevention integral to healthcare
-Equity in terms of health status
Emphasized issues of importance to third-world countries
What did the decleration of alma alta lead to
Ottawa charter
Basic 3 strategies of the Ottawa charter?
Advocate
Enable
Mediate
What resulted from the Ottawa Charter?
Jakarta declaration, Toronto Charter, Bangkok charter