The Practical Playbook - Fundamentals of Partnerships Between Public Health and Primary Care Flashcards
What is the purpose of The Practical Playbook?
To support the transformation of our healthcare system from one focused on healthcare to one focused on health.
Why are our life expectancy, infant and maternal mortality rates, and disease prevalence rates (Obesity, diabetes, etc.) worse than comparable nations of a high socioeconomic standard?
We focus heavily on treating illness, and we fail to focus on promoting health.
We focus mainly on the care provided after the onset of illness and fail to provide similar attention to the places we live, work, learn, and play as generators of health and well-being or of sickness and disease.
Why, paradoxically, were public health and medical care more thoroughly intertwined before germ theory and the biomedical approach came into being (Late 1800s)?
Miasma was seen as an environmental cause for medical and PH professionals to battle. Upon learning of microbes, the medical profession turned to a focus based almost solely on treatment and much less on prevention.
For what percentage of U.S. deaths do the top two leading causes (CVD and cancer) account?
48%
CDC 2014
Our medical and PH professionals have become extremely good at what?
What are we less good at?
Acute care and very specialized care
Prevention and management of chronic conditions
What percentage of U.S. health care spending goes towards chronic disease expenditures?
75%
AHRQ 2010
Our current disease, treatment, and cost trends are what?
Unsustainable
Ahern et al. 2012
What does the medical community need to do in order to combat the increase in chronic disease-focused care?
Expand its scope to encompass a greater emphasis on social, environmental, and behavioral determinants
What is a patient-centered medical home model?
A team-based health care delivery model led by a health care provider to provide comprehensive and continuous medical care to patients. (AHRQ 2014)
The primary care provider serves as the connection between the patient and all the different specialists.
What two technologies can greatly expand the connectivity of the health care system?
Electronic Medical Records (EMR)
and Geographical Information Systems (GIS)
If the U.S. health care system ‘broke off’ from the rest of the country, where would it rank as far as world economies go?
5th largest economy
The World Bank 2014
Where does the U.S. rank among industrialized countries as to spending on affordable housing, transportation, pensions, and accessible childcare?
Last
Bradley et al. 2011
What are the three areas that the American Association of Family Physicians state are the prime areas for collaboration between PC and PH?
Data and analytics
Policy and environmental change
Aligned health messaging
What are two examples of PH and PC tandem successes that only happened through joint efforts?
Vaccination campaigns (PH professionals lobby for and provide the vaccines, and the PC professionals administer them)
Anti-tobacco campaigns (PH professionals raise public awareness of the dangers of tobacco and get insurance to cover the costs of addiction recovery programs, and then patients go to their PC physicians for help in beating the addiction)
Why is a shared vision and goal so important in collaboration between PH and PC?
The two sectors often have very different perspectives, and this can lead to conflict and a lack of shared vision.
PC approaches population health at the level of improving patient outcomes by preventing and reducing the effects of disease through good clinical care.
PH approaches population health by addressing the social and environmental aspects of the community to prevent disease at the SDH.
