Unit 1 Flashcards
What are the 5 principles of the Ottawa Charter?
1) healthy public policy
2) supportive environment
3) community action
4) reorienting health services
5) developing personal skills
What are the 3 Strategies of the Ottawa Charter ?
Advocate
Mediate
Enable
Why do Health Promotion services suffer in clinical settings ?
HP focuses on determinants of health vs explaining disease at submolecular level.
Submol = high tech
In medical field incentives are stacked in favour of high tech, vs social, cultural, and behavioural aspects of care.
Without Health Education, Health Promotion would be … ?
A manipulative social engineering enterprise.
HE aims at voluntary actions ppl can take for their own health or common food of community
How do we quantify health or health status ?
Define health w its opposite- ill health.
Death rates
Life expectancy
DAILYs
Health Promotion vs Disease Prevention
HE: positive, multidimensional
Health of total population
Particularly model
DP: absence of disease
Health of individual/ target pop
Medical model
Health Education vs Health Promotion
HE: planned learning experience for voluntary change. Health directed behaviour for Disease Prevention
(Immunization programs)
HP: LIFESTYLE
Beyond treating disease
CIHI
Canadian institute for Health information.
provides essential information on Canada’s health system and the health of Canadians
Equity Stratification
Measuring inequalities differences
Unavoidable vs Avoidable Health inequity
Unavoidable: DNA
Avoidable: inequity/differences in income levels
Structural vs Intermediary Health Determinants
Structural: socioeconomic and political context ppl live in
Intermediary: material circumstances, psycho social factors, behaviours, biological factors
Together = social cohesion
6 step process of Health Promotion
1) understand and Engage
2) Assess needs
3) Set goals and objectives
4) Develop Intervention
5) Implement intervention
6) Evaluate Results
UNDERSTAND
ASSESS
GOALS
DEVELOP
IMPLEMENT
EVALUATE
9 Assumptions of Health Promotion
1) Health is changeable
2) H determined by interactions among factors
3) Behaviour can change
4) Behaviour, interactions etc contribute to change
5) Interventions can teach HPing behaviours or risky ones
6) determinants must be understood for h beh to change
7) initiating & maintaining beh change is challenging
8) individual responsibility does not = victim blaming
9) for permanent change person must be motivated and ready
Determinants of Health are..
Personal, social, environmental, and economic factors that determine peoples health
Health Inequalities vs Health inequities
Inequalities: differences in health status of ppl. Genes or choices you make
Inequity: inequalities that are unfair and modifiable
HP is a discipline with its own ideology and core values. These include .. (8 things)
Equity & empowerment
Health as a right
Social justice
Autonomy
Voluntarism
Participation & Partnerships
Although health is influenced by human agency, ______ have a major influence on health and health related behaviour
Structural Factors
_______ is a key factor to individuals health behaviour and health _____
Power is a key factor to
Health Choices
HP should generally uphold the principle of ____
Voluntarism
But use of coercive methods may be justified on grounds of social justice, paternalism, or utilitarianism
Why was the Lalonde report so big?
First report on HP, focus on investing outside of HC systems for improving health of populations.
Other countries made their own report after
4 factors contributing to Health of populations?
HC organizations, Human biology, Lifestyle, Environment
“ Why are some ppl healthy & others not” helped to do what
Helped position population Health on health policy agenda (in Canada and world)
Population Health approach focuses on _____ rather than ______
Social Determinants of health
vs
Individuals
Health promotion = ___ x ___
Healthy public Health policy X Health education
