Week 2 Models Of Care And Health Promotion Flashcards
Disease vs illness management
Disease - treat physiological markers
Illness - pt living conditions, coping
Who identified the three issues in the CCM?
Edward Wagner
What did Edward Wagner identify as three issues
- Physician-cantered offices designed to treat acute illness
- Pt not well informed about condition
- Doctors too busy to educate pt properly
What was Edward Wagner’s solution to the three problems?
Overall general ter
Replace physician-centred offices with offices that supported interprofessional collaboration –> IP care
Criticism of the CCM
- not a model for individual care, but a model for populations of individuals with chronic illness
- doesn’t redesign patient care, but clinical practice
CCM Identifies 6 Fundamental Areas (encourages high quality chronic disease management)
- Self management support
- Decision making support
- Delivery systems design
- Clinical information systems
- Health care organization
- Community resources
ECCM addressed what (2)
Health promotion
Social determinants of health
What are the three health promotion strategies in the Ottawa Charter
Building healthy public policy
Creating supportive environments
Strengthening community action
How does the ECCM expand on the CCM? (2)
Includes the border between health care systems and community
Four Areas of Focus
- Self management support
- Decision support
- Delivery systems design
- Clinical information systems
Guided Care was introduced by what university and involves what type of HCP
John Hopkins
Guided Care Nurses
What is transitional care?
Care related to transfer of a pt to one level of care to another
Example of passive vs active strategies of health promoting activities
Passive - reducing chemical agents in food
Active - exercising more
Steps to transtheoretical model –> stages of change
- Precontemplation - no change
- Contemplation - intent to change in the next 6 months
- Preparing - ready to take action in the next 30 days
- Action - behaviour change within the last 6 months
- Maintenance - behaviour change more than 6 months ago
- Termination - no temptation to engage in unhealthy behaviour
Theory of reasoned action/planned behaviour
Examines how factors (motivational, beliefs, values) influence behaviour change
Health Belief Model says….(4)
People will take action in preventing or controlling illness if…
- Perceived susceptibility
- Perceived severity - consequences
- Perceived benefits - reduce susceptibility and consequences
- Perceived barriers can be overcome - barriers or costs of action are outweighed by its benefits
