Class 3 Flashcards

1
Q

Lalonde report 1974

A

-Propose a new perspective on the health of Canadians (shifted the focus on HEALTH PROMOTION)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lalonde Framework

A

Human biology
Environment
Lifestyle
Healthcare organization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Alma-Ata conference 1978 (WHO)

A

Highlight Primary Health Care as a strategy to achieve ‘‘Health for All’’ (Country, organization and non-profit organization get together–> Intersectorial and community driven)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Event globally happen that lead to Alma-Ata

A
  • After WWII country process to reforming healthcare.
  • National program (ex. barefoot doctors)
  • Non-governmental organization involved in community activity.
  • THinkers, research, philosophy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

PRIMARY HEALTH CARE

A

A philosophy/worldview for health care (essential health care, universally accessible, with their full participation)
What is a model/ framework for health care services.

(Philosophy, highlights values and final goal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GOAL of PHC

A

Prevent illness, promote health to the pt, family, community and whole population

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

8 elements from Alma-Ata

A
  1. Education on health problems, methods of prevention and control
  2. Promoting adequate food supply & nutrition
  3. Promoting supply of safer water and sanitation
  4. Promoting maternal and child health including family planning
  5. Immunization against infectious diseases
  6. Prevention and control of local pandemic diseases
  7. Promoting tx of common diseases & injuries
  8. Providing essential drugs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

5 Principles of Primary Health Care

A
  • Accessibility
  • Public participation
  • Health promotion
  • Intersectoral cooperation
  • Appropriate skills & technology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Underlying values of PHC

A

Health for All, Social Justice and Equity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Health Equity

A

Fair distribution of resources for health and absence of systematic disparities in health (power, prestige..)
–> ethical principle and human rights principles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Social Justice:

A

(foundation of nursing) Fair distribution of society’s benefits and responsibilities, and focus on eliminating the root causes of inequalities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Health for All:

A

eliminate structure that encourages inequality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Bangkok Charter

A

affirmed that policies and partnerships to

empower communities and improve health and equity should be at the center of global and national development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Health disparities

A

Different in health, among group of person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Equity vs Equality?

A

Equity: Give everyone what they need to success
Equality: Treating everyone the same

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Universal approach

A

based on the belief that each member of society should have equal access to basic services such as education or health care.

17
Q

Targeted approach

A

based on a belief that social constructs (ex: classism, sexism, racism and colonization) are barriers to equitable access to the determinants of health, and that interventions directed to disadvantaged members of society are needed to close the health gap.

18
Q

Targeted universalism approach

A

defines goals for all, identifies the obstacles faced by specific groups and tailors strategies to address the barriers in those situations.

19
Q

Proportionate universalism approach

A

Programs and policies must include a range of responses for different levels of disadvantage experienced within the population.

20
Q

EPP framework ‘‘Achieving Health for All’’ (1986)

Health promotion mechanisms (3)

A

Establish the HEALTH PROMOTION DIRECTORATE in Canada
defined health promotion in terms of a social goal (reducing inequities), a service goal (increasing prevention) and an individual-level goal (enhancing coping).
Health promotion mechanisms: self-care, mutual aid, health environment

21
Q

Vertical

A

V: focus on single disease, donor driven (ex. malaria)

22
Q

Public Health essential functions

A
Health promotion
Disease and injury prevention
Health surveillance
Population health assessment
Emergency preparedness and disaster response
23
Q

Canadian Community Health Nursing Standards of practice

A

Health promotion
prevention and health protection
health maintenance, restoration & palliation
Building capacity
Professional relationship
Access and equity
professional responsibility & accountability

24
Q

Types of essential care of PHC

A
Promotive
Preventive
Curative
Rehabilitative
Supportive-palliative
25
Q

PHC components

A
Primary care
Disease prevention
Health promotion
Population health
Community development
26
Q

Levels of prevention

A

Primary
Secondary
Tertiary

27
Q

Primary Care

A

Delivery of community-based clinical health services. First door of entry into the system. More narrow than PHC.

28
Q

Community Development

A

process of social change, bring community together, work cooperatively to identify strenght and commun issues affecting health.

29
Q

Overall message in developed world of the Alma-Ata declaration:

A

Political and social components

30
Q

Margaret Chan is

A

WHO PDG; went back to Alma-Ata principles.

31
Q

The 8 elements from Alma-Ata are linked to:

A

Social determinants of health

32
Q

Horizontal approach

A

H: cover all health-related issues with strengthening the syst. in general

33
Q

Diagonal approach

A

D: Accomplish disease-specific goals by means of health syst. strengthening

34
Q

Primary prevention:

Eg.

A

Upstream approach. Prevents occurrence of disease

Eg: Vaccination, public policies)

35
Q

Secondary prevention:

Eg.

A

Detect disease and STOP the development

Eg: Screening

36
Q

Tertiary prevention:

Eg.

A

Reduce negative effects once a disease has established itself.
Eg: Rehabilitation