Health and Society Flashcards

(31 cards)

1
Q

What is the SEWB framework

A

a holistic concept, central to Indigenous health, encompassing physical, social, emotional

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2
Q

What are the SEWB domains

A

emotional wellbeing, cultural identity, family/kinship, connection to country

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3
Q

What are elements of culturally safe care

A

defined by provider - acknowledgment of cultural safety as the responsibility of the provider
individual awareness - self -reflection
humility and respect for indigenous culture
recognition of trauma

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4
Q

What’s the difference between cultural competency and cultural safety

A

cultural competency centres on understanding diverse patient cultures
whereas cultural safety shifts the focus towards clinician’s culture and the healthcare environment to ensure inclusivity/respect for all patients

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5
Q

What are some examples of indigenous health disparities compared to the general population?

A

indigenous australians face significant health disparities for mental health issues, resp disease, cardiovascular disease, diabetes, chronic kidney disease, injuries and poisonings

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6
Q

What tiers is the australian healthcare system broken into , describe them

A

specialist, acute and residential care- specialised medical treatment for acute conditions provided in hospitals
primary health and community care- basic healthcare services delivered in community settings, focused on prevention early intervention & management of health issues
health promotion & disease prevention - improving public health through education, lifestyle modifications & targeting risk factors/behaviours
determinants of health & other demographics: social, economic, environmental & biological factors influencing health outcomes, including demographics like age, gender, ethnicity and socioeconomic status

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7
Q

define public health

A

the efforts organised by society to protect, promote and restore the people’s health
the health of the population as a whole, as the subject of government regulation & support

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8
Q

The study of health involves looking at ?

A

infectious disease
chronic disease
risk factors

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9
Q

what are the 3 facets of public health

A

disease prevention - to reduce/eliminate the onset, causes, complications or recurrence of disease
health protection - creating/maintaining environments that promote health
health promotion - enable people to increase control over/improve their health

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10
Q

Describe the health impact pyramid

A

it is a conceptual framework that illustrates the hierarchy of interventions in public health, based on their impact on population health outcomes

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11
Q

What do the sections of the health impact pyramid contain

A

the base of the pyramid - socioeconomic factors like education & income - significant influence on health but require long-term strategies for change
- changing the context to make individual’s default decisions healthy (healthy food options, smoking bans)
-long-lasting protective interventions - immunisation, colonoscopy, smoking cessation
-clinical interventions - control of blood pressure, cholesterol, diabetes
- counseling/education - health education on nutrition & physical activity

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12
Q

How is public health complimentary to clinical medicine?

A

shared goal of promoting health and preventing disease
comprehensive - address both diagnosis and treating individual patients & population-based approach

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13
Q

What is epidemiology

A

the study of the distribution & determinants of health related states/events in populations & the application of this study to control health problems
involves investigating patterns & causes of diseases, injuries to understand their frequency, distribution and risk factors

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14
Q

how can occurence and frequency of disease be measured

A

prevalence, counts, cumulative incidence & rates

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15
Q

define prevalence

A

the proportion of a population with a particular condition/characteristic in a specific point of time

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16
Q

define incidence

A

the rate of new occurences of a condition/event within a specified period

17
Q

define count

A

total no of cases/occurences of a particular event/condition

18
Q

define rate

A

measure of the frequency of occurrence of a particular event/condition, relative to the size of the population at risk, expressed per unit of time

19
Q

What is the difference between inequalities and inequities

A

inequalities refer to differences/disparities that exist between individuals/groups like SES
inequities are inequalities considered unjust, unfair or avoidable, as they result from discrimination

20
Q

What is the difference between determinants of health and social determinants of health

A

DoH- include inidividual behaviour, environment both physically and economically, & access to healthcare
SDoH- social, economic and environmental factors that shape health outcomes - like income, education, employment

21
Q

What are the action areas of the ottawa charter

A
  • strengthen community action
  • develop personal skills
  • create supportive environments
  • reorient health services
  • build healthy public policy
22
Q

What are the 3 strategies of the ottawa charter

A

advocacy, enabling, mediation

23
Q

Describe health promotion through a settings approach

A

it focuses on specific socially and culturally defined environments where people live, work and interact, like schools, workplaces and communities.

24
Q

Describe health promotion through a systems approach

A

views health as influenced by interconnected factors across multiple levels, including policy, governance and economic system
- address root causes of health disparities

25
How is notification and surveillance crucial to disease prevention?
they enable early detection of outbreaks, allowing for prompt intervention & containment helps tp minise spread of infectious disease & reduce morbidity/mortality rates
26
What are the different levels of prevention, describe each
primordial- prevention of risk factors primary - prevention of disease in high-risk individuals - reduce the incidence of disease secondary- early detection and prompt treatment of disease, halt progression of disease tertiary - reduce the impact of ongoing illness - improve quality of life and reduce complications
27
Define health promotion
the process of enabling people to increase control over and improve their health this is done by fostering environments that support healthy behaviours and lifestyles it encourages people to adopt preventative measures and make positive changes
28
How does health promotion go beyond just education?
it is a comprehensive approach that views the population as a collective, focusing on improving overall health of communities targets underlying causes of ill health capmaigns, educational progral, policiesm community initiaitves, not just education! active involvement of the public in decision-making processes
29
What are the basic principles of indigenous care
respect reciprocity - ensure mutual benefit & respect in all interactions - avoid exploitation self-determination - support the rights of indigenous peoples accountability - open and accountable in all practices, clear & honest communication, culturally sensitive
30
What are significant events in indigenous history that could have an impact on indigenous health outcomes?
colonisation (displacement, loss of land, systemic discrimination) the stolen generation (historical trauma) socio-economic disadvantage (high rate of poverty, unemployment, inadequate healthcare access)
31
How can a large number of people at lower risk of disease contribute more cases of disease than a smaller number of people at higher risk?
this is due to the sheer size of the low-risk population hence public health interventions should target large low risk populations in addition to high risk groups at primordial intervention eg. diseases like hypertension have a higher prevalence among older adults, but because there are many more young adults at lower risk, there is still a significant number of cases among them.