Flashcards in PH Deck (27):
9 Healthy living services
Smoking Obesity Alcohol
Physical activity Sexual health Men’s health
Substance misuse Minor ailments Long-term conditions
The three levels that comprise the
tiered framework are
promotion (Level 1), prevention (Level 2) and protection (Level 3)
Healthy Living Champion
and accredited to provide customers with health and wellbeing advice
2must be appointed to support the important health and wellbeing role of the HLP - does training course
Medical approach to health primary secondary and tertiary
Primary (prevent onset of disease) – e.g. immunisation
Secondary (identifying disease at an early stage to prevent disease progression) – e.g. cervical screening
Tertiary (reducing further disability and suffering in those already ill) – e.g. rehabilitation
Behavior change approach is...
Tells people to change
Blame? Assumes people can change?
Education approach... eg...
Doesn't try to persuade. Increases knowledge
eg. smoking kills
2 disadvantages of education (such as smoking kills)?
Convinces those who are already aligned with those beliefs
Unmotivated MAY become interested through a peripheral route
People identify their own concerns and gain skills to act upon them.
Individual/community level with health promoter to catalyst
2 eg. of social change approach
smoking ban in pubs
vending machines band in schools
problems with the empowerment approach
vague positive benifits
Social change approach
social, policy & environment change. Focuses on the causes of ill health
5 Change approaches
Health is a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity
Standardised Mortality Ratio (SMR)
= death rate taking into account differences in age structure compared to what would be expected in this group if national averages applied
Overall average for England = 100
SMR < 100 implies lower mortality
Infant Mortality Rate (IMR)
= number of deaths in the first year of life per 1000 live births
Objective measures of health
Dental health (decayed teeth)
-Environmental: air/water/housing quality/density
-Socio-economic factors: wealth
Subjective measures of heath
-Social networks & support
is the ability to perform everyday tasks
How to measure health status
-Short form 36 Health Survey (SF-36)
Quality of life
What is QUALY?
life expectancy with adjustment for the quality of the remaining life years
patient record outcome measures - Standardised, validated questionnaires that are completed by patients to measure their perceptions of their own functional status and well-being’
When is PROM used
before and after elective surgery
There is good evidence for pharmacy PH improvement in what areas
heart failure (reduce hospitalization)
EHC - are we helping?
Women like it. But does it change our behaviour? Does it decrease pregnancy?
Substance misuse - are we helping?
Alcohol/chamydia/immunisation/obesity are we helping?