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Flashcards in Public Health Deck (37)
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1

What are aims of public health

Prevent disease
Promote health
Prolong life
Health surveillance

2

What does public health look at

Population orientated
Physical, psychological and social well being

3

What are wider social determinants

Education
Housing
Employment
Lifestyle

4

What underpins

Epidemiology

5

What is healthcare services

Ensuring quality of provision and access of healthcare

6

What does it involve and how

Assess effectiveness, efficiency and acceptability
Epidemiological approach.

7

What is health protection

Prevent transmission of infectious disease
Ensure safety of general environment
Deal with outbreaks

8

What is health promotion

Enable people to increase control
Health education
Reduce social inequality
Wider NHS - local government / private sector

9

3 aims of public health

Healthcare services
Health protection
Health promotion

10

How is NHS made up / control

Government
14 territorial board - give data to ISD
Special boards
Public Health Scotland

11

What are special boards

Drive national policies given to all health board
e.g.
Health protection Scotland
Healthcare improvement Scotland
NES

12

What is epidemiological healthcare needs assessment

Decide how to organise and run NHS to improve health of population

13

What is inverse care law

Those in greater need are less likely to receive

14

What is need, demand and supply

Need - ability to benefit
Demand - services people use
Supply - what is provided

15

What is key elements

Incidence and prevalence
Effectiveness - RCT and other studies
Current service provision to know what needs to be changed

16

What is health economics

Decide which healthcare services to provide based on financial services available

17

What is economic efficiency

Maximisation from fixed resources

18

What are QALY

Quality Adjusted Life Years
- How Rx improves quantity and quality of life
- Rate between 0-1

19

What can you then do

Cost per QALY

20

What are considered acceptable for money

If cost per QALY under 20-30 grand

21

How else can you assess

Comparative - contrast services
Corporate - based on partnerships / collaboration and listening to views of patient and local people

22

What is issue with healthcare needs assessment

Inadequate info on incidence / prevalence
Inadequate info on effectiveness
Complex patient pathway through NHS
No agreement on threshold for intervention
Political / medial pressure
Broader community issues impact on health

23

How do we collect health information

Population census data
Birth and deaths (vital events)
Morbidity

24

Why is it important to get

Plan health services and other public services

25

Wha data is recorded every 10 years

Sex and DOB
Marital status
Family size
Country of birth
Employment
Housing details - post code for deprivation
Car ownership

26

What are issues

Under coverage of children / homeless
Accuracy
Population changes

27

What is Carstairs deprivation

Uses
- 1+ person in a room
- No car
- Male unemployment
- Low social class

Lower score = more affluent

28

What is Scottish Index of Multiple Deprivation

Data from a wider range of sources
Used to target policies to greatest need
Divide Scotland into data zone

Lower score = more deprived

29

What domains

Health
Geographic access to services
Employment and income
Housing and crime
Education, skills and training

30

When are births recorded

Within 6 weeks