Public Health Domains And Core Principles Flashcards

(28 cards)

1
Q

What is health protection

A

Protecting populations from a range of threats to their health
- communicable diseases
- environmental hazards

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2
Q

Define outbreak

A

Occurrence of more diseases in a given time than expected

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3
Q

What are the five steps of public health surveillance

A

Data collection
Data cleaning
Data analysis
Interpretation
Dissemination and public health action

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4
Q

Where can surveillance information be collected from

A

Emergency departments
Hospital admissions
Mortality data
Surveys
GPs

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5
Q

What are the 4 types of surveillance

A

Active
Passive
Sentinel
Syndromic

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6
Q

What is active surveillance

A

Healthcare providers are asked to give details on cases they have seen

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7
Q

What is passive surveillance

A

Ongoing routine collection of health data. It relies on healthcare providers. May be required by law eg for a notifiable disease

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8
Q

What is sentinel surveillance

A

Reporting of health events by a sample of health providers who represent an area/group of people [can be active or passive]

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9
Q

What is syndromic surveillance

A

Focuses on a pattern of symptoms [syndrome] rather than a lab conformed disease
Allows for early detection and response

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10
Q

What is the aim, treatment and feedback of screening

A

Aim - detect a condition earlier than it would’ve been with usual care
Treatment - includes intention to treat
Feedback - feedback of individual results

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11
Q

What is the aim, treatment and feedback for surveillance

A

Aim - quantify prevalence and analyse trends over time
Treatment - no formal links to treatment
Feedback - no feedback of an individuals results

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12
Q

What are the 6 components of good healthcare

A

Patient centered
Effective
Efficient
Equitable
Timely
Safe

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13
Q

Describe the 3 levels of healthcare

A

Primary - first point of call
Secondary - hospital based
Tertiary - highly specialised

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14
Q

What level of healthcare would a pharmacist be

A

Primary

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15
Q

What level of healthcare would a cancer unit be

A

Tertiary

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16
Q

What level of health care would an A and E be

17
Q

Describe donabedains framework for evaluating health care

A

Structure
- context, building, staff, equipment
Process
- activities and interactions eg wait times
Outcome
- effects, quality of life

18
Q

What is a clinical audit

A

An audit working to improve patient care and outcomes through comparing performance against predefined standards

19
Q

Describe the audit cycle

A

Identify audit topic
Set the standards
Collect data and monitor performance
Analyse date to identify divergence
Implement change

20
Q

What is health improvement

A

The process of enabling people to increase control over and to improve their health
- also known as health promotion

21
Q

What are the two core public health principles

A

Prevention and health equity

22
Q

What is primary prevention and what phase is it?

A

Removing risk factors or increasing resistance

In the no disease phase but still susceptible

23
Q

What is secondary prevention and what phase does it fall under

A

Screening for early detection and treatment

Preclinical phase
- when the pathology is asymptomatic

24
Q

What is tertiary prevention and what phase does it come under

A

Reducing complications and disability

Clinical phase when there has been an onset of symptoms

25
What is the high risk strategy for prevention
Intervention that targets individuals at high risk in the population eg those with high blood pressure
26
What is the mass or population strategy of prevention
Intervention that aims to reduce the health risks of the entire population. It is the main focus of health improvement programs eg legislation to lower salt in packaged foods
27
What are the determinants of health [from inside outwards]
Age sex and constitutional factors Individual lifestyle factors Social and community networks Living and working conditions General socioeconomic, cultural and environmental conditions
28
What is the difference between contributory causes and determinants
Contributory causes - immediate causes of disease eg smoking Determinants - underlying causes of causes eg what determines whether people smoke