Readings week #1

Question 1

According to the CNA, the social determinants of healths are understood as?

Answer 1

The conditions in which people are born, live, work, grow and age. These are shaped by money, power, ressources.

Question 2

Who refers to social deter. as…

Answer 2

The causes of the causes

Question 3

Social determinants are responsible for the health inequities, what is this concept?

Answer 3

Inequalities in health, deemed to be unfair. Come from a form of injustice. They are avoidable.

Question 4

Health equity?

Answer 4

When everyone has the opportunity to attain their full health potential.

Question 5

How many Canadiens live in poverty?

Answer 5

1 in 10

Question 6

How many First nations children live in poverty

Answer 6

1 in 4

Question 7

Main actions on social determinants of health?

Answer 7

Address adequate income/housing/food/inclusion.etc

Question 8

What can nurse do to address social inequities?

Answer 8

1. Recognize SD
2. Provide sensitive empowering care
3. Engage in policy
4. Advocate for non-profits
5. Support envir. preservation and restoration.

Question 9

HHN =

Answer 9

Home Health Nurse

Question 10

Canada Health Act date and does?

Answer 10

1984

Sets the requirements that must be met by provinces/terr. to ensure reasonable access to health care anywhere in Canada.

Question 11

Canada Health Act core principles?

Answer 11

Portability
Accessibility
Universality
Comprehensivness
Public administration

Question 12

Home Care recognized as what under the act?

Answer 12

“extended health sevices” which is why it is not insured.

Question 13

Romanow Commission year and focused on?

Answer 13

2002

Home care next essential sevice

Question 14

Kirby Report date and recognize?

Answer 14

2002

Need for home care and proposed a collaboration between pro./terr./fed. to develop a national model

Question 15

Definition of health?

Answer 15

Is desirable b/c it encompass positive qualities. Health is a discourse and not a define object. Its power lies within actions.

Question 16

Discourse definitions?

Answer 16

Pattern system of communication and localized in a social structure

Question 17

Discourse of health defined by 2 major discourses.

Answer 17

Medical model = absence of disease, perfectly functioning machines. System view (WHO 1948) = Complete physical, mental and social well-being.

Question 18

System view on health gained interest in Canada when by what?

Answer 18

The Lalonde Report (1974): Reintroduced lifestyle and environment as key determinant of health.

Question 19

Conclusion of Lalonde Report?

Answer 19

Health is achievable not only from medical care but from: human biology, lifestyle, envir. and health care system.

Question 20

Ottawa Charter for Health Promotion date and health definition?

Answer 20

1986: resource for everyday living, not the objective of living.

Question 21

Charter 5 majors strategies?

Answer 21

1. Healthy public policies
2. Creating supporting envir.
3. Devel. personal skills.
4. Strenght community actions
5. reorienting health services.

Question 22

Epp. Report (Achieiving health for all) date, builds on?

Answer 22

1986, Lalonde Report

Question 23

It identifies challenges and says that these challenges could be addressed by?

Answer 23

Chllenges: reduce inequities, increse prevention, enhance coping.
=>Health Promotions mechanisms of self-care, mutual aid and healthy envir.

Question 24

Population health approach?

Answer 24

Capacity to cope

Question 25

Commission on Social Determinants (WHO 2008) of Health 3 principles for actions:

Answer 25

1. Improve daily living conditions 2. Tackle inequitable distribution of resources 3. Increase public awareness about SD of health

Question 26

Key Social Determinants of Health?

Answer 26

1. Early life 2. Education 3. Employment/working conditions 4. Food security 5. Health Care Services 6. Housing 7. Income/its distribution 8. Social safety net 9. Social exclusion 10. Unemployment 11. Employment security

Question 27

The Primary Health Care (PHC) model was developed when and where?

Answer 27

1978 at the Alma Ata conference (WHO)

Question 28

PHC goal is to...

Answer 28

Shift the emphasis of care from a hospital-based model to a community-based model

Question 29

Lay perspective on health

Answer 29

Absence of disease and living in harmony with nature

Question 30

Population health model

Answer 30

1. Downstream (fit biomedicalview of health) 2. Mid-stream (system view of health) 3. Upstream (system view of health)