Test Flashcards
(86 cards)
Who was John Snow?
Father of epidemiology. Measured the outbreaks of cholera in London in 1854 and found that cases were concentration in really poor areas. Prior to him, disease blamed on miasma. Found that impure drinking water was the cause of the outbreaks so removed broad street pump.
What was the historical and traditional views of poor health?
Historically: demons, sin, retribution, god is angry
Traditional: individualistic, poor lifestyle, bad luck, genetic fate
What was the 1946 WHO definition of health and why was it criticized?
Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. Criticized for being too utopian, complete being too much. Does not account for environmental, occupational or spiritual health as well as differences across gender.
What was the leading cause of death in the early 1900s in Canada?
Infectious diseases with an average life expectance of 60 years until the discovery of penicillin in 1928 and due to the improvement in living conditions.
Who were the radium girls?
They were female factory worked who contracted radiation poisoning from painting watch dials with glow in the dark paint with radium in it. 5 women filed a court case that established the right of individual workers who contracted occupational diseases to sue their employees.
Who was Dr. Thomas McKeown?
He proved that population health improvements between 1850 and 1950, was due to improvements in living conditions not medical advances, as many believed previously.
Define morbidity.
The occurrence of disease or impairment resulting from accidents or environmental causes that adversely affect health (disease).
Define mortality.
The occurrence of deaths resulting from disease, accidents, or environmental causes (death).
What is the social constriction of health and illness?
There are aspects of health that we now consider socially constructed who has the power to define and illness. This means that science is not value-free, objective, or universally true as it is influenced by human culture and social factors. Ex. Postpartum depression used to be blamed on the mother not being able to handle it, but now seen as a serious health condition.
Who was Mary Anning?
She was a fossil collector/palaeontologist who sold fossils as a living. Due to being a woman, she was not allowed to participate in the scientific community despite being a great scientist. Proof that not everyone was included in science and might have biased the results.
How is health viewed today?
It is now seen as a continuum as opposed to binary or linear, it is a continuous work in progress. We aim to integrate many different modalities of health around the world and aim to live with chronic conditions in a state of wellness. Technology is helping redefine health.
Why were tori eggs so popular even after being de-bunked by a professional?
We live in an post-truth world with internet-empowered patients in a wellness culture. There is no one right way in the world any more and women who may feel dismissed by the doctors may seek out alternative treatments. This results in peoples opinions of experts not being what they used to be.
What must we now consider when looking at health?
Health problems must be considered social issues as circumstances beyond an individuals control my often be behind ill health.
What is the medical model of health?
Treatment of diseases and injuries that is supported by OHIP with the medical prof at the centre of the HC system with doctors controls approximately 80% of HC costs.
What is the social model of health?
Medical care is only one part of a complete HC system with care in the community also playing a large part. Health care takes on a team approach.
What is the biomedical model of health?
The body is like a machine and the doctor is the mechanic where there is a specific cause or origin for each specific disease with individual focus and the acute treatment of ill individuals.
What is pasteur?
Germ theory of disease. Used in the biomedical model of health.
What are some challenges to medical dominance?
- The emergence of the welfare state (medicare): government role in health care.
- Professionalization of other occupations: traditional chinese medicine, women’s health movement
- Conflicts with medicine: not heterogeneity, extra-billing discord, community based vs. research
- The demystification of medicine: public skepticism of medical authority as scientific and infallible, iatrogenesis, docs and big pharma
What is iatrogenesis?
Harm caused by medical activities. Ex. false positive resulting in administration of medicine causing harm
What are five criticisms of the biomedical model?
- Fallacy of specific ethology: not one reason for disease
- Objectification and biological determinism
- Reductionism and biological determinism: looking at smaller and smaller features of human biology, forgetting the broader societal effects
- Interventionist bias: more and more looking for magic bullet solution
- Victim blaming: we are responsible for our own health when in fact there are many issue.
What is the health promotion model?
Focuses on prevention and self-care keeping people healthy. Involves lifestyle changes for healthier behaviours.
What are the three levels of prevention?
Primary: stop problems before they start
Secondary: intervention early to reduce symptoms or halt the progression
Tertiary: treatment or rehab after a person is sick to limit effects of the disease
What is social marketing in health promotion?
Uses marketing techniques to persuade a target audience to act in a more healthy fashion. This requires knowledge of attitudes and behaviours and may involve promotions, direct marketing, PR or special events. It moves from health being at the mercy of the gods to manipulating more healthy behaviour based on evidence based knowledge of what works.
Define population health
A framework for gathering and analyzing information about conditions that affect the health of a population. Aims to both maintain and improve the health of the entire population and to reduce inequities in health status among population groups.