week 8 Flashcards

(31 cards)

1
Q

What has COVID-19 taught us about health and globalisation?

A
  • Health is interconnected globally.
    • COVID-19 showed the importance of global health organisations like WHO.
    • Highlighted inequalities in health access, especially in low- and middle-income countries.
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2
Q

What are the WHO’s six building blocks for a strong health system?

A
  1. Service delivery
    1. Health workforce
    2. Health information systems
    3. Access to essential medicines
    4. Financing
    5. Leadership and governance
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3
Q

What outcomes should a good health system aim for?

A
  • Improved health (level and equity)
    • Responsiveness
    • Social and financial risk protection
    • Improved efficiency
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4
Q

What are the main levels of Australia’s healthcare system?

A
  • Population-based care: e.g., vaccination and screening
    • Primary care: GPs, first contact
    • Secondary care: Referred care, specialists
    • Tertiary care: Hospitals, advanced care
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5
Q

What are the key components of Medicare in Australia?

A
  • Medicare Benefits Schedule (MBS)
    • Pharmaceutical Benefits Scheme (PBS)
    • Private health insurance
    • Primary health networks
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6
Q

What supports healthcare for Aboriginal and Torres Strait Islander peoples?

A
  • Aboriginal Community Controlled Health Services (ACCHSs)
    • Government policies like Closing the Gap, Cancer Plan, and Workforce Strategic Framework
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7
Q

What are some barriers to healthcare access for First Peoples?

A
  • Remote location of services
    • Cost and transport
    • Long wait times
    • Lack of culturally safe services
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8
Q

What underpins Indigenous primary health care models globally?

A
  • Culture is central
    • Other characteristics: accessible services, community participation, quality improvement, skilled workforce, flexible care, holistic care, self-determination
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9
Q

What are the four tiers of the Australian healthcare system pyramid?

A
  1. Determinants of health & demographic factors (base tier)
    1. Health promotion & disease prevention
    2. Primary health & community care
    3. Specialist, acute & residential care
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10
Q

What factors are considered determinants of health in the Australian system?

A
  • Education
    • Employment
    • Income
    • Family and community
    • Rural and remote living
    • Indigenous status
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11
Q

What falls under health promotion and disease prevention in Australia?

A
  • Immunisation
    • Food and nutrition
    • Physical activity
    • Illicit drug use
    • Tobacco and alcohol control
    • Mental health
    • Cancer screening
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12
Q

What services are included in primary and community care?

A
  • General Practice (GPs)
    • Dental and pharmacy
    • Allied health
    • Aged and community care
    • Primary health networks
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13
Q

What does the top tier of Australia’s healthcare pyramid involve?

A
  • Public and private hospitals
    • Local hospital networks
    • Residential aged care
    • Pathology, diagnostics
    • Specialist and outpatient services
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14
Q

How does primary care address the determinants of health?

A
  • Targets individual-level risk factors
    • Promotes wellness through accessible services
    • Aims to reduce the need for specialised care through prevention
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15
Q

What types of research support Australia’s health system?

A
  • Biological research: Focus on biochemistry and body functioning
    • Population health research: Focus on what works, for whom, and in what contexts
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16
Q

What are the four main models of healthcare systems globally?

A
  1. Beveridge model – Government-funded and provided (e.g., UK)
    1. Bismarck model – Funded through employer/employee contributions (e.g., Germany)
    2. National health insurance model – Government-funded insurance (e.g., Canada)
    3. Out-of-pocket model – Individuals pay directly (common in low-income countries)
17
Q

What healthcare reform model is being discussed for Australia?

A
  • The Single-Payer Funding Model
    • Aims to align funding with population health goals
    • Promotes simplicity, efficiency, and equity in care access
18
Q

How is global health defined?

A

Global health involves strategies developed and implemented for health improvement across national boundaries (Beaglehole & Bonita, 2010).

19
Q

What defines a global or international organisation?

A

An organisation with membership, finance, and operations involving three or more countries (Walt, 1996)

20
Q

Which are the key organisations influencing global health?

A
  • United Nations (UN)
    • World Health Organization (WHO)
    • World Bank
21
Q

When was the UN established and what is its purpose?

A

Established in 1945, now with 193 member states, to coordinate and increase cooperation between countries.

22
Q

What are the six main bodies of the UN?

A
  1. General Assembly
    1. Security Council
    2. Economic and Social Council
    3. Trusteeship Council
    4. International Court of Justice
    5. Secretariat
23
Q

Which UN agencies influence health?

A
  • FAO: Food and agriculture
    • ILO: Occupational health and safety
    • WHO: Global health leadership
    • UNICEF: Health and wellbeing of children and adolescents
24
Q

What were the MDGs and why did they fall short?

A
  • Launched in 2000, targeted for 2015
    • Focused on poverty, hunger, education, gender, environment
      Fell short due to narrow focus, lack of inclusivity, poor sustainability and monitoring
25
What are the SDGs and when were they launched?
* Launched in 2015 with a target of 2030 * 17 goals aimed at improving health, sustainability, equity, and global development
26
What does the World Health Organization do?
* Leads global efforts for universal health coverage * Coordinates health emergencies * Promotes health across the life span * Sets global health policy and standards
27
What challenges does the WHO face?
* Conflicts with national governments or multinational corporations * Policy tensions on issues like pharmaceuticals, infant formula, and reproductive rights
28
How does the World Bank support global health?
* Lends to developing countries for health and development projects * Influences policy via health sector papers and family planning * Co-partners with WHO on SDGs and formerly MDGs
29
How has the World Bank contributed to global health since the 1980s?
* Increased health spending * Supports selective primary care (e.g., immunisation, antenatal care, HIV/AIDS) * Publishes World Development Reports
30
What is the ecological model of public health?
* Sees health as dependent on both natural ecosystems and social systems * Emphasises sustainable environments for long-term health outcomes
31
Why is sustainability essential in global health?
* Health depends on a thriving natural environment * The SDGs promote global sustainability as everyone’s responsibility