HLTH130 FlashCards - 5 Step Process to Approaching Health...

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5 Step Process to Approaching Health Problems in a Community 1: Define the problem 2: Identify risk factors 3: Develop and test community interventions 4: Implement interventions 5: Monitor/evaluate interventions PRECEDE-PROCEED Model The PRECEDE-PROCEED model is a planning model used to identify interventions strategies PRECED model: Predisposing, Reinforcing, Enabling Constructs in Educational/Environmental Diagnosis and Evaluation PROCEED model: Policy Regulatory and Organizational Constructs in Education and Environmental Development 1988 IOM Report: The Future of Public Health The most comprehensive, in-depth look at U.S. public health systems Began process of systematic change Findings: 1) capacity of government agencies to perform essential public health functions was lacking 2) emphasized "assuring the conditions so people can be healthy" as part of the mission of public health 3) Why focus on conditions? Why cant we just focus on an individual's health? Why Public Health is a Public Matter "Health care is vital to all of us some of the time, but public health is vital to all of us all of the time" Core Functions of Public Health Assessment: Collection and analysis of information to identify important problems; assessment and monitoring of the health of communities and populations at risk to identify health problems and priorities Policy Development: Setting priorities and developing strategies based on the assessment of health needs Assurance: Assuring that appropriate services are available and accessible to meet the needs of the population; Assuring that all populations have access to appropriate and cost- effective care Assessment Addresses: what health problems exist? How many people are affected? How many people are dying? What are the causes? Systematically collecting information: develop surveys that have rigor and validity (Psychometrics - from one implementation to the next of the same survey, we are getting the same information) Analyzing information: Epidemiologists and biostatisticians take the raw data collected and calculate incidence, prevalence, mortality rates, and more to give us a sense of the burden of diseases in different populations (who, in the community, is suffering?) Communicating information: To the public and policy makers so that they make rational choices and set appropriate policies Policy Development Definition: Formulating public policies , in collaboration with community and government leaders, designed to solve identified local and national health problems and priorities Community driven process: mobilizing and engaging in the community, action with and by the community, planning driven by the community, partnerships to strengthen the community Applying scientific knowledge (strategic approach), formulating public policies (democratic approach), serve "public" interests (social justice not vested interests) Definition: Assuring that all populations have access to appropriate and cost-effective care, including health
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Assurance promotion and disease prevention services, and
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