What is population health?
A framework for gathering and analyzing information about conditions that affect the health of a population. The aim is to both maintain and improve the health of the entire population to reduce inequities in health statues among population groups rather than that of the individual.
What is public health?
The use of health information to improve the health of communities. Public health programs often carry out recommendations made by population health studies.
What does population health integrate?
- public health initiatives
- health promotion
- disease prevention
What is the difference between population health and public health?
What reports were instrumental to the introduction of population health in Canada?
- The Lalonde Report (1974)
- Alma-Ata Conference (1978)
- Ottawa Charter for Health Promotion (1986)
- The Epp Report (1986)
- The Public Health Program Initiative
- Toward a Healthy Future: The First Report on the Health of Canadians (1996)
- National Forum on Health (1994-97)
Define determinants of health?
Factors that can adversely affect our health.
Name the 12 determinants of health as identified by the Public Health Agency of Canada (PHAC).
What is typically considered the most important determinant of health?
1. Income & social status: a lower socioeconomic status appears to be associated with poorer health and an earlier health. In other words, an individual's health tends to be proportional to his or her socioeconomic position.
What determinant of health is connected to 1. Income & social status?
3. Education & literacy: literacy and access to education often encourages a higher level of education, which in turn leads to a better paying job with a higher social status.
What agencies in Canada play an important role in formulating the country's population health approach?
- the Public Health Agency of Canada (PHAC)
- the Canadian Institute of Health Research (CIHR)
- Statistics Canada
- the Canadian Institute for Health Information (CIHI)
Name the 8 steps for the population health approach.
Element ___ and ___ are of particular importance.
Element 1 (Focus on the health of populations) and 2 ( Address the determinants of health and their interactions) are of particular importance.
Describe element 1. Focus on the Health of a Target Population.
Focuses on the health of a specific of the population or a specific target of the population (subpopulation). A study might be done on the general health of a target population, or it can be more specific, like cancer rates within a geographic area.
What following questions can measuring the health status of a population answer?
- How healthy is a population, and is its health improving?
- What can be learned about current trends in health status to help plan for future initiatives?
- What are the most important health issues?
What is a health indicator?
Summary measures designed to provide comparable and actionable information about priority topics related to population health or health system performance.
What method can be used to identify inequities in the health care system?
Ongoing population surveillance, based on health indicators.
Describe element 2. Address the Determinants of Health and Their Findings.
Determinants are scrutinized in terms of how they interact with one another. This can form the basis of developing and implementing population health interventions.
Describe element 3. Use Evidence-Informed Decision Making.
An evidence-informed approach uses the full range of data, both qualitative and quantitative in nature.
Describe element 4. Increase Upstream Investments.
Upstream investments refers to the process of making decisions that benefits the health of a community before a problem occurs. They typically address the root cause of a health problem and work backwards.
Describe element 5. Apply Multiple Strategies.
Introduce interventions to achieve the goal. Actions must relate directly to the situation.
Describe element 6. Collaborate Actions Sectors and Levels.
Intersectoral collaboration involves developing partnerships between different segments of society. Each groups comes to the table with its own values, outlooks, opinions, etc. They discuss health concerns and strategies.
Describe element 7. Engage the Public.
To obtain public support as the higher the public involvement, the higher likelihood of it working.
What is this describing?
How the new population health organizes population health.
Population health promotion policies are made using what 3 evidence sources?
1. Research studies
2. Knowledge from experience
3. Eval. of current programs to anticipate strategies needed for the future (upstream investments)