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Hlst 2030 Midterm Test Latest Update

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HLST 2030 MIDTERM TEST
LATEST UPDATE

organic organisation - ANSWER characterised by flexible lines of authority, less
specialised jobs and decentralised decisions

problem with canadian healthcare system - ANSWER - at risk of collapse

- lack of communication

- lack of doctors

- lack of space to admit patients

- lack of nurses

- demands increasing as population grows

- letting diseases progress, not catching them early, and burdening pressure care when
patient comes in with worsened state of health

- we only respond when there's a dire crisis

population health is determined predominantly by... - ANSWER social, environmental,
and economic factors and less by medical conditions

what makes people sick? - ANSWER - social isolation

- addictions

- stress form everyday life

- stress from climate change

- increased cost of living

- homelessness on the rise; unemployment; unfulfilling work

- rise in mental illness

- overmedicalization of society driven by big pharma motives

why is population health determined more by soc-eco-env factors? - ANSWER - best
medicine is nutritious food

,- cant tell someone to get exercise when they have nowhere to live, high in crime, afraid
to get shot, mobbed, or raped;

perspectives depend on... - ANSWER education, culture, professional cultures

- Many factors that come into your status and position that influence your perspective

- Your intersections influence your perspective

- Where you are in the system influencing your perspective in understanding the severity
and kind of problem within the healthcare system

- If you're a doctor, you perceive the problem critically, governments, research [receive
the problem differently depending on priorities

why is considering perspective important? - ANSWER - how we perceive the issue
impacts how we respond

- wrong perspective = wrong response, inability to address the problem accurately

- problem is bigger than rearranging resources and services; we have to get to the core
of the problem; look at it from a broader perspective

- The position from where you are viewing impacts your perspective

how can we look at the broader perspective? - ANSWER - Look and understand
patterns/development

- How do we end up in situations

- Knowing how we ended up here can help us backtrack and prevent future damage

- Move in the system so you get various perspectives

- Implicit rather than explicit assumptions

- Diversify the group so that we can change our assumptions

- spend more time defining the problem than solving it

reductionism - ANSWER dividing the system into its parts to understand their individual
properties

- Breaking things down

- Cause and effect relationship

- To understand the system, we'd break it down

what is wrong with reductionism? - ANSWER - perspective is LIMITED

- Without interproductivity you cannot see the problem because you have limited

, information and perspectives because of your position and ignorance

fundamental assumption of reductionism - ANSWER that systems work the same
individually as they work together

- Parts are reflective of the system

Inconsistent

- Assumes that taking the system apart and putting it back together creates the same
system

- Parts do not reflect the system

Brain ex. Interdependence of the brain is what makes the brain, not each individual
sector or part of the brain

holism - ANSWER systems are approached by viewing them as a whole so each
components seen in its context and in relation to one another

- i don't understand you as a separate identity

- looking at bigger picture

how can you connect holism and healthcare? - ANSWER - different health sectors do not
reflect what healthcare is

- Healthcare evolves and adapts and parts of the the system do not reflect the
characteristics of the system as whole

- Allocating resources to individual parts of the resources is wrong - assumption that
putting resources and money to home care is assuming that ER care and preventative
care is going to get better when it's not

- You need to think about interdependence

- less resources more principles

what is systems thinking? - ANSWER refers to the discipline of seeing wholes,
perceiving the structures that underlie dynamically complex systems, and identifying
high-leverage change opportunities.

1. interrelationships

2. perspectives

3. boundaries

first challenge we face with healthcare: - ANSWER - cost, quality, access: the iron
triangle

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