SOLUTIONS!!
Medicine vs. public health correct answers Public health is the economic, social, and
environmental determinants to healthcare including policy, while medicine deals with the
prevention, diagnosis, and treatment of individuals
Health determinants If given an example or case study, be able to explain how the health
determinants contribute to health, disease, disability and death correct answers BIG GEMS:
Behavior - Infections - Genetics - Geography - Environment - Medical Care - Socioeconomic
Factors
The "public health approach" or the P.E.R.I.E. process. Be able to define and apply these
concepts if given an example or case study correct answers PERIE: Problem, Etiology,
Recommendations, Implementation, Evaluation
PERIE in regard to lung cancer
Problem: People are dying of lung cancer
Etiology: Smoking was determined to cause cancer
Recommendation: Evidence is solid, shown that smoking increases risk, having smokers stop
smoking shows increased health benefits
Implementation: Properly label cigarette cartons with carcinogenic warnings, make it harder
to smoke
Evaluation: Smoking has gone down, newer generations stay away from cigarettes more than
older
Social justice vs. market justice correct answers Social Justice: setting a minimum bar of
levels of income, basic housing, employment, education, & health care should be seen as
fundamental RIGHTS (for the common good), sees healthcare as a right
Market Justice: emphasize individual responsibility, minimum obligation to the common
good, & fundamental freedom to all individuals to be left alone, sees healthcare as a reward
Theories and models to address health behavior correct answers Intrapersonal Level
Health Belief Model (HBM) - based on a persons perceived risk of disease
Stages of Change Model - based on a belief that behavior change occurs in stages
Theory of Planned Behavior - based on the idea that intention is the main predictor of
behavior. The theory proposes that behavioral intention is influenced by an individual's
attitude toward performing a behavior, his or her beliefs about whether people important to
him or her approve or disapprove of the behavior, and his or her beliefs about their control
over performing the behavior
Interpersonal Level
Social Cognitive Theory -
changing behavior requires an understanding of: