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What is population health? - Answer: Explains and intervenes in the causes of systematic
differences in health among different population groups
How is population health different than the medical model? - Answer: Population health focuses
on changing factors that may lead to poor health, while the medical model focuses on factors
linked to a specific disease. The medical model is reactive, whereas the population health model
is proactive.
What are the key determinants in the population health model? - Answer: 1. Policymaking
2. Social and physical
3. Health services
4. Individual behavior
5. Biology and genetics
What are examples of policymaking determinants? - Answer: Increasing taxes on tobacco,
requiring seat belts
What are examples of social and physical determinants? - Answer: Educational and job
opportunities, exposure to violence
What are examples of health services determinants? - Answer: Availability of health care, cost,
coverage, limited language proficiency
What are examples of individual behavior determinants? - Answer: Diet, physical activity
What are examples of biology and genetics determinants? - Answer: Determinants located on an
individual's genetic material. Means that the individual will be more susceptible to certain
diseases.
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, What is health literacy? - Answer: the degree to which individuals have the capacity to obtain,
process, and understand basic health information and services needed to make appropriate health
decisions
Why is health literacy important? - Answer: It affects the ability to navigate the system, locate
services, and fill out forms, share info w/ providers, engage in self-care and chronic disease
management, adopt health-promoting behaviors, act on health-related news.
How is health literacy measured? - Answer: There are two different types of tests, Rapid
Estimate of Adult Literacy in Medicine and Test of Functional Health Literacy in Adults.
REALM is a word recognition test where individuals are scored on the number of words
pronounced correctly. TFHLA is a reading and numeracy comprehension test, with an overall
time of 22 minutes.
What are the red flags of low health literacy? - Answer: 1. Frequently missed appointments
2. Incomplete registration forms
3. Unable to give coherent, sequential history
4. Ask fewer questions
5. Lack of follow-through on tests or referrals
6. Non-compliance with medication
7. Unable to name medications, explain purpose, or dosing
8. Identifies pills by looking at them, not reading label
What can providers do to help patients with low health literacy? - Answer: Providers can ask
patients to repeat in their own words what they need to know or do, also known as Teach Back
What is the teach back method? - Answer: A chance to check for understanding and, if
necessary, re-teach the information. Physicians should ask patients to demonstrate understanding
by breaking complex information into understandable chunks and using plain language.
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