Summary PHRM 100 PPHC Module Comprehensive Notes

fPPHC Cumulative Final Notes
Recognize determinants of health of population
Health Indicators
- Morbidity/health status
 Health-related quality of life: poor health days, self-rated health status
 Obesity
 Chronic diseases
- Health behaviors
 Smoking, physical activity, diet, drinking, drygs
- Health care access
 Insurance coverage
 Regular care source
 Avoidable hospitalization
 Receipt of preventive services
 Describe the Canadian health care system and its origins
Social Indicators
- Physical environment
 Area, access, environment
- Social environment
 Income, education, social support
- Child and family focused
 Parental education, parental practices, early developmental screening, family social
environment
Health System Performance Indicators
- Access
 Insurance, rural health
- Cost
 Expenditure, percentage of GDP, drug costs, hospital costs, resources per patient
- Quality
 Effective and safe
ID primary determinants of health

,Differentiate bw primary and social determinants of health
- Social: aboriginal status, disability, early life, education, employment/working conditions,
food insecurity, health services, gender, housing, income/income distribution, race,
social exclusion, social safety net, unemployment/job security
Define health selection and social causation
- Health selection: relationship bw health and another factor is due to poor health causing
the association (not able to go to work/go to school)
- Social causation: nature and distribution of social/economic resources leading to health
status diffs
Diff between inequity and inequality
- Health inequality: health status diffs across/bw pops

, - Health inequity: health inequities are avoidable inequalities in health among groups of
people within and bw pops
Explain psychosocial, behavioral, and material pathways to better health
- psychosocial: higher statuscontrol, adaptive/effective response to stressbetter
immune system functioning
- behavioral: dietary practices, exercise, smoking
- material: social and economic determinantshealth access enhancing/sustaining
resources
Explain diffs in population and individual strategies for pop health
- strategies for prevention
 individual based: high risk screening, high risk intervention, risk benefit balance
assessed (individual identification, large potential individual benefits, small potential
pop benefits, good understanding of effects)
 population based: ID risk factors, policies reducing risk factors, risk benefit balance
for communities (no individuals ID, small individual potential benefits, large potential
pop benefits, poor understanding of effects)
Describe Canadian Health care system in terms of: composition, funding, operation
- ensures residents have reasonable access, medically necessary insured services
without direct charge
- CHA criteria: public administration, comprehensiveness, universality, portability,
accessibility
- Public administration: health care insurance plans admin/operated on non profit basis by
public auth
- Comprehensiveness: must insure all insured health services
- Universality: all insured residents must be entitled to insured health services provided by
plans on uniform terms/conditions


Brief details of Canadian health care history