According to the article by Kindig and Stoddard, which of the following is considered to be a component
of the definition of 'Population Health'? - correct answer -assessment of health outcomes in a pop
-assessment of determinants of health outcomes in a pop
-policies that influence determinants of health outcomes in a pop
Winslow's definition of public health - correct answer the science and art of preventing disease,
prolonging life and promoting health through the organized efforts and informed choices of society,
organizations, public and private, communities and individuals
What is public health? - correct answer the set of activities a society undertakes to monitor and
improve the health of its collective membership
3 features of public health - correct answer 1. focus on preventing disease and injury
2. "patient" is entire community, not individuals
3. "provider" is society, not individual professionals
Public health vs medicine - correct answer health care: an individual provider gives treatment
services to an individual patient
Ex: going to get a cavity filled
public health: government or state works to prevent people from getting sick
Ex: government puts fluoride in tap water to prevent cavities
public health focuses on populations, whereas medicine focuses on individuals
Increased life expectancy in the US during the 20th century - correct answer +5 years: medical care
system
, +25 years: public health systems
-sanitation
-housing
-nutrition
-job safety
Compare US expenditures on public health and medical care - correct answer medical care: 3.5
trillion
public health: 50 million
why?
1. economic interests cater to services for individuals, not the public good
2. special interest groups impacting policy
3. "rule of rescue"- current trauma first before abstract future benefits
4. lack of appreciation for relative risks (cars vs airplanes)
5. "invisibility" of public health
-makes it difficult to sell public health policies to legislatures and people
-don't see public health when it works (measles/mumps/polio vaccines)
-success is translated into invisibility
Why is public health a "tough sell" - correct answer the benefits are deferred and the costs are
immediate
Ex:
Health promotion: exercise program
- benefits: abstract, deferred, if you exercise regularly throughout life you have a better chance of
avoiding a heart attack later in life
- costs: tangible, immediate, needs to be done today
Disease promotion