Term
PH interventions start with _________________ and ___________________ the problem. |
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Definition
Identifying and framing the problem |
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Term
Two types of preventative interventions: |
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Definition
1. Clinical interventions 2. Community interventions |
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Term
What types of forms can interventions take place as? |
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Definition
-Statutes -Regulations -Policies and operational programs/services intended to improve health status |
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Term
Programs are a ______________________________________________ that are coordinated an effort to achieve a common _____________________. |
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Definition
Collection of processes, objectives |
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Term
Programs and services can be described in terms of their: |
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Definition
1. Intervention strategy 2. Level of prevention 3. Practice domain 4. Target population |
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Term
What 6 categories of programs reprsents what PH seeks to do? |
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Definition
1. Prevent epidemics 2. Protect the envio, workplace, housing, food & water 3. Prevent injuries 4. Promote positive health behaviors 5. Preparedness and respond to disasters 6. Ensure the quality, accessibility, and accountability of health services |
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Term
What are the key questions in determining the effectiveness of specific clinical preventative services: |
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Definition
-How important is the target condition (frequency and severity)? -How important is the risk factor? -How accurately can the risk factor or target pop be identified? -Is the preventative service effective? -Do the benefits of implementation outweigh the costs? |
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Term
What are some reasons why many clinical preventative interventions are underutlized? |
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Definition
-Lack of payment -Provider education and practice patterns -Fragmented US system -Proliferation of recommendations that has created uncertainty about use |
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Term
What are the three general areas that community preventative services focus on: |
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Definition
1. Changing Risk Behaviors 2. Reducing disease, injuries, and impairment 3. Addressing environmental and ecosystem challenges |
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Term
What has the variation of what PH agencies focus on led to? |
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Definition
EVIDENCE BASED PH PRACTICE GUIDELINES |
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Term
What is inlcuded in the framework for enhancing evidence based PH: |
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Definition
1. develop a statement of the issue 2. review of scientific lit to determine what is known about issue 3. define and quantify the issue 4. develop program and/or policy options 5. develop a plan of action for implentation 6. evaluate the program or policy for effectiveness and revise as needed |
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Term
_________________ and _________________ are the primary criteria for evaluating program interventions. |
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Definition
-Effectiveness -Efficiency |
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Term
Effective management requires a ______________________ and __________________________. |
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Definition
-Problem statement -Logic model (set of theoretical link/assumptions related to a program and its determinates --causation chain) |
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Term
Program management revolves around the processes of __________________ and ______________ of resources. |
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Definition
Processes of allocation and utilization of resources |
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Term
What are two sins of PH program management? |
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Definition
-failing to achieve program objectives when adequate resources are available -Utilizing more resources than are necessary to achieve a program's objectives |
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Term
What are the three phases of the management cycle? |
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Definition
1. Planning 2. Implementation 3. Evaluation |
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Term
Program management revolves around the development of what? |
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Definition
Dynamic objectives (focus the work process) |
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Term
Planning and evaluation and ________________ and __________________.....what required adoption |
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Definition
Linked and cylindrical -changing internal and external circumstances require adoption |
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Term
What are 5 key questions to guide program managers? |
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Definition
-Where are we? -Where do we want to be? -Should we do something? -What should we do? -How do we know that we are getting there? |
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Term
What is the first thing to answering 'where are we' |
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Definition
Define the problem ---BASIS OF CURRENT AND FUTURE ASSESSMENT |
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Term
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Definition
-identify desired outcome objective and compare where we aare |
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Term
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Definition
-maintain current efforts? -discontinue current efforts? -implement new interventions |
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Term
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Definition
-Analyze for determinate and contributing risk factors (direct vs. indirect risk factors) |
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Term
How do we know that we are getting there? |
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Definition
Measuring and comparing intended and actual results |
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Term
What is included in the multi level program evaluation? |
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Definition
Outcome objective (change in level of health prob in comm) >> impact objective (change in determinates of health prob)>>> process objectives (change in contributing factors for determinantes) >>>> activity measured (performance of specific tasks |
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Term
What is critical to actions? |
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Definition
The capacity ---resources, authority, etc |
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Term
What type of hypothesis is an intervention strategy? |
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Definition
Causal hypothesis--logic model |
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Term
What are the philosophical considerations faced in developing PH interventions? |
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Definition
---market--autonomy of individuals takes precedence over consequences of actions to a population
--social-well being of the pop takes precedent over the interest of individuals |
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Term
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Definition
Utilitarian tradition----greatest good for greatest number of ppl |
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Term
What are the 2 diff views as to gov't proper role regarding health care services? |
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Definition
1. View of health care services as a commodity (item that can be bought and sold)
2. View of health care services as part of the infrastructure of the notion |
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Term
What must PH interventions deal with regarding different groups in the pop? |
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Definition
Differences in beliefs and values of diff groups |
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Term
What must PH interventions address? |
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Definition
inequities among population groups as they relate to health status |
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Term
How is population health associated with non-health factors? |
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Definition
Social enviros have strong impact on individual behaviors which affect their health risks/status |
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Term
4 types of policy initiatives to address health inequalities: |
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Definition
1. strengthening individuals 2. Stregthening communities 3. Improving access to essential facilities and services 4. Encouraging macro economic and cultural changes |
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Term
3 considerations for communications in PH: |
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Definition
1. The communication strategies 2. The reasons for communication 3. The channels of communication |
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Term
Communication strategies---who must ph admins communicate with |
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Definition
-public -policy makers -other involved stakeholders |
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Term
What does the choice of a particular channel depend on? |
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Definition
Content and most effective means of reaching the target audience |
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Term
3 primary PH constituencies for managers: |
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Definition
1. communities services 2. involved policy makers 3. stakeholders within the org. |
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Term
How do you PH agencies communicate with the communities serviced? |
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Definition
- clear on reason for comm -can be entire comm or segments -can take several forms |
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Term
What is important in communicating with policy makers? |
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Definition
becoming a trusted source of PH info |
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Term
What is important in media relations and PH management? |
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Definition
CAREFUL CHOICE OF LANGUAGE |
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Term
What is key in PH marketing? |
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Definition
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Term
What is the point of social marketing? |
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Definition
influence voluntary behavior of the target audience and change the social norm |
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Term
2 marketing efforts in PH" |
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Definition
1. downstream--influence changes in behaviors of individuals 2. upstream-making changes in policy that impact health behaviors |
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Term
4 key principles of marketing: |
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Definition
1. know the consumer 2. create products consumers want or need 3. find ways to get the products/services to consumers 4. a committment to changing /adopting the products or services to consumers needs/desires |
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Term
What can provide the basis for health planning and marketing strategies? |
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Definition
Systematic community health assessment process |
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Term
What must you have a thorough understanding of for key strategic considerations? |
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Definition
-prob to be addressed -audience to be reaches -desired aciton to be taken -enviro in which action will take place |
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Term
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Definition
1. product 2. price 3. place 4. promotion |
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Term
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Definition
products and services the organization offers |
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Term
Marketing distinguished by its focus on: |
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Definition
-exchange relationships -beavior changes--- get people to take action ---- must seem 'doable' -competition -comsumer orientation and audience segmentation -formative and process eval |
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Term
What does social media marketing provide? |
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Definition
opportunities for interactivity between the marketer and the recipient/audience --facebook,etc |
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Term
Who are the stakeholders in PH constituency? |
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Definition
-supporters and/or clientelle |
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