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Admin Final
Week 5: Public health interventions
52
Other
Graduate
12/07/2012

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Cards

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