Term
| 5 Key dimensions of Ph as a system-- |
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Definition
-purpose
-functions
-capacity
-processes
-outcomes |
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Term
| What is the traditional methods of Ph that still applies? |
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Definition
-gather info
-decide what is needed
-prioritize problems
-plan interventions |
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Term
| Presisting and re-emerging PH challenges: |
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Definition
-infectious disease
-tobacco use
-food safety
-enviro quality
-cardiovascular disease |
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Term
| ***Evolving, emerging and newly assigned challenges for PH: |
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Definition
-substance abuse
-obesity
-chronic disease
-violence
-bioterrorism and emergency preparedness |
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Term
| Problems and threats to public's health: |
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Definition
-global enviro threats
-disruption of vital eco
-global pop overload
-potential for global/massive pandemics
-widening social justive and health inequities |
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Term
| Progress in PH is linked to? |
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Definition
-science
-social/political values |
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Term
| What are the 2 major forces shaping Ph responses? |
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Definition
-science
-social/political vlues |
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Term
Problems and limitation of PH practice:
-Problem of ______________ thinking
-Failure to view problems as ___________ phenomena
-Need to recognize and address inherent ___________ of PH issues
-Tension between emphasizing the health of __________ vs. __________________
-Emphasisizing ______ ________ for afflicted vs. a more ____________ view of health
-What is expect of ___________ |
|
Definition
-problem of reductionist thinking in PH
-failure to view probs and continuous phenomena
-need to recognize and address the inherent complexity of PH issues
-tension between emphasizing the health of individuals vs. the health of communities
-emphasizing curative treatments for afflicted individuals vs. a more holistic view of health
-what is expected of gov' |
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Term
| What image of PH did the 1988 IOM report portray? |
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Definition
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Term
| What does turnock argue the most serious challenge facing ph is? |
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Definition
| americans take it for granted |
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Term
| 4 factors that argye gov'r alone should not have full responsibility for PH: ****(name 3 of four) |
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Definition
1. PH resources are limited
2. democratic societies limit powers of gov't
3. determinates of health derived fro multiple sources
4. growing evidence that multi sectored collaborations are more powerful and effective than gov't acting alne |
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Term
| External barriers to improvement in PH system |
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Definition
-lack of ecological view and resources
-restriction of gov't |
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Term
| Internal barriers to improvement in PH system |
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Definition
-use of categorical approaches to program management
-inability to prioritize and focus PH efforts
-gov't is often portrayed as incompetent and overly intrusive |
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Term
| Public health has operated as _____________, ______________, ____________________ subsystem to the more dominating personal health care system---and not as an integrated part of the broader health system |
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Definition
| parallel, categorical, and poor prioritized |
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Term
| What type of approach is needed to prevent disease and promote health which must be embraced throughout society and by its health related institutions? |
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Definition
| integrated societal approach |
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Term
| How much of US expenditure (pub and private) support public healths core functions? |
|
Definition
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Term
| What can the future ph system not afford? |
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Definition
| to be dictated by outmoded tools, unworkable structures, and outdated staffing models |
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Term
| General reasons for SLOW transformation of PH: **** |
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Definition
-competing priorities
-structural variability
-outdated staffing models
-limited resources |
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Term
| Specific transformation issues/problems; |
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Definition
-directionless funding
-uncoordinated efforts
-fragmentation of PH authority across all levels of gov't
-systematic failure |
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Term
| critical dimensions of transforming ph: |
|
Definition
-formulation of a vision
-dedicated resources
-regionalization
-risk assessment
-workforce restructuring
-technological upgrades
-leadership and direction
-mobilize private sector assets
-performance measurement |
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Term
| Three major approaches of transforming practice of PH: |
|
Definition
1. developement of widely accepted standards that define optimal PH practice
2. promoting the wide spread use of performance management principles, guidelines and tools to improve the quality of ph organizations and programs
3. development of a national voluntary acceditation system for PH agencies at the state and local level |
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