Health Promotion

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  • 1. Health Promotion Disease Prevention Pascale Gehy-Andre

2. A systematic approach to health improvement

  • Healthy People 2010
  • National
          • Community

3. Role Players

  • Clinicians
  • Businesses
  • Scientists
  • Communities
  • Individuals

4. Clinician Role

  • Diagnosis and Treatment
  • Empathy
    • Cure sometimes
    • Relieve often
    • Comfort always
  • Secret of care is caring for the patient
  • PREVENTION BY EDUCATING

5. History

  • Healthy People Surgeon General1979
      • Health Promotion Disease Prevention
  • Healthy People 20001990
        • Infant Mortality
        • Life expectancy
  • Healthy People 20102000
        • Rate of Advancement
        • Quality of Life

6. Preventive Medicine

  • Primary Prevention
  • Secondary Prevention
  • Tertiary Prevention

7. PRIMARY PREVENTION

  • Removes or Reduces diseases risk factors.
    • Immunization
      • H flu reduced 95% since first conjugate vaccine
    • Smoking cessation
    • Improved sanitation

8. Secondary prevention

  • Promotes techniques to early detection of disease or precursor states
    • Pap Smear

9. Tertiary Prevention

  • Measures aimed at limiting theimpact of established disease
    • Partial mastectomy and radiation therapy.

10. Healthy People 2010

  • Population growing older Increase quality and years of healthy life
  • Diversity of population
    • Eliminate health disparities.
      • Improving health of each individual
      • Health of the community
      • Health of the nation

11. Systematic Approach

  • Four key elements :
    • Goals FocusDirection
    • ObjectivesDeterminant of health
    • Determinants of health PhysicalSocial
    • Health status Ultimate Measure

12. Goals

        • quality and years of healthy life
        • Life Expectancy
        • Beginning 20 thcentury47.3 yrs
        • Today77 yrs
        • ?? Substantial differences among different population groups in the US.
        • Eliminate Health Disparities

13. Life Expectancy By Country

  • Female
  • Country Yrs ofLife expectancy
  • Japan 82-9
  • France 82.6
  • Switzerland 81.9
  • Sweden 81.6
  • Spain 81.5
  • Canada 81.2
  • Australia 80.9
  • Italy 80.8
  • Norway 80.7
  • Netherlands 80.4
  • Greece 80.3
  • Finland 80.3
      • Male
  • Country Yrs ofLife expectancy
  • Japan 76.4
  • Sweden 76.2
  • Israel 75.3
  • Canada 75.2
  • Switzerland 75.1
  • Greece 75.1
  • Australia 75.0
  • Norway74.9
  • Netherlands 74.6
  • Italy 74.4
  • England and Wales 74.3
  • France 74.2

14. Life Expectancy By CountryContd

    • Female
  • Country Yrs ofLife expectancy
  • Austria 80.1
  • Germany 79.8
  • Belgium 79.8
  • England & Wales 79.6
  • Israel 79.3
  • Singapore 79.0
  • United States78.9
          • Male
  • Country Yrs ofLife expectancy
  • Spain 74.2
  • Austria 73.5
  • Singapore 73.4
  • Germany 73.3
  • New Zealand 73.3
  • Northern Ireland 73.1
  • Belgium 73.0
  • Cuba 73.0
  • Costa Rica 73.0
  • Finland 72.8
  • Denmark 72.8
  • Ireland 72.5
  • United States 72.5

15. Quality of Life

  • Encompasses all aspects of life including:
  • Health Beliefs
  • Recreation Aspirations
  • Culture
  • Rights
  • Values

16. Tools to measure Quality of Life

  • 1- Global Assessments
      • Poor Fair
      • Good Very Good
      • Excellent
    • 2- Healthy Days
    • 3- Years of healthy life

17. Eliminate Health Disparities

  • Eliminate differences that occur by :
  • 1- Gender 2- Race 3- Ethnicity
  • 4- Education5- Income 6-Disability
  • 7- Geographic location
  • 8- Sexual orientation

18. Achieving Equity

  • Healthy people 2010 is firmly dedicated to the principle that regardless of health disparities, every person in every community across the nation deserves equal access to comprehensive, culturally competent, community-based health care systems that are committed to serving the needs of the individual and promoting community health.

19. Objectives

  • Monitored through 467 objectives in 28 focus areas.
  • Focus of objectives:
    • Intervention to eliminate illnesses
    • Improving access to quality health care
    • Strengthening public health services
    • Improving the availability and dissemination of health-related information.

20. Determinant of Health

  • Behavior and environmental factors
  • Individual biology and behaviors
  • Policies and interventions
  • Access to quality health care
  • Health Status

21. 22. Leading Causes of Death, 1997 23. Leading Causes of Death, 1900*