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Started the American statistical foundation
Wrote one of the first public health document
The Shattuck Report was the first concrete + comprehensive plan for a state program of public health in US |
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English
Sanitary Conditions of the Laboring Population of Great Britain
Author of the Chadwick Report
General Board of Health was established in Britain in response |
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English
Crimean war
Pioneered the use of statistics to develop health policy and administration
Used public health principles through use of community assessment and statistical analysis and development of health policy and administration.
Advocated for an aggregate group (British soldiers)
Work concentrated on the environmental determinants of health and sanitation |
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Founder of district nursing
Services were directed toward sick poor in their own home= visiting nurses
Included health and sanitary education
Would provide care to several people at a time |
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| Lillian Wald + Mary Brewster |
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Definition
Originated the term, “Public Health Nursing”
Secured changes in national child labor laws
Founder of first known community health agency in the US= Henry Street House Settlement
Established of school nursing in US
Helped establish the US children’s bureau
Founder and first president of the National Organization of Public Health Nursing
Worked for poor in tenements to help them care for selves and gave them political voice
Helped in the establishment of the American Red Cross Town and Country Nursing Service to provide rural visiting nursing |
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| Founded frontier nursing service = professional nursing service in SE Kentucky |
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a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
A relative term
a continuum, with illness and peak wellness being at either extreme. |
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| Indicators of the community’s health |
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Definition
• disease rates- incidence, prevalence, mortality, and burden of disease in comm.. For example= cancer incidence rates
• morbidity rates
• mortality rates- are life expectancy, infant mortality, age-adjusted rates, and. |
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Term
| the three public health core functions |
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Definition
Assessment- competencies?
Policy development- competencies?
Assurance- competencies? |
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| a collection of people who share one or more personal or environmental characteristics |
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| people and the relationships that emerge among them as they develop and use in common some agencies and institutions and share a physical environment. |
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| Health that became a goal proposed by the WHO at Alma Ata in 1978 |
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| Attain the highest possible level of health by all people which will permit people to live more socially and economically productive lives. |
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| To promote health for all citizens of the world permitting them to live socially and economically productive lives. |
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| differences in adverse health conditions among specific population groups |
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| purpose of Healthy people 2010 |
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| increase the overall health of the people in the US |
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| The goal of Healthy people 2010 |
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Definition
| Increase the span of healthy life Reduce health disparities |
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| Personal care that is continuous, comprehensive and coordinated |
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| Primary Health Care System: |
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| Essential care made universally accessible (Socialized Healthcare; like the military) |
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| Primary Care Delivery System |
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Definition
| first contact and continuous, comprehensive, coordinated care |
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| Describe the role of DHHS |
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Definition
Main organizational body of the public health system
Protects health of all Americans
Provides essential human services |
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| Pure food and Drug Act of 1906 |
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Definition
• Estab program to control manufacturing, labeling, and selling of food
• The FDA administers portions of this act
• Cosmetics, foods, drugs all regulated for the first time |
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| Children’s Bureau Act of 1912 |
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Definition
protect children from labor practices and to provide programs to improve children’s health
Lilian Wilde was an advocate |
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| Social Security Act of 1935 |
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Definition
• Welfare for high-risk mothers and children
• Health care for older adults and disabled added later
• Amendments to this act provided Medicare and Medicaid |
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| Public Health Act of 1944 |
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Definition
Established National TB Program
Funding for public health research
Commissioning of nurses in the Public Health Service Corps
Appropriations to states for public health |
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| Social Security Amendment of 1965 |
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Definition
= Medicare
• Covers 65 and over
• Also covers permanently disabled
• End-stage renal disease
• http://www.cms.hhs.gov/MedicareGenInfo/ |
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Definition
• Social Security Amendment 1965 (Title 19)
• Combined federal and state program (50/50)
• Provides access to care for poor and medically needy of all ages
• Services determined by the state |
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| Tax Equity and Fiscal Responsibility Act of 1982 |
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Definition
• Prospective payment system
• DRG’s
• Radically changed reimbursement |
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| Consolidate Omnibus Budget Reconciliation Act of 1985 |
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Definition
• All hospitals participating in Medicare must treat patients in ER even if they cannot pay
• Provides for way to keep insurance when employment changes |
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| h. Health Insurance and Portability Act of 1996 |
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Definition
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| Components of health planning model |
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Definition
Assess
Plan
Intervene
Evaluate |
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| subgroup that shares common risks or a combination of risk factors that effect health in a negative way. |
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| Cognitive learning theory |
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Pt will not do something unless they value the outcome of their action
== feeling better |
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| Pt will be more likely to do something unless I know that it will help me avoid disruptions in my life |
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| learning is programmed thru stimulus and response |
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| • Simple Measure Of Gobbledygook |
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