final chapter 12
DESCRIPTION
Health Protection Disease PreventionTRANSCRIPT
![Page 1: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/1.jpg)
Chapter 12
Health Promotion and Disease Prevention
Teri KampwerthTara McKean
![Page 2: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/2.jpg)
Improve and control overall health Promote general well-being through a
healthy lifestyle Differentiate between primary, secondary
and tertiary disease prevention Responsibility for intervention
Key Points
![Page 3: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/3.jpg)
Prevalence Causes Complications How health care professionals can help Cultural Competence
Health Literacy
![Page 4: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/4.jpg)
Protect, maintain, and restore
Promotion of good health practices
Health Promotion
![Page 5: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/5.jpg)
![Page 6: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/6.jpg)
World Health Organization (WHO) Promoting development Fostering health security Strengthening health systems Harnessing research, information and
evidence Enhancing partnerships Improving performance
![Page 7: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/7.jpg)
Goal 1: ◦ Increase Quality and Years of Healthy Life
Goal 2: ◦ Eliminate Health Disparities
Focus Areas
Healthy People
![Page 8: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/8.jpg)
Exercise and fitness; Diet, nutrition, and eating right; Healthy lifestyle; Vaccination and immunization; Health screenings; Family planning; Mental health and mental disorders; Educational and community-based
programs
Lifestyle Objectives
![Page 9: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/9.jpg)
Cancer Heart Disease Alcohol and Drug Use Cardiovascular and Cerebrovascular Diseases
Effects of Negative Lifestyles
![Page 12: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/12.jpg)
The Campaign to End Obestity
![Page 14: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/14.jpg)
Occupational safety and health; Environmental health; Food safety; Oral health
Health Protection
![Page 15: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/15.jpg)
Healthy people living in every stage of life Healthy people in healthy places Healthy people in a healthy world People prepared for emerging health threats
Health Protection Goals
![Page 16: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/16.jpg)
U.S. Preventive Services Task Force◦ Screening◦ Counseling◦ Preventive medication
Availability & Utilization
![Page 17: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/17.jpg)
Overseeing the maintenance of safe living and working environments such as:◦ pure water;◦ clean air;◦ safe food;◦ drug products;◦ appropriate waste disposal;◦ elimination of hazardous situations; and◦ reduced risk of automobile accidents
Cont’d.
![Page 19: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/19.jpg)
Who offers disease prevention?
How are prevention strategies being used?
Availability and Utilization
![Page 20: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/20.jpg)
Cynical of outcome Suspicious about pricing
Skepticism and Cost-Effectiveness
![Page 21: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/21.jpg)
1. Applying Existing Knowledge2. Assigning Responsibility3. Addressing the Issues
Issues with the 3 P’shealth PROTECTION, disease PREVENTION, health PROMOTION
![Page 22: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/22.jpg)
Americans receive enough information◦ Media◦ Peers◦ Healthcare Professionals
Applying Existing Knowledge
![Page 23: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/23.jpg)
Who should be held accountable for taking action?
Dietician Society Individual Physician Government
= The Individual
Assigning Responsibility
![Page 24: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/24.jpg)
Epidemiologic transition
• 1970’s = communicable/contagious diseases• Today = epidemic disorders
Addressing System Issues
![Page 25: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/25.jpg)
Reorientation toward primary care
Specialist versus Generalists
Allergy/ Immunology - $158,000 Ambulatory - $ 80,000 Anesthesiology: General - $207,000 Anesthesiology: Pain Management - $315,000 Cardiology: Interventional - $290,000 Critical Care - $187,000 Dermatology - $ 195,000 Emergency Medicine - $192,000 Endocrinology - $171,000 FP (w/o OB) - $161,000 FP - Sports Medicine - $ 152,000FP - Urgent Care - $ 128,000Gastroenterology - $265,000 Medicine/Pediatrics - $139,000Medical Oncology - $198,000Neonatal Medicine - $286,000 Nephrology - $191,000 Neurology - $180,000
Addressing System Issues
Obstetrics/Gynecology - $211,000 Maternal/Fetal Medicine - $286,000 Occupational Medicine - $139,000 Ophthalmology - $138,000 Ophthalmology Retina - $280,000 Orthopedic Surgery - $256,000 ORS - Hip & Joint Replacement - $330,000 ORS - Spine Surgery - $398,000 Pathology - $169,000 Pediatrics - $135,000 Podiatry - $128,000 Radiation Oncology - $241,000 Radiology - $201,000 Rheumatology - $179,000 Surgery - General - $226,000 Surgery - Cardiovascular - $336,000 Surgery – Neurological - $354,000 Surgery - Plastic - $237,000 Urology - $261,000 SOURCE: Allied Physicians, Inc., Los Angeles Times and Rand McNally. Updated June, 2006
![Page 26: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/26.jpg)
Technologic advances
◦ Human Genome Project 13 years project Completed in 2003
Addressing System Issues
![Page 27: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/27.jpg)
Managed care Improves a person’s immediate health status Averts more serious problems later in life
Addressing System Issues
![Page 28: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/28.jpg)
Level of intervention
◦ Individual
◦ Community
◦ Social
Addressing System Issues
![Page 29: Final chapter 12](https://reader035.vdocuments.mx/reader035/viewer/2022062312/556b27fad8b42a296f8b4684/html5/thumbnails/29.jpg)
Insurance Coverage for Preventive Services
◦ Large variation among coverage
Addressing System Issues