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HLTH 101 (124)
Glenn Ward (13)

Health 101 Topic 4 Using Knowledge to Change Human Health Status (abstract) Basic Paradigms i. Individual Reactive Intervention Approach - Includes biomedical, psychology, some alternative medicine - Often not successful - Ignores broad determin

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Queen's University
Health Studies
HLTH 101
Glenn Ward

HLTH 101 Fall 2010 TOPIC 4. USING KNOWLEDGE TO CHANGE HUMAN HEALTH STATUS Basic Paradigms i. Individual Reactive Intervention Approach - Includes biomedical, psychology, some alternative medicine - Often not successful - Ignores broad determinants of health (based on system of diagnosing and treating, not other factors like environment) - Success in trauma, some antibiotics, antivirals, vaccines, and especially reduction in morbidity (pain, discomfort). ii. Population-Based Approaches - Prevention at population level - Historically successful? (stopping child labour, accident prevention, seatbelts, motorcycle helmets, improved nutrition, infectious disease surveillance/control) - All difficult to carry out; long term changes. The Population Health Approach — in Canada, the population health approach has been institutionalized as “official” policy — this was not accomplished overnight, but developed over the past few decades 1. 1974: the Lalonde Report, examining the factors that affected the health of Canadians, was released — with this report, the Canadian Government officially recognized that the nation’s health was determined by factors beyond narrow definitions of health 2. 1986: the Ottawa Charter for Health Promotion was established, identifying the “prerequisites” for health and HLTH 101 Fall 2010 recognizing the possibility of ensuring these prerequisites at the federal level 3. 1994: the Federal, Provincial and Territorial Advisory Committee on Population Health (ACPH) — defined population health as determined by 1. biology and genetic endowment 2. the physical environment 3. living and working conditions (the “socioeconomic environment”) 4. health services and their delivery 5. early childhood development 6. personal health practices and coping skills 7. social support ii. The Public Health Approach Functions: 1) Health Protection –food/water safety -sanitation 2) Disease and Injury Prevention – vaccinations, outbreak management 3) Population Health Assessment/ Risk Factor Surveillance 4) Health Promotion The Public Health Model — the Institute of Medicine (1988) defined the public health mission as follows: “to fulfill society’s interest in assuring conditions in which people can be healthy” — the public health mission, while based on population health models, also incorporates health care into it’s mission — main features: 1. highly organized rather than individualistic: — assesses and monitors the health of a population, often through the list of “reportable” diseases HLTH 101 Fall 2010 (diseases that must be reported to local public health authorities by the physicians who diagno
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