Definitions | Determinants | Interventions | Pearls & Peeves | |
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What is POPULATION HEALTH?
This term refers to the health outcomes of a group of individuals, and the distribution of such outcomes within a group.
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What is E?
Premature mortality: total number of deaths before life expectancy ie <77yo in US; determinants a-d are listed in order of most freq-least freq cause of premature death in US. Not listed: environmental exposures e.g. air/water quality, occupational hazards.
The following are determinants of health contributing to premature mortality in the US:
a. behavioral patterns, b. genetics, c. social circumstances, d. medical care, e. all of the above? |
What is E?
Absentee ballots, hospital or med school communication directors, collaborating with legal clinics all help!
Busy clinicians can improve health through
a. voting, b. writing an op-ed, c. speaking w local govt d. medical-legal partnerships, e. all of the above |
What is T?
Life expectancy is similar to less wealthy nations (e.g. Portugal, S. Korea) and is even worse when stratified by race (Life expectancy in US: up to 14y lower in Blacks than in Asians, depending on region of US)
T or F: Despite having the highest per capita income in the world, the US lags behind other nations in life expectancy at birth.
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What is HEALTH LITERACY?
This is the degree to which individuals have the capacity to understand basic health info in order to make health care decisions.
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What is D? Lack of access to care, delays in dx/tx, and medical errors cause 11% of premature deaths in the US.
MEDICAL CARE (i.e. errors/delays) is responsible for what proportion of premature death in the US?
a. 60% b. 40% c. 25% d. 10% e. 5% |
What is (any of the following:) teach-back method, using simple ratios (3/1000 vs 0.3%,) written/verbal/visual communication
This is one example of leveraging patients' HEALTH LITERACY to improve communication (multiple possible answers; pls give one example.)
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What is a SOCIO-ECOLOGIC model of health?
Other models include upstream-downstream (public health) or pyramid models of health.
This is a model (framework) of health that organizes determinants of health into indiv, community, and environmental levels or domains.
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What is C?
This is the range of personal, social, economic, and environmental factors that influence health outcomes (pick one:)
a. health disparity, b. health equity, c. determinant of health, d. built environment, e. population health |
What is the BUILT ENVIRONMENT?
This is an environmental-level determinant of health that influences behavior through man-made structures, e.g. food deserts, safe spaces for physical activity, violence
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What are (multidisciplinary) co-located visits? Neuromuscular clinic (neuro/us/neurosurg) PCP (w DM ed, soc work)
This intervention has improved adherence through coordinating care in 1 location: e.g. subspecialists, u/s, med mgmt, soc work
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What is C?
(Given COVID-19, hats off to essential workers, esp outside of hospital settings)
This is how often you should allow friends in law, business, and at start-ups think that they are working harder than you:
a. sometimes b. always c. never |
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What is the BUILT ENVIRONMENT?
Also acceptable: neighborhood wealth is a stronger predictor of mortality than individual income in a national sample of veterans (Nelson 2017) "Our zip code may be more important than our genetic code" refers to which DETERMINANT of health? (Hint: environmental determinant includes walkability, food deserts, social distancing/ability to avoid overcrowding)
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