Community Partnered Care NUR4636C Professor Anne Nolan Room 221 BHGIII

Week 1- Health & Welfare: Practices, Policies and Systems

What is Public Health? Mission –to fulfill society’s interest in assuring conditions in which people can be healthy Philosophy –Health care is vital to all of us some time, but public health is vital to all of us all of the time

Public Health Achieves its mission through organized, interdisciplinary efforts that address the physical, mental and environmental health concerns of communities and populations at risk for disease and injury.

Three Core Public Health Functions: Assessment and Monitoring Formulating Public Policies Assuring all Populations have Access

The Essential Public Health Services: Monitor health status Diagnose and investigate Inform, educate and empower Mobilize community partnerships Develop policies and plans (local, state, nat) Enforce laws and regulations

The Essential Public Health Services con’t Link people to needed services Assure competent public health workforce Evaluate health services Research for insights and solutions

How is Public Health Different? Focus on entire populations rather than on individual patients Population-based approach to health: –safe water –pollution prevention –eradicate life threatening disease –control/prevent infectious disease –reduce death and disability

How is Public Health Different? Population-based approach to health: –facilitate community empowerment to improve mental health, reduce substance abuse & violence –promote healthy lifestyles –educate risk populations to reduce STD’s, teen pregnancy and infant mortality –assure access to cost-effective care –check effectiveness of interventions

Population Based Care Large collections of individuals with common personal or environmental characteristics: –geographic locale –special interest –subpopulations high risk infants unmarried adolescent mothers

Aggregate Based Care Group of individuals (smaller than population) with common personal or environmental characteristics: –geographic locale –special interest -minority, homeless, std’s –subpopulations high risk infants-under 1 year, Hispanic unmarried adolescent mothers-Lee County

A Nation’sVision Healthy People 2000 Healthy People 2010 –A framework for identifying populations at risk and for developing strategies that address population-focused needs –stems from 1978 WHO Alma-Ata ‘Health for all by the Year 2000’

Health for All A vision founded on social equity, on the urgent need to reduce gross inequality in the health status of people of the world, in developed and developing countries and within countries. Multidisciplinary Primary Health Care

Health Status Indicators Used to determine specific health priorities and track intervention progress –stem from epidemiology -the study of the distribution of health and disease in a population what are the characteristics of those affected by disease (who, what, where, when) what are cause and effect relationships

Example Indicators: Race and ethnicity-specific infant mortality Injury related deaths/100,000 population Motor vehicle crash deaths/100,000 pop Cardiovascular disease deaths/100,000 pop Suicides per 100,000 population Percentage of immunized two year olds Percentage of population below poverty line

Planning Intervention Programs at three levels of prevention Take place within communities

Levels of Prevention Primary Prevention Programs Secondary Prevention Programs Tertiary Prevention Programs

Primary Prevention Designed to promote the health of the population and prevent specific illnesses. It involves education programs of any kind designed to promote overall health –parenting classes –immunization –exercuse program for elderly

Secondary Prevention Identifying and resolving existing health problems in members of a community or target group –screening programs or the preliminary examination or testing of a person to determine whether has the condition or needs further testing –mass immunization during an epidemic

Tertiary Prevention Designed to prevent complications of identified problems or prevent recurrence or consequences of a problem –program to maintain immunity levels after epidemic is under control

The Concept of Community ‘ Unity Between People’ Common character Social fellowship Life in association with others Commonness A body of people organized into a political, municipal or social unity a group of people living in the same area

Defining Attributes of ‘Community’ Social systems or networks Organizational structure Individual group or space Boundaries Movement in or out made up of various aggragates

Self Study