PHMD 2350 - Final Exam Questions And Correct Answers
The most significant determinants of health are what two factors? - ANSWER Social and
economic factors
Population health encompasses what 3 concepts? - ANSWER 1. Health outcomes of a
group of individuals
2. Distribution of outcomes within the group
3. The importance and management of non-clinical factors in outcomes
It is impossible to quantify the societal contribution of what factors? - ANSWER Social
determinants
Many social determinants of health are ________ through _______ - ANSWER Modifiable,
policy
_______ influence health outcomes and/or have influence on social determinants -
ANSWER Policies
Income and education are strongly associated with what determinant of health? -
ANSWER The mother's education level
Income is strongly associated with the prevalence of what two diseases? - ANSWER
Diabetes and heart disease
Babies whose mothers who did not finish high school have higher rates of what
compared to those who finished college? - ANSWER Infant mortality
When you see major changes in social determinants over time, this suggests what two
,things? - ANSWER 1. It could be a result of shifting policies
2. It could be modifiable through another shift in policies
Triple Aim - ANSWER - Improve the health of populations
- Improve the patient experience of care
- Reduce the per capita cost of health care
The expanded chronic care model adds more ________ and _______ elements to Wagner's
earlier model - ANSWER Non-clinical and community based
Actions affecting one or more determinants of health - ANSWER Health promotion
What is the goal of health promotion? - ANSWER To enable people to maintain or
improve their physical, mental, or social well-being
Health promotion is not the same as ________ - ANSWER Disease treatment
5 levels of health promotion - ANSWER 1. Individual
2. Community
3. State
4. National
5. Global
Community level health promotion: goal/rationale, target, interventions and outcomes -
ANSWER - Goal: an individual's immediate environment can enable or inhibit healthy
behaviors
- Target: community infrastructure
- Interventions: improve parks, safer neighborhoods
- Outcomes: obesity rates, teen violence, etc.
,State and national level health promotion: goal/rationale, target, interventions and
outcomes - ANSWER - Goal: resource allocations or regulations can improve community
services
- Target: infrastructure or services
- Interventions: budgets, laws, restrictions
- Outcomes: air quality, drinking water quality, etc.
Global level level health promotion: goal/rationale, target, interventions and outcomes -
ANSWER - Goal: prevent illness or injury
- Target: imported products, toys, food, medicine
- Intervention: bilateral trade, standards for imported products, cGMPs
- Outcomes: reduced exposure to contamination, fewer reports of defective products
Difference between health promotion and disease prevention - ANSWER Health
promotion optimizes overall health, disease prevention aims to reduce the occurrence
and impact of specific diseases
Health-to-death continuum - ANSWER Perfect health, moderate health, marginal health
(health promotion), exposure/lifestyle risks (primary), early disease (secondary), late
disease (tertiary), death
3 levels of disease prevention - ANSWER primary, secondary, tertiary
Primary prevention: goal, rationale, target, interventions and outcomes - ANSWER -
Goal: to reduce the number of new cases of a specific illness
- Rationale: by reducing exposure rates or increasing resistance, we can reduce the
number of new cases
- Target: those who are most likely to be exposed
- Intervention: remove risk, educate
- Outcome: reduced incidence of exposure and disease
, Secondary prevention: goal, rationale, target, interventions and outcomes - ANSWER -
Goal: to reduce the number of new cases or reduce the number of severe cases
- Rationale: by reducing exposures and early disease, morbidity and mortality can be
reduced
- Target: those who have been exposed to the disease or have early symptoms of the
disease
- Intervention: screening, early treatment
- Outcome: reduced incidence of disease and prevalence of severe disease
Zika virus, influenza and COVID-19 are examples of what type of prevention? - ANSWER
Primary
STDs, PTSD, pesticides, diabetes and cancer are example of what type of prevention? -
ANSWER Secondary
Tertiary prevention: goal, rationale, target, interventions and outcomes - ANSWER -
Goal: reduce number of complications and deaths
- Rationale: by reducing disease severity we can reduce the number of deaths or
complications
- Target: those who have the disease and need treatment
- Intervention: treatment, rehab
- Outcome: decreased incidence of death and long term disability
Blindness and amputation as a result of diabetes is an example of what type of disease
prevention? - ANSWER Tertiary
What is Healthy People? - ANSWER - US national agenda
- Communicates a vision for improving health and achieving health equity
- Re-envisioned each decade