Health Promotion Disease Prevention Pascale Gehy-Andre
A systematic approach to health improvement <ul><li>Healthy People 2010 </li></ul><ul><li>National </li></ul><ul><ul><ul><...
Role Players <ul><li>Clinicians </li></ul><ul><li>Businesses </li></ul><ul><li>Scientists </li></ul><ul><li>Communities </...
Clinician Role <ul><li>Diagnosis and Treatment </li></ul><ul><li>Empathy </li></ul><ul><ul><li>Cure sometimes </li></ul></...
History <ul><li>Healthy People Surgeon General  1979 </li></ul><ul><ul><ul><li>Health Promotion Disease Prevention </li></...
 Preventive Medicine <ul><li>Primary Prevention </li></ul><ul><li>Secondary Prevention </li></ul><ul><li>Tertiary Preventi...
PRIMARY PREVENTION <ul><li>Removes or Reduces diseases risk factors. </li></ul><ul><ul><li>Immunization </li></ul></ul><ul...
Secondary prevention <ul><li>Promotes techniques to early detection of disease or precursor states </li></ul><ul><ul><li>P...
Tertiary Prevention <ul><li>Measures aimed at limiting the  impact of established disease </li></ul><ul><ul><li>Partial ma...
Healthy People 2010 <ul><li>Population growing older Increase quality and years of healthy life </li></ul><ul><li>Diversit...
Systematic Approach <ul><li>Four key elements : </li></ul><ul><ul><li>Goals FocusDirection </li></ul></ul><ul><ul><li>Obje...
Goals <ul><ul><ul><ul><li>quality and years of healthy life </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Life Expectancy  ...
Life Expectancy By Country <ul><li>Female </li></ul><ul><li>Country Yrs of  Life expectancy </li></ul><ul><li>Japan 82-9 <...
Life Expectancy By Country  Contd <ul><ul><li>Female </li></ul></ul><ul><li>Country Yrs of  Life expectancy </li></ul><ul>...
Quality of Life <ul><li>Encompasses all aspects of life including: </li></ul><ul><li>Health Beliefs </li></ul><ul><li>Recr...
Tools to measure Quality of Life <ul><li>1- Global Assessments </li></ul><ul><ul><ul><li>Poor Fair </li></ul></ul></ul><ul...
Eliminate Health Disparities <ul><li>Eliminate differences that occur by : </li></ul><ul><li>1- Gender 2- Race 3- Ethnicit...
Achieving Equity <ul><li>Healthy people 2010 is firmly dedicated to the principle that regardless of health disparities, e...
Objectives <ul><li>Monitored through 467 objectives in 28 focus areas. </li></ul><ul><li>Focus of objectives: </li></ul><u...
Determinant of Health <ul><li>Behavior and environmental factors  </li></ul><ul><li>Individual biology and behaviors  </li...
 
Leading Causes of Death, 1997
Leading Causes of Death, 1900*
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Health Promotion

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Health Promotion

  1. 1. Health Promotion Disease Prevention Pascale Gehy-Andre
  2. 2. A systematic approach to health improvement <ul><li>Healthy People 2010 </li></ul><ul><li>National </li></ul><ul><ul><ul><ul><ul><li>Community </li></ul></ul></ul></ul></ul>
  3. 3. Role Players <ul><li>Clinicians </li></ul><ul><li>Businesses </li></ul><ul><li>Scientists </li></ul><ul><li>Communities </li></ul><ul><li>Individuals </li></ul>
  4. 4. Clinician Role <ul><li>Diagnosis and Treatment </li></ul><ul><li>Empathy </li></ul><ul><ul><li>Cure sometimes </li></ul></ul><ul><ul><li>Relieve often </li></ul></ul><ul><ul><li>Comfort always </li></ul></ul><ul><li>Secret of care is caring for the patient </li></ul><ul><li>PREVENTION BY EDUCATING </li></ul>
  5. 5. History <ul><li>Healthy People Surgeon General 1979 </li></ul><ul><ul><ul><li>Health Promotion Disease Prevention </li></ul></ul></ul><ul><li>Healthy People 2000 1990 </li></ul><ul><ul><ul><ul><li>Infant Mortality </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Life expectancy </li></ul></ul></ul></ul><ul><li>Healthy People 2010 2000 </li></ul><ul><ul><ul><ul><li>Rate of Advancement </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Quality of Life </li></ul></ul></ul></ul>
  6. 6. Preventive Medicine <ul><li>Primary Prevention </li></ul><ul><li>Secondary Prevention </li></ul><ul><li>Tertiary Prevention </li></ul>
  7. 7. PRIMARY PREVENTION <ul><li>Removes or Reduces diseases risk factors. </li></ul><ul><ul><li>Immunization </li></ul></ul><ul><ul><ul><li>H flu reduced 95% since first conjugate vaccine </li></ul></ul></ul><ul><ul><li>Smoking cessation </li></ul></ul><ul><ul><li>Improved sanitation </li></ul></ul>
  8. 8. Secondary prevention <ul><li>Promotes techniques to early detection of disease or precursor states </li></ul><ul><ul><li>Pap Smear </li></ul></ul>
  9. 9. Tertiary Prevention <ul><li>Measures aimed at limiting the impact of established disease </li></ul><ul><ul><li>Partial mastectomy and radiation therapy. </li></ul></ul>
  10. 10. Healthy People 2010 <ul><li>Population growing older Increase quality and years of healthy life </li></ul><ul><li>Diversity of population </li></ul><ul><ul><li>Eliminate health disparities. </li></ul></ul><ul><ul><ul><li>Improving health of each individual </li></ul></ul></ul><ul><ul><ul><li>Health of the community </li></ul></ul></ul><ul><ul><ul><li>Health of the nation </li></ul></ul></ul>
  11. 11. Systematic Approach <ul><li>Four key elements : </li></ul><ul><ul><li>Goals FocusDirection </li></ul></ul><ul><ul><li>Objectives Determinant of health </li></ul></ul><ul><ul><li>Determinants of health PhysicalSocial </li></ul></ul><ul><ul><li>Health status Ultimate Measure </li></ul></ul>
  12. 12. Goals <ul><ul><ul><ul><li>quality and years of healthy life </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Life Expectancy </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Beginning 20 th century 47.3 yrs </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Today 77 yrs </li></ul></ul></ul></ul><ul><ul><ul><ul><li>?? Substantial differences among different population groups in the US. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Eliminate Health Disparities </li></ul></ul></ul></ul>
  13. 13. Life Expectancy By Country <ul><li>Female </li></ul><ul><li>Country Yrs of Life expectancy </li></ul><ul><li>Japan 82-9 </li></ul><ul><li>France 82.6 </li></ul><ul><li>Switzerland 81.9 </li></ul><ul><li>Sweden 81.6 </li></ul><ul><li>Spain 81.5 </li></ul><ul><li>Canada 81.2 </li></ul><ul><li>Australia 80.9 </li></ul><ul><li>Italy 80.8 </li></ul><ul><li>Norway 80.7 </li></ul><ul><li>Netherlands 80.4 </li></ul><ul><li>Greece 80.3 </li></ul><ul><li>Finland 80.3 </li></ul><ul><ul><ul><li>Male </li></ul></ul></ul><ul><li>Country Yrs of Life expectancy </li></ul><ul><li>Japan 76.4 </li></ul><ul><li>Sweden 76.2 </li></ul><ul><li>Israel 75.3 </li></ul><ul><li>Canada 75.2 </li></ul><ul><li>Switzerland 75.1 </li></ul><ul><li>Greece 75.1 </li></ul><ul><li>Australia 75.0 </li></ul><ul><li>Norway 74.9 </li></ul><ul><li>Netherlands 74.6 </li></ul><ul><li>Italy 74.4 </li></ul><ul><li>England and Wales 74.3 </li></ul><ul><li>France 74.2 </li></ul>
  14. 14. Life Expectancy By Country Contd <ul><ul><li>Female </li></ul></ul><ul><li>Country Yrs of Life expectancy </li></ul><ul><li>Austria 80.1 </li></ul><ul><li>Germany 79.8 </li></ul><ul><li>Belgium 79.8 </li></ul><ul><li>England & Wales 79.6 </li></ul><ul><li>Israel 79.3 </li></ul><ul><li>Singapore 79.0 </li></ul><ul><li>United States 78.9 </li></ul><ul><ul><ul><ul><ul><li>Male </li></ul></ul></ul></ul></ul><ul><li>Country Yrs of Life expectancy </li></ul><ul><li>Spain 74.2 </li></ul><ul><li>Austria 73.5 </li></ul><ul><li>Singapore 73.4 </li></ul><ul><li>Germany 73.3 </li></ul><ul><li>New Zealand 73.3 </li></ul><ul><li>Northern Ireland 73.1 </li></ul><ul><li>Belgium 73.0 </li></ul><ul><li>Cuba 73.0 </li></ul><ul><li>Costa Rica 73.0 </li></ul><ul><li>Finland 72.8 </li></ul><ul><li>Denmark 72.8 </li></ul><ul><li>Ireland 72.5 </li></ul><ul><li>United States 72.5 </li></ul>
  15. 15. Quality of Life <ul><li>Encompasses all aspects of life including: </li></ul><ul><li>Health Beliefs </li></ul><ul><li>Recreation Aspirations </li></ul><ul><li>Culture </li></ul><ul><li>Rights </li></ul><ul><li>Values </li></ul>
  16. 16. Tools to measure Quality of Life <ul><li>1- Global Assessments </li></ul><ul><ul><ul><li>Poor Fair </li></ul></ul></ul><ul><ul><ul><li>Good Very Good </li></ul></ul></ul><ul><ul><ul><li>Excellent </li></ul></ul></ul><ul><ul><li>2- Healthy Days </li></ul></ul><ul><ul><li>3- Years of healthy life </li></ul></ul>
  17. 17. Eliminate Health Disparities <ul><li>Eliminate differences that occur by : </li></ul><ul><li>1- Gender 2- Race 3- Ethnicity </li></ul><ul><li>4- Education 5- Income 6-Disability </li></ul><ul><li>7- Geographic location </li></ul><ul><li>8- Sexual orientation </li></ul>
  18. 18. Achieving Equity <ul><li>Healthy people 2010 is firmly dedicated to the principle that regardless of health disparities, every person in every community across the nation deserves equal access to comprehensive, culturally competent, community-based health care systems that are committed to serving the needs of the individual and promoting community health. </li></ul>
  19. 19. Objectives <ul><li>Monitored through 467 objectives in 28 focus areas. </li></ul><ul><li>Focus of objectives: </li></ul><ul><ul><li>Intervention to eliminate illnesses </li></ul></ul><ul><ul><li>Improving access to quality health care </li></ul></ul><ul><ul><li>Strengthening public health services </li></ul></ul><ul><ul><li>Improving the availability and dissemination of health-related information. </li></ul></ul>
  20. 20. Determinant of Health <ul><li>Behavior and environmental factors </li></ul><ul><li>Individual biology and behaviors </li></ul><ul><li>Policies and interventions </li></ul><ul><li>Access to quality health care </li></ul><ul><li>Health Status </li></ul>
  21. 22. Leading Causes of Death, 1997
  22. 23. Leading Causes of Death, 1900*
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