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HSO107 pt 6 1/2
HSO107
| Question | Answer |
|---|---|
| What does the intergovernmental report state? | - expenditure on health and aged care won't reverse - no major efficiency strategy is in place or planned - states face major health funding challenge - private sources need to contrubute more |
| Government have significant pressure on revenue in the mid-term because: | - decrease in tax base as a result of aging population - end of resources boom and ability to raise mining tax - major decline in resource investment and potential investment |
| Government have significant pressure on revenue in the mid-term because (cont.): | - governments will want to curb public hospital costs - public hospitals 20% less efficient than private - cost of bed to government is 4x public vs private - capital cost of an acute bed is $2m in public sector - access to acute care will worsen |
| What is the estimate population in VIC estimated to grow to? | 6.5 million or 7 million |
| What is the current population of VIC? | 5.6 million |
| What increases use of health services? | Age |
| What will add to occuring health problems? | - Obesity - Poor nutrition - Physical inactivity - Smoking - Drug and alcohol use |
| What are some factors of current clients? | - Better informed - More demanding of service levels and single rooms, access to latest tech. and treatment, access to more appropriate services - focus on value for money - more willing to complain - more likely to want private health care |
| What is there an expansion of? | - health advisory and health promotion/disease prevention services |
| What is making clients want to adopt healthier lifestyles? | - financial benefits |
| Where is there a significant growth in clinical trends? | - orthopedics - oncology & radiation - neuroscience - general surgery - mental health - clinical imaging - alternative therapies - alternative settings - disease prevention - enhanced accountability |
| Give some characteristics of the workforce: | - aging, more people are retiring - poorly distributed, especially in rural settings - nursing and allied health shortages - medical surplus - generational changes = more work, shorter working life, better conditions |
| What are implicatons for health educators: | - supply of work ready, cost effective workers - support new workforce developments - invest in health services and system redesigns - more informed customers - better educated workers - innovative health and tech. - engaged with asia pacific |
| Early definition of heatlh: | state of complete physical, mental and social wellbeing, not just absence of disease |
| Later definition of health: | condition or quality of human organism which express adequate functions under genetic/environmental conditions |
| How did WHO explore health: | - ability to satisfy needs - ability to change or cope with the environment |
| What does the Ottawa Charter (1986) aim to do? | - build healthy policy - create supportive environments - strengthen community action - develop personal skills - re-orient health services - increase control over personal health - model of self empowerment |
| 1st Pillar: Build Healthy Policy | - health promotion goes beyond health care and includes legislation, fiscal measures, taxation and organisational change |
| 2nd Pillar: Create supportive environment | - living and working conditions that are safe, stimulating, satisfying and enjoyable |
| 3rd Pillar: Strengthen community action | - setting priorities, making decisions and implementing them so that communities control own destinies |
| 4th Pillar: Develop personal skills | - education for health and life skills so people can have more control over own health and envrionment |
| 5th Pillar: Reorient health services | - must move beyond health promotion's responsibility for providing clinical and curative services |
| What is effective health promotion? | Involves multi-level, integrated and complementary interventions and partnerships |
| Define upstream: | Macro-level: policy, legislation, affordable health care... |
| Define midstream: | Lifestyle/behaviour programs: aimed at specific populations and groups |
| Define downstream: | Micro-level: treatment systems, disease management, research... |
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