Public Health Test 1
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| what is health? | health is a state of complete physical, mental and social well being and is not merely the absence of disease of infirmity
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| what is public health? | the science and art of preventing disease, prolonging life and promoting physical health and efficiency through organized community efforts
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| what are the roles of the dental hygienist described by the american dental hygienist association? | advocate, education, clinician researcher and administrator/manager
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| what are the core functions of public health agencies? | assessment, policy development, assurance
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| what is the assessment phase of the core functions of public health? | public health agencies regularly and systematically collects, assembles analyzes and makes available information on the health of the community
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| what is policy development in the core functions of public health? | public health agencies exercise its responsibility to serve the public interest in development of comprehensive public health policies by promoting the use of scientific knowledge base in decision making
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| what is assurance in the core functions of public health | assure their constituents that services necessary to achieve agreed upon goals are provided by encouraging actions by other entities
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| what defines a public health problem? | condition that is widespread actual or potential case for morbidity or mortality
perception on the part of the public, government or public health authorities that the condition is a public health problem
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| state dental public health units originally developed as a result of the | maternal and child health grants to states
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| the controlled clinical trails of water fluoridation began in | 1945
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| the primary reason for developing NIDR was to... | address the national dental problems discovered through selective services rejections
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| what is primary prevention? | employment of strategies and agents to forestall the onset of disease reverse its progress, or arrest its process before treatment becomes necessary (dental hygiene)
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| what is secondary prevention? | employs routine treatment methods to terminate the disease process and or restore tissues to as nearly normal as possible, can also be called restorative care (fluoride)
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| what is a tertiary prevention? | employs straties to replace lost tissues through rehabilitation
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| what is the main health care research institution in the United States | national institutes of health
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| what is dental public health | the art and science elf preventing and controlling dental disease and promoting dental health through organized community efforts serves the community as the patient rather than the individual
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| what is the difference between public health and community health? | public refers to a general collection of people without regards to a specific geographic area
community is more defined as a group living in a specified geographic area that is one of a limited size
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| what are the six categories of public health? | epidemiology, statistics, biomedical science, environmental health science, social and behavioral science, health policy
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| how do we achieve the core functions of public health? | planning, implementation, evaluation
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| when defining a public health problem, what two criteria must it meet? | must be widespread cause of morbidity and mortality
public, government or public health authorities need to see it as a problem
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| what is done in private practice? | patient, exam, diagnosis, treatment planning, fee/payment, patient evaluation
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| what is done in public health dental practice? | community, surgery, analysis, program planning, budget/financing, program evaluation
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| what is healthy people? | a national agenda that communicates a vision for improving health and achieving health equality
measurable objectives with targets
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| what are the inter nation government levels in public health? | World Health Organization which develops programs for underdeveloped nations and fathers data for comparison across nations
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| what are the federal government levels in public health? department of health and human services operating divisions | IHS: indian health services
NIH: National institutes for health
FDA: food and drug administration
CDC: centers for disease control and prevention
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| who publishes health people? | Department of health and human services
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| what are the state government levels in public health | state prisions, maternal and child health, women infant children (WIC), head start programs, tribal clinics or schools for low income, special needs or elderly
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| what is the primary purpose of department of health and human services? | primary department of the federal government that oversees public health activities at the national level
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| what is lacking in medicare? | does not cover dental care
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| what is perceived need? | felt need that is determined by the client or public
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| what is normative need? | what we think our patient would benefit from or what we want to give our patient
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| what is demand? | the particular frequency or desired frequency of dental care from a population
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| what is effective demand? | desire for care and ability to obtain it
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| what is potential demand? | desire for care and inability to obtain care
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| what is supply? | quantity of dental care services available
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| what is utilization? | proportion of the population that uses dental services over a period of time, actually consumed not just desired
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| what is attitude? | pattern of mental views that are established because of prior experiences
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| how many states allow direct access to dental hygiene practitioners and services? | 35
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| how many states currently regonize and directly reimburse dental hygienists as medicaid providers? | 15
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| what organization proposed the dental health aide therapist? | USPHS
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| what are the responsibilities of the dental health aide therapist? | may only practice in Alaska, no degree is required, focused on providing restorative care in patients in remote areas under the supervision of a DDS
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| what organization proposed the community dental health coordinator? | American dental association
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| what are the responsibilities of the community dental health coordinator? | no degree or state license required, must be supervised by a dentist at all times, perform oral hygiene instructions and coronal polishing
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| what organization proposed the advanced dental hygiene practitioner? | american dental hygienist association
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| what are the responsibilities of the advanced dental hygiene practitioner? | masters degré curriculum required, focus on prevention and primary restorative
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| what is an endemic? | constant presence of a disease or infectious agent within a given geographic area, it can refer to the usual prevalence of a given disease within an area
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| what is an epidemic? | unusually high occurrence of disease or the occurrence in a community or region of cases of an illness clearly in excess of normal expectancy
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| what is a pandemic | disease or infection occurring worldwide or over a very wide area
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| what is a count | the number of people in a gout who have a particular disease or characteristic
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| how do you measure proportion | count divided by the total number in the group
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| what is morbidity? | rates of disease
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| what is incidence? | rate of development of a disease in a group over time
rate at which new disease cases occur in a population during a specified period
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| what is prevalence? | describes a group at a certain time, snapshot od an existing condition or a measure of disease status
proportion of people who have a disease
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| when do you use descriptive studies? | undertaken when little is known of the epidemiology of the disease
tell you who is affected, where cases occur and when cases occur
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| when do you use analytic studies? | carried out when leads about etiology are already available
tell you why disease rates are high in a particular group
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| what does a descriptive study look at? | prevalence of disease by person, gender, race ethnicity, socioeconomic status, place and time
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| what is a cross sectional study? | disease status and exposure to risk factors are measured at one point in time
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| what is a cohort? | any group of individuals who are followed or traced over time
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| what is sensitivity? | proportion of those who truly have the disease
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| what is specificity? | proportion of those who truly do not have the disease that are correctly classified as not having it
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| what term describes the number of new diseases cases that have occurred during a specific period? | incidence
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| what is the agent? | biologic or mechanical cause of a disease or condition
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| what is the host? | individual's genetic or social factors that contribute t a person's susceptibility or resistance
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| what is environment? | physical, social sociocultural sociopolitical and economic circumstance required for the disease to thrive, survive and spread
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| what is a risk factor? | modifiable attribute or exposure known to be associated with a health condition, confirmed by longitudinal studies
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| what are the three criteria that must be met in order to establish a risk factor? | exposure must precede the onset of disease or health condition
exposure must covary with the frequency of the disease or health condition
observed association must not be due to bias or error in sample selection
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| what is a risk indicator? | modifiable attribute that has been shown to be associated with a disease in cross sectional and or case control studies
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| what is a risk marker? | attribute that is associated with the increased probability o disease but is not considered to have a causal role in its development, established by conducting cross sectional and case control studies
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| what is the purpose of an efficacy trail? | test whether an agent or treatment regimen works
tested on a population susceptible to the disease or condition and his highly controlled
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| what is the purpose of an effectiveness trail? | test the way an agent or treatment regimen works in everyday conditions after its efficacy has been established
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| what is validity? | accuracy of a study
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| the higher the index score... | the more disease will be present
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| what is reliability? | ability of an index to consistently measure the same level of disease at different times by wither the same or different examiners under various conditions
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| what is inter examiner reliability? | two different examiners should be able to obtain the same score for the same person being examined
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| what is intraexaminer reliability | one examiner should be able to obtain the same score if the same person is examined twice
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| what does DMFT measure? | decayed, missing, and filled teeth
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| what does DMFS measure? | decayed missing and filled surfaces, number of surfaces with a history of caries
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| what is the root caries index? | measure of root caries that includes the number of exposed root surfaces as the denominator
adding the number of decayed and filled root surfaces and then dividing this number by the number of root surfaces with gingival recession
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| what does the community periodontal index look at | gingival bleeding, calculus and periodontal pockets
does not evaluate clinical attachment loss
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Created by:
Chobchi
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