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    Terminology in Healthcare and

    Public Health SettingsPublic Health and Healthcare System

    TerminologyLecture a Public Health TerminologyThis material Comp3_Unit13 was developed by The University of Alabama at Birmingham, funded by the Department of Health

    and Human Services, Office of the National Coordinator for Health Information Technology under Award Number1U24OC000023

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    Public Health TerminologyLearning Objectives

    2

    Define frequently used public health terms

    Identify distinguishing features of public health

    Identify categories and factors that influence health Identify terms commonly used as measures of health

    status

    Health IT Workforce CurriculumVersion 3.0/Spring 2012

    Terminology in Healthcare and Public Health SettingsPublic Health and Healthcare System TerminologyLecture a

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    Public Health Definitions

    improving health, prolonging life andimproving the quality of life among wholepopulations through health promotion,disease prevention and other forms of healthintervention .

    Source: (World Health Organization, 1998)

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    Public Health Definitions

    Specific Institute of Medicine

    the science and art of preventing disease ,prolonging life, and promoting health andefficiency through organized community effortfor sanitation of the environment, the controlof communicable diseases , the education ofthe individual in personal hygiene...

    Source: (IOM, 1998)

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    Public Health Terms

    Health General condition of the body and mind Presence or absence of illnesses, injuries, or

    impairments

    Prevention Action taken to prevent the occurrence of an

    event or to minimize its effects after it hasoccurred

    Source: (Turnock, 2007. p. 254)

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    Public Health Terms

    Promotion Strategy that seeks to eliminate or reduce

    exposures to harmful factors by modifyinghuman behaviors

    Source: (Turnock, 2007. p. 255)

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    Public Health Terms

    Communicable disease Infectious

    Transmitted from one individual to another Directly by contact

    Sneezing Coughing

    Indirectly

    Contaminated food Contaminated water

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    Features of Public Health

    Focus Preventive aspects of health Not curative Population-level health issues Not individual-level

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    Features of Public Health

    Public health services can be divided into three majorcategories Assessment

    Policy Development Assurance

    Source: (Public Health Functions Project, 2000)

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    Public Health Terms

    Assessment Monitoring health/surveillance Diagnosing

    Investigating health problems and health hazards Policy Development

    Policies and plans Support individual and community health efforts Educate about health issues Mobilize community resources

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    Defining Health

    Individual health is closely linked tocommunity health the health of thecommunity in which individuals live, work,and play. Likewise, community health is

    profoundly affected by the collectivebeliefs, attitudes, and behaviors of

    everyone who lives in the community.

    Source: (DHHS, 2000)

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    Defining Health

    Health as an outcome Result of actions to produce it

    Diet and exercise Preventive measures Seeking medical attention

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    Factors that Influence Health

    Heredity Race/ethnicity

    Gender Income Education

    Geography

    Source: (Encyclopedia.com)

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    Exposure to violent crime Exposure to

    environmental agents Exposure to infectious

    diseases

    Access to and availabilityof healthcare

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    Public Health Terms

    Control of disease Reduction of disease

    Locally acceptable level Result of deliberate efforts Continued intervention measures

    Source: (Communicable Disease Control)

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    Measurement of Health Status

    Morbidity The relative incidence of a particular disease

    Mortality The number of deaths that occur at a specific

    time, in a specific group, or from a specificcause

    Source: (CDC, West Nile. 2010)

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    Lecture a

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    Measurement of Health Status

    Birth rate Number of live births per one thousand women

    Fertility rate Number of live births per one

    thousand women between fifteenand forty-four years of age, generally considered awoman's prime childbearing years

    Source: (CDC, Births, 2010)(Sutton, 2010)

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    Measurement of Health Status

    Infant Mortality Number of live born infants who die

    before their first birthday per onethousand live births

    Life expectancy Number of additional years of life

    expected at a specific point in time, suchas at birth or at age 45

    Source: (Mortality data, 2010)

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    Measurement of Health Status

    Epidemiology Study of distribution and causes of health-related

    states or events in populations Application of the study to control health

    Source: (CDC Glossary)

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    Measurement of Health Status

    Epidemiology Study of distribution and causes of health-related

    states or events in populations Application of the study to control health

    Surveillance Systematic collection, analysis, interpretation, and

    dissemination of health data Ongoing basis Patterns of disease and potential in a community Goal = to control and prevent disease in the

    community

    Source: (CDC Glossary)

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    Measurement of Health Status

    Epidemic Occurrence of more cases of disease than expectedin a given area or among a specific group of peopleover a particular period of time

    Pandemic Epidemic occurring in a wide geographical area and

    usually affecting large part of population

    Endemic Constant presence of a disease or infection within a

    geographic area or population group.

    Source: (CDC Glossary)

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    Healthcare Systems and PublicHealth Terminology

    Summary

    Lecture a Public health terms are important in

    understanding the US healthcare system

    Epidemiology, surveillance and healthstatus are important determinants in thehealth of the nation

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    Lecture a

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    Healthcare Systems and PublicHealth Terminology

    ReferencesReferences CDC, Births and natality. Centers for Disease Control and Prevention. Available from:

    http://www.cdc.gov/nchs/fastats/births.htm CDC, Deaths and mortality. Centers for Disease Control and Prevention. [Internet]. [updated 2012 Jan 27].

    Available from: http://www.cdc.gov/nchs/fastats/deaths.htm CDC, Glossary of Epidemiology Terms. Public Health Foundation. 2006. Available from:

    http://www.cdc.gov/excite/library/glossary.htm CDC, Heart disease. Centers for Disease Control and Prevention[Internet]. [Updated 2010 Dec 21]. Available

    from: http://www.cdc.gov/heartdisease/facts.htm ) CDC, Mortality data. Centers for Disease Control and Prevention [Internet]. [Updated 2010 Dec 21]. Available

    from: http://www.cdc.gov/nchs/deaths.htm CDC, West Nile virus. Division of vector-borne diseases. Centers for Disease Control and Prevention. [Internet].

    [updated 2010 Dec 21]. Available from: http://www.cdc.gov/ncidod/dvbid/westnile/surv&controlCaseCount09_detailed.htm

    Communicable Disease Control. Encyclopedia of Public Health. Ed. Lester Breslow. Vol. 1. Gale Cengage, 2002. Available from: http://www.enotes.com/communicable-disease-control-reference/

    International Comparisons of Health Care. The Health Care System. [Internet]. 2009. Available from:http://www.encyclopedia.com/doc/1G2-1839000013.html

    IOM, Future of public health. Institute of Medicine. [Internet]. [1998]. Available from:http://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspx

    24Health IT Workforce CurriculumVersion 3.0/Spring 2012

    Terminology in Healthcare and Public Health SettingsPublic Health and Healthcare System Terminology

    Lecture a

    http://www.cdc.gov/nchs/fastats/births.htmhttp://www.cdc.gov/nchs/fastats/deaths.htmhttp://www.cdc.gov/excite/library/glossary.htmhttp://www.cdc.gov/heartdisease/facts.htmhttp://www.cdc.gov/nchs/deaths.htmhttp://www.cdc.gov/ncidod/dvbid/westnile/surv&controlCaseCount09_detailed.htmhttp://www.enotes.com/communicable-disease-control-reference/http://www.encyclopedia.com/doc/1G2-1839000013.htmlhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.iom.edu/Reports/1988/The-Future-of-Public-Health.aspxhttp://www.encyclopedia.com/doc/1G2-1839000013.htmlhttp://www.encyclopedia.com/doc/1G2-1839000013.htmlhttp://www.encyclopedia.com/doc/1G2-1839000013.htmlhttp://www.enotes.com/communicable-disease-control-reference/http://www.enotes.com/communicable-disease-control-reference/http://www.enotes.com/communicable-disease-control-reference/http://www.enotes.com/communicable-disease-control-reference/http://www.enotes.com/communicable-disease-control-reference/http://www.enotes.com/communicable-disease-control-reference/http://www.enotes.com/communicable-disease-control-reference/http://www.enotes.com/communicable-disease-control-reference/http://www.cdc.gov/ncidod/dvbid/westnile/surv&controlCaseCount09_detailed.htmhttp://www.cdc.gov/nchs/deaths.htmhttp://www.cdc.gov/heartdisease/facts.htmhttp://www.cdc.gov/excite/library/glossary.htmhttp://www.cdc.gov/excite/library/glossary.htmhttp://www.cdc.gov/nchs/fastats/deaths.htmhttp://www.cdc.gov/nchs/fastats/births.htm
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    Healthcare Systems and PublicHealth Terminology

    ReferencesReferences (continued) Healthy people 2010: understanding and improving health. US Department of Health and Human Services.

    [Internet]. 2000. Available from: http://www.healthypeople.gov Public health functions project [Internet]. [Updated 2000 Nov 28]. Available from:

    http://www.health.gov/phfunctions/public.htm

    Sutton P, Hamilton BE. Recent trends in births and fertility rates through June 2010. Center for Disease Controland Prevention [updated 2010 Dec 21]. Available from:http://www.cdc.gov/nchs/data/hestat/births_fertility_2010/births_fertility_2010.pdf

    Turnock BJ. Essentials of public health. Boston: Jones & Bartlett Learning; 2007. World Health Organization. Health promotion glossary. Geneva (Switzerland): WHO; 1998. 36 p. Available from:

    http://www.who.int/hpr/NPH/docs/hp_glossary_en.pdf

    Images

    Slide 6, 11, 18, 19 : Microsoft clip art; Used with permission from Microsoft Slide 9: Public Health Pie Chart Available from: http://www.health.gov/phfunctions/pulic.htm

    25Health IT Workforce CurriculumVersion 3 0/Spring 2012

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    http://www.healthypeople.gov/http://www.health.gov/phfunctions/public.htmhttp://www.google.com/url?q=http://www.cdc.gov/nchs/data/hestat/births_fertility_2010/births_fertility_2010.pdf&ei=Img0T6DmOc6ctweDsI2iAg&sa=X&oi=unauthorizedredirect&ct=targetlink&ust=1328836394949407&usg=AFQjCNHHuLJZbTL6hAE-f9xMmmUo1Iz-SQhttp://www.who.int/hpr/NPH/docs/hp_glossary_en.pdfhttp://www.health.gov/phfunctions/pulic.htmhttp://www.health.gov/phfunctions/pulic.htmhttp://www.who.int/hpr/NPH/docs/hp_glossary_en.pdfhttp://www.who.int/hpr/NPH/docs/hp_glossary_en.pdfhttp://www.google.com/url?q=http://www.cdc.gov/nchs/data/hestat/births_fertility_2010/births_fertility_2010.pdf&ei=Img0T6DmOc6ctweDsI2iAg&sa=X&oi=unauthorizedredirect&ct=targetlink&ust=1328836394949407&usg=AFQjCNHHuLJZbTL6hAE-f9xMmmUo1Iz-SQhttp://www.health.gov/phfunctions/public.htmhttp://www.health.gov/phfunctions/public.htmhttp://www.healthypeople.gov/