Social Determinants of Health

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What are the 12 social determinants of health?
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1. income and social status 2. Social support networks 3. Education and literacy 4. Employment/working conditions 5. Social environments 6. Physical environments 7.Personal health practices and coping skills 8. Healthy childhood development 9. Biology and genetic environment 10. Health services 11. gender 12. culture
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Why do we study SDoH?
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to further understand: -What are society factors that shape health and explain health inequalities -What are societal factors that shape the quality of the society factors
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5 things involved in current state of SDoH
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1. empirical evidence 2. understanding mechanisms and pathways 3. role in life-course perspectives 4. role in policies related to SDoH science 5. role of political ideology
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Canada Health Act?
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Federal Documentation. Ensures everyone has access to health care
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What are the 5 criteria for CHA
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public administration comprehensiveness universality portability accessibility
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What does public administration mean?
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non-profit and public
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What does comprehensiveness mean?
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What is covered? Medically necessary services
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What does universality mean?
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who is covered?
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What does portability mean?
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Where am I covered?
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What does Accessibility mean?
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When am I covered?
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What type of health care does Canada have?
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predominantly publicly financed health care system that provides universal coverage
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Where does the money come from?
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Citizens (taxes), Federal Government (CHT), Provinces/territories (program and services payments)
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What happened in 1947 in Saskatchewan
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first place to have public health insurance
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What happened in 1961
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All provinces and territories had public health insurance
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What happened in 1962
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Saskatchewan gave health insurance for outside doctors
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What happened in 1972
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All provinces and territories had insurance for doctors outside hospitals
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What happened in 1974?
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Lelonde report (white report)
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What does did the Lelonde report state?
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Government was spending too much money on curing illnesses rather then preventing them –> education, literacy, environment, health care, and biological factors
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What happened in 1989?
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Ottawa charter
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Ottawa charter?
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income education and physical environments –> added onto those of lalondes
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Canada Health Transfer?
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Largest federal transfer to provinces and territories
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What happened in 2004?
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10 yr plan to strengthen health care
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How did they plan on strengthening health care?
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-reduce wait times -HHR action plans -home care -primary care reform -access to HC in north -National pharmaceuticals strategy -prevention promotion public health -health innovation -accountability and reporting ot citizens -dispute avoidance and resolutions
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Federal Reprehensibility to Health Care?
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-setting and administering national standards -providing HC to certain people -furfilling other HC needs
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What certain people get health care by federal government?
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Aboriginals, veterans, federal inmates, diplomats, federal police force
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Provencal/territories responsibility to Health Care?
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-Managing and delivering health care -Planning, financing and evaluation provision of hospital care, physicians, and allied HCS -manage some aspects of prescription care and public health
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Gini coefficient?
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Measures the frequency coefficient, measure inequality in income and wealth CLOSER TO ZERO IS GOOD
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What does the OECD say?
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-increased inequality in 90s -2000s has stayed closed to OECD standards -The avg. income of the top 10% of income earners in 8.6X greater than that of the bottom 10%
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What were the results of the CMA report?
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50% your life 25% health care 15% biology 10% environment
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What populations are hit the hardest with poverty?
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Immigrant status, language, education, women
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Poverty as a child can lead to what?
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poor health over entire lifespan
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Poverty can increase risk for
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low birth rate, infant mortality, injury related homicide,cancer, heart disease, mental health, smoking
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Some ways policies can influence poverty?
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-tax and credit benefits -access to education -employment opportunities -childcare benefits -affordable housing/transportation/food -improved social services
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Three stages that the canada work force went through
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Farming and agriculture industrial revolution Technological economy
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Boundaryless career?
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mobile work, maybe jobs
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Traditional Career?
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industrial work, first job is last job
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7 factors that make a job healthy
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decrease job strain, work/life conflict, precarious work and status, increased effort and reward system, organization justice, work life balance
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Precarious work?
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experiances associated with instability insecurity and social and economic vulnerbility
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What are the three hertzman origins of health effects?
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latent effects, pathway effects, and cummulative effects
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Latent effects?
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Biological –> development early life experiences that produce health effect later
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Pathways effects?
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experiances that set individuals onto paths that influences health, well being and competence over the life
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Cumulative effects?
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accumulation of advantage or disadvantage over time which manifest in a range of health problems
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What are we all born with?
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Potential
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What 4 facotrs make ECE staff a better suit for young children?
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-low staff to children ratio -staff with ece eductation -safe and well assigned environment -provide challenging non didatic play based creative enjoyable env.

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