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Evidese Based Public Health - Coggle Diagram
Evidese Based Public Health
Describes a health problem through addressing the burden.
The burden can be broken down into morbidity and mortality and the course of a disease
Further subgroups include discussing the Distribution of the disease. As in, who gets the disease
There are several strategies to understand the distribution of a disease
This primarily includes using epidemiologist to identify patterns called Associates to create group associations or ecoogical associations to suggest a hypothesis about the start of the disease
One thing that is looked for are risk indicators or risk markers.
Epidemiologist will evaluate if the differences or changes that offer a explanion is real or artifical
They look for three changes, hanges in interest, ability and the definition of a disease
Group Associations can identify population comparisons
this is information collected by investigators on groups without collecting from single indiviguals
The book uses the link between cigarette smoking and the developent of lung cancer to illustrate this point
It does not ensure a cause or effect
What happens if we can not determine contributary cause
You wil need to gather more supportive evidnce through determing the strengh of the relationship, dose response, consistency, and biological plausibility
stength of relationship looks at how closely they are correlated. Dose looks at how much, constency looks at freq of use or exposure and biological plausibility is used when you cannot explain the cause based on biological effects
Contributary cause has two variables, necessary cause and sufficient cause
How do we reduce the health impact?
By providing actions also referred to as reccommendations
where these come from studies of interventions that work to improve heath outcomes
Ultimatly, they help to determine if action should be taken what that action might just be
Since we have resources for interventions, we can ask when the intervention should occur
When we intervene allows us to catagorize interventions as primary, secondary, or tertiary interventions
primary take place before the onset of the disease
Secondary occure at the developemt of the disease
Tertiary is when the symptoms start to occur
Results can be determined through effectivness. Which is used to determine how well a intervention works
The frame work that is used for this is called RE-AIM