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Using Performance Monitoring to Improve Community Health Conceptual Framework and Community Experience (1996) / Chapter Skim
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Determinants of Health
Pages 4-7

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From page 4...
... DETERMINANTS OF HEALTH4 Health encompasses physical and psychosocial well-being, not simply the absence of disease. Because many factors influence health and well-being, understanding the nature and scope of these determining factors is an essential element in developing health improvement strategies and in determining what indicators may be appropriate elements of a performance monitoring effort.
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From page 5...
... also differentiates among disease, health and function, and well-being. They are affected by separate but overlapping factors, and therefore, indicators selected to monitor health improvement programs may need to differ depending on which outcome is of primary interest.
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From page 6...
... An assessment at age 19 of participants in the Perry Preschool Study, which randomized children into a Head Start-like program, showed that participation in the preschool program was correlated with better school performance, attending college, and avoiding involvement with the criminal justice system (Weikart, 1989~. Critical periods for education, particularly at young ages, may prove to be important in determining health.
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From page 7...
... Examples include exposures to toxic substances that produce lung disease or cancers; safety at home and work, which influences injury rates; poor housing conditions and overcrowding, which can increase the likelihood of violence, transmission of infectious diseases, and mental health problems; and urban-rural differences in cancer rates. Behavior In the field model framework, behavior is a response to the other determinants and can be seen as an "intermediate" determinant of health.
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Key Terms

  • genetic factors
  • influence health
  • field model
  • health field
  • health improvement

  • family structure
  • physical environments
  • physical health
  • genetic endowment
  • improvement programs

  • disease health
  • directly influence
  • biomedical sciences
  • includes functional
  • decision latitude

  • indicators selected
  • randomized children
  • model includes
  • job classification
  • intermediate factor

  • major studies
  • treatment regimens
  • multiple forces
  • unemployment negatively
  • attending college

  • biomedical model
  • examples include
  • close contacts
  • raise uncomfortable
  • direct intervention


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