More than a century ago, the first health outcome measure was proposed by Florence Nightingale by classifying patients into relieved, unrelieved and dead (1). Other guides such as mortality rates have historically been used to measure health outcomes at a population level (2). However, the definition of health has changed in the past century to include a wider view of outcomes which includes freedom from disease, ability to perform daily activities, happiness, social and emotional well-being, and quality of life. The World Health Organization (WHO) has defined health as “physical, mental, and social well-being, and not merely the absence of disease and infirmity” (3). As a result numerous measures have been developed in an attempt to quantify health. Health outcome measures are tools used to evaluate an individuals’ health using different health related parameters. Patient Reported Outcomes Measures (PROMs) are instruments that are completed by patients and capture one or more aspects of health (4, 5). The use of PROMs formally to monitor surgical outcomes in England has been an important development (6). Since 2007, the Department of Health has required the routine measurement of patient- reported health outcomes for all NHS patients via its PROMs programme (5, 6). PROMs are increasingly used in decision-making to encourage a patient-centered approach (5, 7). For this reason, PROMs must be valid, reliable, and clinically useful measures. There are over 100 PROMs applicable
Globalization involves the movement of people, food, goods from one place to another. And in the process of countries integrating, people and goods move from one location to another. In as much as there is positive impact for people, goods and services to move from one country to another. There are chances that the people, goods and service in a county can be infected and taken across the border to another country. In the course of globalization people move from one country to another and they might have contacted diseases or the product that they are carrying across the border. Diseases such as AIDs, tuberculosis, malaria are the top among the list of the disease that is usually carried by people. But just as globalization increases the frequency and ease with which diseases can move around the world, it also can improve access to the medicines, medical information, and training that can help treat or cure these diseases. Drug companies and governments now have the ability to ship drugs to remote parts of the world affected by outbreaks of diseases. There are various options that can be used to lower the spread of global disease. Most countries usually have screening borders to check the people, food and
In addition to exploring and identifying contributing factors to health-related quality of life or HRQL, Gorecki et al also determined if there is a relationship between health-related quality of life (HRQL) outcomes and these contributing factors. While this latter objective cannot be quantitatively determined, Gorecki et al have determined from their study that there are indications that indeed, HRQL outcomes are influenced by the identified contributing factors among PU patients. The contributing factors discovered and identified in the study were the
In this section of the assignment I will be evaluating the impact of organisations in improving Human Health
“Without a lifespan view of women’s health… we are unlikely to be successful in advancing women’s health” (Woods 2009, pg. 400). A Global Health Imperative (2009) by author Nancy Fugate Woods explains the issues about health status and opportunities for the health of girl-children world-wide, which includes sex and gender disparities. Girl and women’s health is important, but just not as important as men’s health. Woods gives example of women’s health issues that are extremely serious. “Health issues or problems that occur predominantly in women are breast cancer and menopause” (Woods 2009, pg. 400). Women all over the world have the risk of getting breast cancer, HIV and Aids. Women that are affected by these diseases in some countries may
This paper will step out of the comfort of the first world American lifestyle and look beyond to the health and social issues around the world. The World Health Organization (WHO) is the leading stakeholder in advancing the awareness and support on global health issues along with the United Nations (UN) and other governmental and nongovernmental agencies. Only once the issues of these vulnerable people are identified can these organizations move forward in addressing and prioritizing the rapidly evolving global health agenda. The Millennium Development Goals will be defined briefly, however, since their goal completion date has ended, a future look at follow on program, Sustainable Development Goals seems the best place
People eat about one-third of their meals at restaurants, a figure that has almost doubled since the late 1970s.2 Fast food consumption is even higher among adolescents, with 75% eating fast food at least once a week.3
The hospital outcomes are to ensure patients have professionally and competently assessed and medically treated to meet their needs.
Health is a complex concept, and global health adds to this complexity. When I think of health as a concept, I view it as being absent of disease. This understanding is a very biomedical approach to health and is a very narrow viewpoint of health. According to the World Health Organization (1948), health is defined as a “state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (a cited by Jacobsen p. 2). This definition does give a better understanding of what health is from a broader perspective. At the University of Victoria’s Global Health class, I have become to understand better the WHO’s definition and that it is linked to the social determinants of health. In this paper, I will reflect and analyze the learning that occurred for myself while taking the Global Health class, and how this knowledge has helped my nursing practice evolve at the local and international level.
The last triad of Health Care is quality. Quality is the value, efficacy, reliability, and outcome of the care being delivered and is quantified through quality measures. Measuring the quality of health care is important because it tells us how the health system is performing and leads to improved care. A type of quality measure is patient experience. Patient experience involves the assessment of patient’s feedback on their experiences of their health care and affects an individual. Patient experience affects an individual because it allows the patient to be an active part in their health and it affects health care entity by revealing critical information to help improve health care. (Bailey)
Outcome measurements are used to evaluate the health status of patients following the care he/she has received in a given hospital. The measurements look at both the intended and unintended effects such care might have had on the health status of patients and general function. They also help evaluate the level to which a hospital is achieving its goals as they relate to the care being provided to a patients. Outcome measurements usually include traditional measures such as mortality, morbidity, and issues that are related to quality of life. They incorporate patient satisfaction reports related to the healthcare services they have received. These measures are important to patients looking for a hospital as he/she may seek the opinion of persons who have previously received medical care in a given hospital (Jha &Epstein, 2010).
The World Health Organisation came up with 10 social factors known as the Social Determinants of Health (SOH) which helps people determine decisions about their health. Stress is a determinant of health that causes problems in the Otara community. People worry about whats for dinner and how bills are going to be paid due to the low employment rate and housing costs. They also worry that they cant go see the doctor due to the lack of accessibility which are examples caused by social and psychological circumstances related to stress. An increase in stress can affect the cardiovascular and immune system which can increase the risk of infection, diabetes, hypertension, heart attack, stroke and depression which has an impact on an individuals health. The
In 2013, surgeon-specific outcome data were made publicly available across a range of surgical specialties by the English National Health Service (NHS). This initial stimulus was the Kennedy Inquiry in 2001, whereby two surgeons were disciplined for having mortality rates that exceeded the norm, and led to the reporting of surgeon-specific mortality data for all cardiothoracic surgery units in the UK (1). Following this, mounting pressures for increased transparency and disclosure within healthcare arose, stemming from instances such as the 2005 Freedom of Information Act request filed by the Guardian newspaper and the Francis report (2). These led to the eventual publication of Surgeon-specific mortality data (SSMD), presenting the crude risk-adjusted mortality rates for individual surgeons over a number of surgical procedures. Besides the stated aim of increasing transparency, further drivers of SSMD publication were to enhance patient safety by enabling the detection of underperforming surgeons regarded as “outliers”, deliver improved data for healthcare commissioners, and to aid the public in making informed decisions about their care (3). However, since its release there has been much controversy surrounding the meaningfulness of SSMD due to its potential negative impact (4).
One factor to take into consideration when comparing and contrasting global health care issues is at what rate our countries increasing by in their populations and how healthy the country is living. When doing a comparison including the following, USA, UK, and Canada, the US has steadily been first, then Canada and then the UK. The US has also spent the most money on health care, with Canada coming in second and the UK coming in third, but the US has come in dead last between the three, with UK second and Canada first for the duration of a human life span.
The population health factors is a subject of extensive discussion within American health care system, nonetheless, few comprehend the bearing to modern health care environment.
The World Health Organization Quality of Life, (WHOQOL) assessment instrument is a 100 question Likert scale, which assesses an individual 's quality of life in seven domains. These seven domains and 24 subdomains ask quality of life questions in the following subject matter: physical, psychological, level of independence, social relationships, environmental, spiritual beliefs, and overall health (2016). These questions respond to the definition of Quality of Life as an individual 's ' perception of satisfaction with their life as it pertains to culture, goals, and expectations in American society (See Appendix A).