Health quality improvement

Lecture Notes; Integrate the following population health improvement frameworks into the quality improvement methods in the design of the Adolescent Mental Health.

1. Three Domains of Public Health (2005)?

Health Improvement , Health Protection , Health service delivery and quality  

2. The strengths of the Three Domains of Public Health (2005)?

The Three Domains of Public Health model underpins specialist practice and clarifies the delivery of public health programs;

The Three Domains of Public Health model covers distinct, interrelated and interdependent aspects of public health which are: health protection, health services and health improvement;

The Three Domains of Public Health model is a universal framework that can be adopted and applied in different healthcare systems to achieve variable aims 

3. The three overlapping spheres of the Tannahill Model (1985)?

Health Education:  Communication to enhance well-being and prevent ill-health through improving knowledge and attitudes;  

Prevention: Reducing or avoiding the risk of disease and ill-health;   

Health Protection: Safeguarding population health through legislative, financial or social measures 

4. The limitations of the Tannahill Model (1985)?

Representing rather simplistic linguistics ;

Does not wholly cover community-based and community-led efforts to improve health;

Not being a model in the sense of a particular approach to health promotion .

5. The main aim of the Ottawa Charter (1986)?

Peace , Shelter, Education ;Food  ;Income  ;Stable ecosystem ; Sustainable resources  ;Social justice and equity  .

6. The Dahlgren-Whitehead rainbow model (1991)

Helps social researchers to construct a range of hypotheses about the determinants of health;

Helps social researchers to explore the relative influence of these determinants on different health outcomes and the interactions between the various determinants ;

7 . Beatties’ Structural Grid (1991) propose in terms of health promotion?

Proposes a precise and clear analysis of health promotion strategies according to its population level and degree of authority ;

Distinguishes between strategies that work on individual and community levels;

Includes a specific category of personal counselling strategies

8. Intervention Ladder (2007)?

The Ladder helps public health professionals to assess the acceptability and justification of policy interventions aimed to improve public health. ;

The ladder helps public health professionals to order interventions from the least intrusive (maximum autonomy) to the most intrusive (maximum authority) to individuals and populations autonomy ;

The ladder emphasises the role of social and political perspectives in selecting health improvement strategies

9. The five critical ways that the Precede-Proceed model has successfully impacted public health promotion?

By advancing the ecological perspective on health;

By remaining population centred;

By demanding democratic and participatory approaches to health promotion;

By being deeply grounded in practice ;

By setting quality of life.  

10 Why are health promotion and public health approaches relevant to quality improvement?

The models and approaches focus on promoting better population health;

Quality improvement approaches can help us to improve translation and implementation of best practice in domains specified by public and population health models;

Both health promotion/public health and quality improvement approaches ultimately aim to improve population health using a structured and planned mechanism.