-
health informatics***
collect, compile, present
-
health communication***
perceive, combine info, make decisions
-
informatics and communications overlap***
present
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self report
- Vaccine Adverse Event Reporting System: small pox permanent damage
- Medwatch: self medicated
- follow the drug but it's incomplete***
-
sentinel monitoring
- flu, zoonotic, wild fowl>>>>us
- real time but need background knowledge***
-
syndromic surveillance
- RODSS, Essence, Rebat: look for blips on the radar or observe what goes out first
- early warning but can be false***
-
IMR (formula)
#deaths in year (less than 1yr)/total # live births in same yr
-
IMR
- main measurement of child health
- incidence
-
-
Life expectancy
- average number of years expected to live if current mortality rates continue
- probability of dying
- note: 75 in US/percentage can't grow
-
HALE (formula)
Life expectancy X QOH score
-
HALE
- health adjusted life expectancy
- how healthy were you through mobility, cognition, self care, pain, mood, sensory organ
- note: lower than life expectancy
-
DALY
- disability adjusted life year
- specific conditions between countries (too bad we don't really investigate)
-
presentation of health info
- need lots of disciplines
- affect the behavior
-
perception of info
dread, unfamiliarity, uncontrollability
-
dread effect
man notices when the issue is more in the open and scare
-
unfamiliarity effect
man notices when ppl are absent because of their past experience
-
uncontrollability effect
man notices when he can't do anything or prevent
-
decision analysis
- how likely? how important? how soon?
- note: the young aren't gonna believe they're gonna die
-
decision making
- risk taking
- clinical decision making
-
inform of decision
we need to make
-
informed consent
we need your permission
-
shared decision making
give information and let the patient do the deciding
-
flow of informatics***
collect>compile>present
-
flow of communications***
present>perceive>combine>decision making
-
cases***
- SARS
- alert new
- dramatic but needs rapid action
-
stats***
- birth
- need by law
- institutions but delays
-
surveys***
- sampling
- conclusions
- larger but delays
-
for the better
smoking, SIDS, seatbelt, mammography
-
for the worse
obesity and smoking in women after Women Liberation
-
how (4) change for individuals
- small substitution-tylenol prevents RACE
- more edu
- incentives-you should protect yourself too
- easy
-
downstream***
- individual
- addiction to nicotine
-
mainstream***
larger group like peer pressure/tax on cigars
-
upstream***
social structure and policies like drinking by 21 and seatbelt
-
transtheoretical model***
- pre contemplate-no clue
- contemplate-learn
- prep-gather
- action-work
- maintain
-
perceive susceptibility
could be detrimental
-
perceive severity
how badly if i don't
-
perceive barriers/benefits
cons vs. pros
-
to change behavior...
based on theories
-
self efficacy
belief to be able to
-
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early majority adopters***
only if led by leader
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