This paper reflects on the learning outcomes and influences of the PUBH630 unit on determinants of health. It discusses the past practice and existing knowledge, future career and practice, and the relevance to public health competency standards.
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Running head: DETERMINANTS OF HEALTH DETERMINANTS OF HEALTH Name of the Student: Name of the University: Author note:
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1DETERMINANTS OF HEALTH Introduction It is worthwhile to remember that an individual’s existing health status is a resultant of a number of behavioral and social factors, known collectively ashealth determinants(Adler, Glymour & Fielding, 2016). The following paper will focus upon a personal reflection regarding learning and the outcomes associated with the overall unit of PUBH630. This reflection will shed light on how this unit was related to past as well as my existing skill set and its influences for my future practice with consideration to competency standards of Public Health. Discussion Past Practice and Existing Knowledge This unit, as evident from the lecture contests, focuses extensively on the factors influencing health in all aspects of physiological, social, psychological and emotional platforms, such as gender, work environment, individual behaviors as well as the national and international affairs affecting the world.Such influencersare known as the ‘health determinants’ and are intricately interrelated to any individual’s as well as nation’s health and well being – which have discussed extensively in this unit (Garg, Boynton-Jarrett & Dworkin, 2016). This unit has enriched and enhanced by present knowledge of a nation’s, a community’s and an individual’s health. Earlier, despite possessing sufficient knowledge on the influencers underlying a person’s health condition, I initially believed that health was largely due to an individual’s physical condition or due to the presence of any disease. At present, however, after learning this unit, my existing knowledge on the scope and influencers of one’s health has improved and been refined. Indeed, as can be leaned in this unit, health is multifaceted and not
2DETERMINANTS OF HEALTH merely restricted to physical components but also consist of an individual’s social networks, emotionalwellbeing,socioeconomicstatus,psychologicalsoundnessandecologicalor environmental components of his or her surroundings (Garg et al., 2015). Hence, as per my existing knowledge after learning this unit, I have learned that I must view an individual from a wide perspective of determining factors rather than focus primarily on his or her disease condition. Future Career and Practice Hence, this unit, in its detailed discussion of determinants of health, will also be of significance to my future career and professional practice. As evidenced in scientific literature and in this unit, an individual’s health status is determined by factors like social behaviors, group influence, ecology, environment, ecology, culture, gender and socioeconomic status (Taylor et al., 2016). As a professional practicing public health in the future, Inow knowthat I must be culturally competent, must ensure equitable distribution of health care resources to all genders and socioeconomic groups and take into consideration and social constraints and responsibilities andprotectivefactorspriortoassistingacommunityintermsofpublichealthstatus improvement. I must also ensure that my behaviors as well those engaged by my peers or clients are sustainable and ecological feasible. Lastly, as learned from this unit, I must take into account the importance of public health policy frameworks as guidelines for my future practice. Public Health Competency Standards Learning this unit is directly related to the Public Health Graduate Competencies formulated by the Council of Academic Public Health Institutions Australia which I must learn, comprehend and incorporate in my future professional practice as a public health worker. According to these standards, for optimum public health practice, a public health worker must
3DETERMINANTS OF HEALTH engage in disease prevention and control, health monitoring and surveillance, health promotion, health protection, evidence based professional population health practice and health policy planning and management (Council of Academic Public Health Institutions Australia 2019). Hence, after learning this unit which is interlinked to such a competency standard, I have learned that in future, I must actively conduct comprehensive assessments for monitoring the health of a community,engageinpreventiveinterventionsfordiseasetransmissioncontrol,address therapeutic interventions to protect the health of the public, promote and advocate for the health improvement of disadvantage groups, engage actively in policy usage and conduct evidence based research for continuous improvement. Additionalpublichealthcompetencystandardsintheformofhealthpromotion frameworks must also considered, as addressed in the health determinants discussed in this unit. One of these include ‘Closing the Gap – Australia’s foundational health promotional framework emphasizing in cultural competency (Trivedi et al., 2017). Additional health promotional frameworks guiding future professional practice include sustainability approaches outlined the World Health Organizations (WHO) Sustainable Development Goals, as well as by the Ottawa Charter (Fortune et al., 2018). Conclusion Hence to conclude, learning the overall unit of PBHU630 has been an immensely enriching and enlightening experience for me, especially in terms or refining my compliance to thepublic health core competency standards, I am now well aware that during professional practice as a public healthprofessional in the future, I must adhere to the Public Health Graduate Competencies established by CAPHIA as well as keep myself enlightened on the practice of
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4DETERMINANTS OF HEALTH public health promotion frameworkslikethe WHO’s Sustainable Development Goals, the Ottawa Chart and Closing the Gap.
5DETERMINANTS OF HEALTH References Adler, N. E., Glymour, M. M., & Fielding, J. (2016). Addressing social determinants of health and health inequalities.Jama,316(16), 1641-1642. doi: 10.1001/jama.2016.14058. Council of Academic Public Health Institutions Australia (2019).Foundation Competencies for PublicHealthGraduatesinAustralia.[online]Caphia.com.au.Availableat: http://caphia.com.au/testsite/wp-content/uploads/2016/07/CAPHIA_document_DIGITAL _nov_22.pdf [Accessed 30 May 2019]. Fortune, K., Becerra-Posada, F., Buss, P., Galvão, L. A. C., Contreras, A., Murphy, M., ... & de Francisco, A. (2018). Health promotion and the agenda for sustainable development, WHO Region of the Americas.Bulletin of the World Health Organization,96(9), 621. doi: https://dx.doi.org/10.2471%2FBLT.17.204404. Garg, A., Boynton-Jarrett, R., & Dworkin, P. H. (2016). Avoiding the unintended consequences ofscreeningforsocialdeterminantsofhealth.Jama,316(8),813-814.doi: 10.1001/jama.2016.9282. Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT.Pediatrics,135(2), e296. doi: https://dx.doi.org/10.1542%2Fpeds.2014-2888. Taylor, L. A., Tan, A. X., Coyle, C. E., Ndumele, C., Rogan, E., Canavan, M., ... & Bradley, E. H. (2016). Leveraging the social determinants of health: what works?.PLoS One,11(8), e0160217. doi: https://doi.org/10.1371/journal.pone.0160217.
6DETERMINANTS OF HEALTH Trivedi, A. N., Bailie, R., Bailie, J., Brown, A., & Kelaher, M. (2017). Hospitalizations for chronic conditions among indigenous Australians after medication copayment reductions: the closing the gap copayment incentive.Journal of general internal medicine,32(5), 501-507. doi: https://doi.org/10.1007/s11606-016-3912-y.