SGHPROSDH - CSDH Framework
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Questions and Answers

What is the main goal of the policy development frameworks?

  • To characterize the political and management mechanisms that enable effective intersectoral programs
  • To identify levels of intervention and entry points for action on SDH (correct)
  • To demonstrate the consequences of ill health suffered by different social groups
  • To empower social participation in the design and implementation of policies

    • What is essential to the success of policies addressing SDH?

  • Interventions focused on the health system and reducing inequities
  • Participation of civil society and affected communities in policy design and implementation (correct)
  • Targeted programs for disadvantaged populations
  • Closing health gaps between worse-off and better-off groups

    • What is the single most significant lesson of the CSDH conceptual framework?

  • SDH policies must be demonstrated through precise methodologies developed by social and political science
  • Include policies specifically crafted to tackle the social mechanisms that systematically produce an inequitable distribution of the determinants of health among population groups (correct)
  • Interventions must focus on the health system and reducing inequities
  • Policies must be crafted with careful attention to contextual specificities

    • What is the result of empowering social participation in the design and implementation of policies?

    <p>It provides a sustainable base to take the SDH agenda forward (A)</p> Signup and view all the answers

    What should SDH policies be crafted with?

    <p>Careful attention to contextual specificities (A)</p> Signup and view all the answers

    What is the focus of approaches that address the social health gradient?

    <p>The whole population (D)</p> Signup and view all the answers

    What is necessary for the success of intersectoral programs?

    <p>Effective management mechanisms (B)</p> Signup and view all the answers

    What has the concept of social capital been used to promote?

    <p>Reduced state responsibility for health (A)</p> Signup and view all the answers

    What role does the CSDH believe the state possesses?

    <p>A fundamental role in social protection (C)</p> Signup and view all the answers

    What is a primary focus of the CSDH framework?

    <p>Social protection and equity (A)</p> Signup and view all the answers

    What is a key aspect of the CSDH framework?

    <p>Public services provided with equity and effectiveness (B)</p> Signup and view all the answers

    What is a key task for the CSDH in regard to policy action on SDH inequities?

    <p>To identify successful examples of intersectoral action on SDH in different jurisdictions (C)</p> Signup and view all the answers

    What is the main focus of the CSDH framework?

    <p>To address social determinants of health inequities (C)</p> Signup and view all the answers

    What is implied by the concept of 'structural violence' in the context of health inequities?

    <p>The impact of social structures on health outcomes (C)</p> Signup and view all the answers

    What was recognized as the key to achieving 'Health for All' by the year 2000?

    <p>Primary Health Care (B)</p> Signup and view all the answers

    What is the socioecological model of health focused on?

    <p>Multiple levels of influence on health outcomes (C)</p> Signup and view all the answers

    What is the biopsychosocial model of health focused on?

    <p>Interplay between biological, psychological, and social factors (D)</p> Signup and view all the answers

    What is the socioecological model of health concerned with?

    <p>Health determinants at multiple levels (A)</p> Signup and view all the answers

    What is a potential drawback of the patronage system in healthcare?

    <p>Constituents depend on political leaders for medicines and hospitalization expenses (D)</p> Signup and view all the answers

    What is the main benefit of using the Social Determinants Framework in understanding health problems?

    <p>It identifies contextual causes that determine the social standing and mobility of individuals (B)</p> Signup and view all the answers

    What is an advantage of the Wagstaff Matrix over the Bio-Medical Framework?

    <p>It provides a more comprehensive understanding of health and wellbeing (D)</p> Signup and view all the answers

    Which of the following is NOT a proxy indicator for stratifying an individual's socio-economic position?

    <p>Behavior (A)</p> Signup and view all the answers

    According to the CSDH framework, how is the health system viewed in relation to its impact on health and well-being?

    <p>As a critical component of the social determinants of health (C)</p> Signup and view all the answers

    What is a key feature of the Social Determinants Framework?

    <p>It recognizes the need for inter-sectoral action on health (D)</p> Signup and view all the answers

    What is the main advantage of using the Social Determinants Framework in framing the response to health problems?

    <p>It demonstrates the need for multiple strategies to tackle the different determinants of health (C)</p> Signup and view all the answers

    What role does the CSDH believe the state possesses?

    <p>A fundamental role in social protection (A)</p> Signup and view all the answers

    What is the primary shaper of health outcomes according to the concept of social capital?

    <p>Community characteristics, values, and lifestyles (C)</p> Signup and view all the answers

    What is the relationship between the state and health outcomes according to the CSDH framework?

    <p>The state has a fundamental role in social protection (C)</p> Signup and view all the answers

    What is the implication of the CSDH framework for health policy?

    <p>The state should take more responsibility for health (D)</p> Signup and view all the answers

    The CSDH framework focuses on reducing health inequities between worse-off and better-off groups.

    <p>True (A)</p> Signup and view all the answers

    Empowering social participation provides both ethical legitimacy and a sustainable base to take the SDH agenda forward.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework is limited to policies tackling underlying structural determinants.

    <p>False (B)</p> Signup and view all the answers

    SDH policies must be crafted with rigorous attention to contextual specificities.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework emphasizes the importance of targeting disadvantaged populations.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework views the state as solely responsible for the well-being of the population.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework is only concerned with the health system and its impact on health outcomes.

    <p>False (B)</p> Signup and view all the answers

    Intersectoral programs are essential for reducing health inequities.

    <p>True (A)</p> Signup and view all the answers

    The concept of social capital is used to promote individual responsibility for health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework is focused on addressing the health gaps between different social groups.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework is primarily focused on individual health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework recognizes the importance of intersectoral action in addressing health inequities.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework is focused on identifying successful examples of policy action on SDH in different jurisdictions.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework emphasizes the importance of individual behavior in shaping health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework is primarily focused on addressing health inequities through policy action.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework emphasizes the role of individual and community characteristics in shaping health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework adopts a position that the state has no responsibility for addressing health and health care issues.

    <p>False (B)</p> Signup and view all the answers

    The concept of social capital has been used to promote increased state responsibility for health.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework focuses on the role of individual lifestyles in shaping health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework views the state as a primary shaper of health outcomes.

    <p>True (A)</p> Signup and view all the answers

    Emphasizing social capital in health outcomes implies that the state should take a more active role in addressing health inequities.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework highlights the role of civic involvement and democratic behavior in shaping health outcomes.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework focuses on reducing health inequities through community-based initiatives.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework views the health system as a determinant of health and well-being.

    <p>True (A)</p> Signup and view all the answers

    The Social Determinants Framework emphasizes the role of the health sector in addressing health problems.

    <p>False (B)</p> Signup and view all the answers

    The Wagstaff Matrix is used to understand health and wellbeing in the same way as the Bio-Medical Framework.

    <p>False (B)</p> Signup and view all the answers

    Behavior is a proxy indicator for stratifying an individual's socio-economic position.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework focuses on the role of the individual in shaping health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The Social Determinants Framework is used to identify individual-level factors that influence health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework views the health system as a passive responder to health problems.

    <p>False (B)</p> Signup and view all the answers

    The Social Determinants Framework emphasizes the importance of individual behavior change in improving health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The socioecological model of health recognizes the complex interplay between biological, psychological, and social factors in determining an individual's overall health and well-being.

    <p>True (A)</p> Signup and view all the answers

    The biopsychosocial model of health emphasizes the importance of considering only biological factors when assessing an individual's health.

    <p>False (B)</p> Signup and view all the answers

    Primary Health Care was recognized as the key to achieving 'Health for All' by the year 2000.

    <p>True (A)</p> Signup and view all the answers

    The socioecological model of health focuses on the individual's characteristics when assessing health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework focuses on the social determinants of health.

    <p>True (A)</p> Signup and view all the answers

    The biopsychosocial model of health is a holistic framework that recognizes the complex interplay between biological, psychological, and social factors.

    <p>True (A)</p> Signup and view all the answers

    The socioecological model of health does not consider environmental factors when assessing health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework emphasizes the interconnectedness and interdependence between individual, social, and environmental factors that influence health outcomes.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework emphasizes the importance of individual and community characteristics in shaping health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework views the state as having a minimal role in social protection.

    <p>False (B)</p> Signup and view all the answers

    The concept of social capital has been used to promote increased state responsibility for health.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework focuses on the role of individual values and lifestyles in shaping health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework highlights the importance of community characteristics in shaping health outcomes.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework emphasizes the need for public services to be provided with equity and effectiveness.

    <p>True (A)</p> Signup and view all the answers

    The concept of social capital implies that communities can take care of their own health problems without government intervention.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework views the state as having a primary role in addressing health and health care issues.

    <p>True (A)</p> Signup and view all the answers

    The CSDH framework focuses on the role of individual characteristics in shaping civic involvement and democratic behavior.

    <p>False (B)</p> Signup and view all the answers

    The CSDH framework emphasizes the importance of tackling underlying social inequities in shaping health outcomes.

    <p>True (A)</p> Signup and view all the answers

    Study Notes

    Social Determinants of Health (SDH)

    • SDH are the circumstances in which people are born, grow, live, work, and age, affecting their health.
    • The Commission on Social Determinants of Health (CSDH) aims to reduce health inequities between worse-off and better-off groups.

    Policy Development Frameworks

    • Policy development frameworks can help identify levels of intervention and entry points for action on SDH.
    • Interventions and policies must not limit themselves to health systems and reducing inequities, but also tackle underlying structural determinants.

    Empowering Social Participation

    • Participation of civil society and affected communities in the design and implementation of policies is essential for success.
    • Empowering social participation provides both ethical legitimacy and a sustainable base for the SDH agenda.

    Crafting SDH Policies

    • SDH policies must be crafted with careful attention to contextual specificities, characterized using methodologies from social and political science.
    • The state possesses a fundamental role in social protection, ensuring public services are provided with equity and effectiveness.

    Critiques of Social Capital

    • The concept of social capital has been deployed to excuse the state from responsibility for the well-being of the population.
    • The CSDH adopts the position that the state has a key role in social protection and ensuring public services are provided with equity and effectiveness.

    Policy Action on SDH Inequities

    • Three broad approaches to reducing health inequities can be identified: targeted programs for disadvantaged populations, closing health gaps, and addressing the social health gradient.
    • Successful examples of intersectoral action on SDH in different jurisdictions must be identified and characterized.

    The Value of the Social Determinants Framework

    • The Social Determinants Framework identifies contextual causes that determine social standing and mobility, underscores the need for intersectoral action, and recognizes the role of stakeholders outside the health sector.
    • The framework demonstrates the need for multiple strategies to tackle different determinants of health.

    Addressing Health Inequities

    • Interventions and policies to reduce health inequities must address underlying structural determinants and the health system, and reduce inequities in the consequences of ill health suffered by different social groups.

    Policy Development Frameworks

    • Policy development frameworks help analysts and policymakers identify levels of intervention and entry points for action on SDH, ranging from policies tackling underlying structural determinants to approaches focused on the health system.

    Importance of Civil Society Participation

    • Participation of civil society and affected communities in the design and implementation of policies is essential to success, providing both ethical legitimacy and a sustainable base for the SDH agenda.

    Contextual Specificities

    • SDH policies must be crafted with careful attention to contextual specificities, characterized using methodologies developed by social and political science.

    The Role of the State

    • The state possesses a fundamental role in social protection, ensuring that public services are provided with equity and effectiveness.
    • The concept of social capital has been deployed to excuse the state from responsibility for the well-being of the population, but it can also shed fresh light on key state functions.

    Social Determinants of Health (SDH)

    • SDH are the circumstances in which people are born, grow, live, work, and age, affecting their health.
    • The Commission on Social Determinants of Health (CSDH) aims to reduce health inequities between worse-off and better-off groups.

    Policy Development Frameworks

    • Policy development frameworks can help identify levels of intervention and entry points for action on SDH.
    • Interventions and policies must not limit themselves to health systems and reducing inequities, but also tackle underlying structural determinants.

    Empowering Social Participation

    • Participation of civil society and affected communities in the design and implementation of policies is essential for success.
    • Empowering social participation provides both ethical legitimacy and a sustainable base for the SDH agenda.

    Crafting SDH Policies

    • SDH policies must be crafted with careful attention to contextual specificities, characterized using methodologies from social and political science.
    • The state possesses a fundamental role in social protection, ensuring public services are provided with equity and effectiveness.

    Critiques of Social Capital

    • The concept of social capital has been deployed to excuse the state from responsibility for the well-being of the population.
    • The CSDH adopts the position that the state has a key role in social protection and ensuring public services are provided with equity and effectiveness.

    Policy Action on SDH Inequities

    • Three broad approaches to reducing health inequities can be identified: targeted programs for disadvantaged populations, closing health gaps, and addressing the social health gradient.
    • Successful examples of intersectoral action on SDH in different jurisdictions must be identified and characterized.

    The Value of the Social Determinants Framework

    • The Social Determinants Framework identifies contextual causes that determine social standing and mobility, underscores the need for intersectoral action, and recognizes the role of stakeholders outside the health sector.
    • The framework demonstrates the need for multiple strategies to tackle different determinants of health.

    Addressing Health Inequities

    • Interventions and policies to reduce health inequities must address underlying structural determinants and the health system, and reduce inequities in the consequences of ill health suffered by different social groups.

    Policy Development Frameworks

    • Policy development frameworks help analysts and policymakers identify levels of intervention and entry points for action on SDH, ranging from policies tackling underlying structural determinants to approaches focused on the health system.

    Importance of Civil Society Participation

    • Participation of civil society and affected communities in the design and implementation of policies is essential to success, providing both ethical legitimacy and a sustainable base for the SDH agenda.

    Contextual Specificities

    • SDH policies must be crafted with careful attention to contextual specificities, characterized using methodologies developed by social and political science.

    The Role of the State

    • The state possesses a fundamental role in social protection, ensuring that public services are provided with equity and effectiveness.
    • The concept of social capital has been deployed to excuse the state from responsibility for the well-being of the population, but it can also shed fresh light on key state functions.

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