Zusammenfassung der Ressource
General Preventive Strategies
- Priciples of stratagy design
- Aim
- What is to be achieved?
- Objectives
- What are the steps to obtain aim?
- Data Collection
- Identify problem, evaluate, poss solutions
- Solutions
- What interventions are there?
- What resources are needed
- Who might help or hinder
- Identify
- What problem? Caries, erosion, oral cancer?
- Natural history of disease?
- What are the Risk factors?
- Epidermiology
- Is it increase, decreasing, stable?
- How important is the disease?
- Evaluate
- Does it work?
- Is it acceptable to people?
- Is it reaching the people as set out?
- Are the resources being used/appropriately?
- Stratagy approaches
- Whole population
- The high risk pop.
- Targeted pop
- Common risk factor
- combining common risks heart disease, oral disease, diabieties
- Solves specific problem
- Traditional approach
- Aims to solve the few 'High risk cases'
- Advantage; cost effective. avoids others being invoved
- Dissadvantges; Sigmatism. Success is only palative, doesn't address underlying prop.
- Radical
- Seeks to address underlying determinants
- Appropriate
- Changing the normal vehaviour to accepted behaviour
- Powerful
- A small shift in the population distribution of risk factors, may have large effect on more people.
- R.A.P.
- eg. Introduction of seat belts
- Dissadvantages
- F.A.C. Feasability? Acceptability?Costs?
- Depends on disease distribution, dose response and cost effectiveness