354 final chap 13 Flashcards

1
Q

health policy

A

public policy that pertain to and influence the pursuit of health

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2
Q

regulatory tools

A

gov. prescribes and controls behavior of a particular target group by monitoring the group and posing sanctions if it fails to comply

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3
Q

examples of regulatory tools

A

-IRS regulating employer mandate and collecting the taxes/penalties imposed by ACA
-state gov. regulating licensure requirements of health professionals

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4
Q

allocative tools

A

health policies that direct provision of income, services, or goods to groups of individuals who usually reap benefits in receiving them

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5
Q

distributive allocative tools

A

benefits spread through society (funding medical research or Hill Burton)

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6
Q

redistributive allocative tools

A

taking $ from one group to benefit another (Medicaid, CHIP, some parts of ACA)

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7
Q

principle features of U.S health policies

A

gov. as subsidiary to the private sector, fragmented policies, incremental policies

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8
Q

gov. as subsidiary to the private sector

A

role to fill gaps of private sector

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9
Q

fragmented policies

A

mix of public and private approaches result in little coordination

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10
Q

incremental policies

A

small policy changes at a time reflecting compromises among a variety of competing interests (originated in state govs)

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11
Q

health policy is strongly influenced by…

A

demands of interest groups

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12
Q

legislative branch - congress

A

primary policy maker

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13
Q

executive - president

A

propose and influence

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14
Q

judicial - courts

A

uphold, implement, modify, strike down

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15
Q

johnson

A

Medicare/Medicaid

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16
Q

nixon

A

HMO

17
Q

clinton

A

CHIP/HIPAA

18
Q

GW bush

A

Medicare pt. d

19
Q

obama

A

ACA

20
Q

policy cycle

A
  1. issue raising
  2. policy design
  3. public support
  4. decision making
  5. policy implementation
21
Q

policy issues - access

A

expand care to most underserved/needy (elderly, minorities, rural, low income, AIDS), ensuring sufficient # of providers

22
Q

policy issues - cost

A

most attention, main effort = payment cuts to providers, fragmented multipayer system does not lend its self to a centralized policy of cost containment

23
Q

policy issues - quality

A

areas of focus = evaluating new treatments/diagnostic tools and measuring outcomes of medical interventions, greater attention to medical malpractice reform

24
Q

legislative process

A

idea for bill -> house/senate -> committee work -> floor -> goes to the other if it passes (senate/house) -> conference committee -> president