6R: Determinant of Health: Policies and Interventions

Question 1

what is health policy?

Answer 1

a formal statement or procedure within institutions that defines priorities and the parameters for action.

Question 2

what are 3 arenas in which health policy acts?

Answer 2

function in public health, structural interventions, financing, reimbursement, licensure, accreditation of health care provider and educational institutions

Question 3

examples of policy in each arena

Answer 3

Public Health: food water and air quality. Laws governing risk behaviors (drugs, alcohol, or tobacco), vaccinations
Reimbursement: Medicare and Medicaid, ACA
Licensure: licensing of health professionals (Kansas Board of Healing Arts),
Accreditation: of hospitals (TJC), of medical schools (LCME), and others

Question 4

1 recent health policy initiative in:

a. Kansas
b. The US

Answer 4

a. Kansas: The Argentine food desert: building a supermarket and repairing sidewalks and curbs so community has access to the supermarket
b. The US: ACA, Expanison of Medicaid

Question 5

a. NIFB v Sebelius

b. King v Burwell

Answer 5

a. said that ACA is legal
b. federal gov. said that if you don’t expand medicaid, we can pull all the medicaid we give to your state. This case said that was illegal. So now states can choose to opt in or opt out.