Chapter 2 - Foundations of US Health Care Delivery

Question 1

What is health?

Answer 1

• absence of illness or disease

- emphasizes clinical diagnosis and medical interventions

Question 2

What is health care delivery?

Answer 2

refers to the delivery of medical care or illness care

Question 3

What is holistic medicine?

Answer 3

• refers to treating the WHOLE person: physical, mental, social, and
• tied to one’s beliefs, values, morals, and practices

Question 4

Illness:

Answer 4

one’s own perception of how they are feeling

ex) pain, depression, uncomfortable, anxiety

Question 5

Disease:

Answer 5

determined AFTER the evaluation of the medical provider

Question 6

Acute Conditions

Answer 6

relatively severe, episodic, treatable – often new

Question 7

Chronic Conditions

Answer 7

less severe, lasts longer in duration

-patient may not recover from condition, but can be kept under control

Question 8

Quality of Life

Answer 8

• perception of how satisfied with your experiences are while you are receiving care
• overall satisfaction of life and with self-perceptions of health and medical interventions
• DIFFERENT FOR EACH PERSON

Question 9

Determinants of health fall into what FOUR categories?

Answer 9

• environment
• behavior and lifestyle
• heredity
• medical care

Question 10

Environment:

Answer 10

• physical, socioeconomic, sociopolitical, and sociocultural dimensions of life
• the greater the economic gap the worst the health status will be
• education and health status
• developmental health

Question 11

Behavior and Lifestyle:

Answer 11

diet, exercise, stress, risky or unhealthy behaviors

Question 12

Heredity:

Answer 12

predisposed to certain conditions

Question 13

Medical Care:

Answer 13

access to preventative and curative health services

BEING PROACTIVE FOR YOUR CARE

Question 14

Cultural Beliefs and Values

Answer 14

• finding out what’s important to each specific society

ex) whats important to millennial won’t be important to Gen. X and Baby Boomers

Question 15

Market Justice

Answer 15

• proposes free distribution of HC
• distributed on people’s willingness to pay
• emphasizes individual vs. collective responsibility for health
• everyone responsible for themselves, individualistic

Question 16

Social Justice

Answer 16

• societal responsibility
• wants to et a central agency take over (government)
• collectively financed and available to all citizens regardless of their ability to pay
• everyone contributes and helps each other, put everything into a big pot and people can take as they need

Question 17

Healthy People Initiatives

Answer 17

• designed in 10 year increments by government

- founded on the integration of medical care with preventive services, health promotion, and education

Question 18

Benchmarks that are monitored within Healthy People’s Initiative:

Answer 18

Encourage collaborations across communities and sectors

EMPOWER individuals toward making informed health decisions

Measure the impact of prevention activities

Question 19

Healthy People 202’s overarching goals:

Answer 19

Attaining high-quality, longer lives free of preventable disease, injury, and premature death

Achieving health equity, eliminating disparities, and improving the health of ALL groups

Creating social and physical environments that promote good health for all

Promoting quality of life, healthy development, and health behaviors across all life stages

Question 20

Public Health

Answer 20

focus on improving the health and well-being of the TOTAL population

To improve the nations health and decrease differences

Social Determinants of Health (SES, demographics, education, employment, etc)

Question 21

Public Health’s Social and Medical Points of Intervention:

Answer 21

Policy Interventions - OSHA

Community Based Interventions – fighting childhood obesity through interventions within the school lunch programs

Health Care Interventions - EMR

Individual Level Interventions – behavior changing strategies (reduce smoking and more exercise