Community Health

Question 1

state of complete physical, mental, and social well being and not merely the absence of disease or infirmity

Answer 1

1 of 9 health principles written in preamble of constitution of WHO - 1948

health**

Question 2

WHO principles

Answer 2

1 - definition of health
2 - highest standard health right of every human
3 - health fundamental to attainment of peace and security
4 - promotion and protection of health is value to all
5 - unequal development in different countries is common danger
6 - child health is basic importance
7 - extension to all people of medical knowledge is essential
8 - informed opinion and active cooperation is important
9 - gov’t have responsibility for health of their people

Question 3

improving health through organized community, education, organization, social machinery, and increased standards of living

Answer 3

public health**

Question 4

public health

Answer 4

health status of health status

prevention of illness

Question 5

4 parts of public health

Answer 5

mission
substance
organizational framework
core functions

Question 6

3 core functions of public health**

Answer 6

assessment
policy development
assurance

Question 7

IOM defining public health mission

Answer 7

mission - to fulfill societys interest in assuring conditions in which people can be healthy

Question 8

IOM defining public health substance

Answer 8

substance - organized communiy effors aimed at prevention of disease and promotion of health

Question 9

IOM defining public health organizational framework

Answer 9

organizational framework - both activites undertaken within the formal structure of government and associated efforts of private and voluntary organizations and individuals

Question 10

assurance

Answer 10

making sure it happens

Question 11

assessment

Answer 11

knowing what needs to be done

Question 12

policy development

Answer 12

being part of the solution

Question 13

vision in US

Answer 13

healthy people living in health communities

Question 14

mission in US

Answer 14

promote physical and mental health and prevent disease, injury, and disability

Question 15

public health….

Answer 15

• prevents epidemics
• protects env hazards
• respond disasters
• prevent injuries
• promote healthy behaviors
• assure quality and accessibility of health services

Question 16

1790s

Answer 16

yellow fever outbreak

Question 17

1872

Answer 17

APHA established

-reveal causes of communicable diseases

Question 18

3 major eras of public health**

Answer 18

prior to 1949

• battle epidemics, then build infrastructure
• many diseases from sanitation, hygiene, an lack of education

1950-1999

• filling gaps in medical care delivery
• Medicare and Medicaid

200- present

• preparing for and responding to community health threats, manmade and natural
• disasters, terrorism, handgun control

Question 19

medicaid**

Answer 19

health care for low income

1965

partial state funded

Question 20

medicare**

Answer 20

health care for people >65yo

1965

Part A - inpatient
Part B - outpatient
Part C - supp insurance plans (HMO or PPOs)
Part D - Prescription Plans

Question 21

20th century US public health achievements

Answer 21

• vaccinations
• motor vehicle safety
• infections disease control
• decline in deaths CHD and CVA
• healthy moms and babies
• recognition of tobacco as health hazard

Question 22

current public health issues**

Answer 22

obesity
whooping cough
measles
MRSA
west nile
pandemic flu
disparities in health care
unwanted pregnancy
ebola
disasters

Question 23

medical care vs. public health

Answer 23

medical - treat individual, healing from illness, clinical intervention, clinical sciences integral

public health - treat community, prevention, environment and behavior interventions, social sciences integral

Question 24

licensing of physicians, nurses, and other health care professionals

Answer 24

public health and fed gov’t

hospitals and other healthcare institutions - must be licensed by states

ensures standard of quality of healthcare

Question 25

community

Answer 25

group of people with something in common

ex/ females, african americans, heterosexuals, spanish speakers

Question 26

community medicine**

Answer 26

study of health and disease of specific community in a population

bridge between practice of medicine and practice of public health

Question 27

goal of community medicine**

Answer 27

identify health problems and needs of defined populations/communities

identify means by which these needs should be met

evaluate extent to which health services meets these needs

emphasis on prevention, early intervention, rehab, and diagnosis/treatment

Question 28

public health

Answer 28

population
public service
disease prevention
health promotion
env, behavior, lifestyle changes

Question 29

medicine

Answer 29

individual
personal service
disease diagnosis, treatment and care for individual

medical care - specific

Question 30

community health centers

Answer 30

joins both public health and medical profession in fulfilling its goals and obligations to both society and patients

all function within confines of gov’t regulation

non-profit, federal entities providing comprehensive primary care services regardless of ability to pay

also dental and mental health

Question 31

provided by community health centers

Answer 31

primary and preventive care

supported by federal grants

1,200 centers in US

inner cities and isolated rural communities

Question 32

CCHN

Answer 32

colorado community health network

Question 33

majority of colorado population

Answer 33

employer insurance

64%

Question 34

acronyms

Answer 34

NIH
CDC
IOM - Institute of Medicine
WHO
UN
DHHS - Dept Health and Human Services
FDA
PHS - Public Health Services
DHS - Department of Homeland Security
OSHA - Occupational Safety and Health Administration