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Public Health Pt2 > Health Care System > Flashcards

Health Care System Flashcards

1
Q

10 essential public health services

A

Monitor, Diagnose and investigate, Inform and educate, Mobilize community partnerships, Develop policies and plans, Enforce, Link, Assure, Evaluate, Conduct Research

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2
Q

Monitor

A

Population health status to identify and solve community health problems

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3
Q

Diagnose and investigate

A

Health problems and health hazards in the community

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4
Q

Inform and educate

A

people about health issues

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5
Q

Mobilize community partnerships

A

An action to identify and solve health problems

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6
Q

Develop policies and plans

A

That support individual and community health efforts

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7
Q

Enforce

A

Laws and regulations that protect health and ensure safety

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8
Q

Link

A

People to needed personal health services and assure the provision of health care when otherwise unavailable

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9
Q

Assure

A

Competent public an personal health care workforce

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10
Q

Evaluate

A

Effectiveness accesibility and quality of personal and population based health services

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11
Q

Conduct research

A

for new insights and innovative solution to health problems

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12
Q

What is the WHO system framework

A

Service delivery, health workforce, information, medical products, vaccines, and technologies, financing, leadership/governance

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13
Q

Goals of WHO

A

Improved health, responsiveness, social and financial risk protection, improved efficiency

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14
Q

Basic components of US Health Care system

A

Patients, Services, Providers, Administrators/Other Staff, Facilities, Assurance, Governance

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15
Q

Patients

A

People receiving individual services

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16
Q

Patients

A

Individuals who live in context: Family, relationships, socioeconomic, occupations, community, physical environment

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17
Q

Types of services

A

Primary care, specialty care, diagnostic service, mental health, pharmaceutical care..etc

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18
Q

Work Force

A

Physicians, surgeons, physicians assistance, nurses, nurse practitioners, RNs, Dentists, etc

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19
Q

Who earns more- specialty physicians and primary care physicians

A

Specialty

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20
Q

What is the average age of the of a nurse?

A

44.4

21
Q

In the coming decade, how many nurses will retire?

A

80,000

22
Q

What will the rise in nurses be between 2013 and 2030?

A

2.7 million to 3.3 million

23
Q

In 2025, what will be the shortage of nurses?

A

128,000 (4%)

24
Q

Administrators/Other Staff

A

Health care executive leaders, administrators, board members, trustees, lab staff, diagnostic services

25
Q

Facilities:

A

Ambulatory care, emergency departments, hospitals, long term care/nursing homes, community health centers, school based clinics, family planning clinics

26
Q

Assurance/Oversight

A

Accreditation of training programs, Licensure/professional standards, Laboratory safety/quality standards

27
Q

Governance

A

Executive and administrative leadership, Boards of directors/trustees

28
Q

What aspects of government control the health care system?

A

local, state, and federal policy

29
Q

When does public policy intervene?

A

When there is a market failure or market ineffciencies that result in negative outcomes

30
Q

What does public policy address?

A

Access to health care, financing of health care, quality of health care

31
Q

What are the 5 dimensions of access?

A

Affordability, Accessibility, Availability, Accommodation, Acceptability

32
Q

Affordability:

A

Price of services meet client’s income and ability to pay. (Transportation, lost time, and income must be taken into account)

33
Q

Accessibility

A

Location of supply aligns with location of client. Accounts for geographical,economic, and social clients

34
Q

Availability

A

Size or volume of the supply meets clients needs. Volume and type services vs Resources to clients volume and type of needs

35
Q

Accommodation:

A

Delivery of healthcare accommodates clients needs. Appointment systems, hours of operations, walk in facilities

36
Q

Healthcare providers accept all clients regardless of characteristics

A

Clients characteristics, age, sex, social class, etc

37
Q

Among the ethnicities who usually has the LEAST regular care?

A

Hispanic

38
Q

How has cost influenced the number of people seeking medical treatment?

A

It has decreased it

39
Q

What are components of the health care safety net?

A

Medicaid, local public health clinics, family planning services, community health centers, schools, etc

40
Q

Major types of health care financing for personal services

A

Private insurance, public insurance: medicaid, medicare, schip,

41
Q

Medicare Eligibility

A

1) People 65 and Older
2) People who have kidney failure or long term kidney diseases
3) People who are currently disabled and can’t work
4) Low income people who are disabled and cannot work
5) Low income 65+

42
Q

Medicaid Eligibility

A
  • Low income
  • Pregnant women
  • Children under 19
  • People who are 65+
  • People who are blind or disabled
  • People who need nursing care
43
Q

Social Security Act

A

1965 Amendment to the 1935

44
Q

Social Insurance

A

For the elderly and disabled. Nationwide eligibility and benefits

45
Q

A defined Benefit plan

A

With no limit to annual spending:: Covers 55 million people, 65 and older, under 65 is disabled by ALS and End stage renal disease

46
Q

What does the US rank poorest on?

A

1) Life expectancy
2) Infant and child mortality rates
3) Disability free life expectancy, premature mortality, incidence and prevalence rates, disease specific mortality rates, suicides

47
Q

Are healthcare disparities the same thing as health status disparities?

A

No

48
Q

What is the difference between health status disparities and health care disparities

A

Driven by differential access to all of the social determinant of health

Public Health Pt2 (6 decks)

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