Midterm Flashcards
Define Policy
A course or principal of action that is adopted or proposed by a government
Core pillars of the public sector
Economy, efficiency, effectiveness, equity
Policy w a big P or formal policy
Laws, regulations, executive orders, court rulings, administrative rules, budgetary rules, entitlement programs
policy w little p or informal policy
guidelines issued by a professional association, recommendations of expert panels, rules with institutions, local programs, capacity building
Persuasion/moral suasion
provide information (inform)/exhort (implore)
Non-intervention
doing nothing
Incentive
Subsidize, tax
Procure
grant (buy), contract (buy), produce (make)
Law and regulation
require (oblige, prohibit)
Inform
Fact sheets, infographics, worker right to know safety and data sheets
Exhort
“truth” anti-tobacco use media campaign, the pledge: campaign to reduce carbon foot print
Subsidize
Earned-income tax credit, lower insurance rates for non-smokers, tax subsidy for solar technology
Tax
taxes on tobacco, alochol, etc
Grants/contracts
The government hires media companies to design/execute educational or media campaigns, gov pays for vaccine development
Produce
Gov creates standard health curriculum for public schools, gov creates and enforces standards for food safety
Symbolic policy
Statements about problems (whereas…) with no substantive action plan or resource allocation
Declaration
Breast cancer awareness month, African history month, suicide prevention week, national waffle week
Illegal policy
States pass/keep laws that are unconstitutional (state abortion trigger laws)
Schneider and Ingram’s theory
The convergence of political power and social construction creates 4 target populations with different benefits and burdens from policy
Schneider and Ingram’s 4 target populations
Advantaged, Contenders, Dependents, Deviants
Advantaged (S and I theory)
Positively constructed and politically powerful
Contenders
Negatively constructed yet politically powerful
Dependents
Positively constructed yet no political power
Deviants
Negatively constructed and no political power
Public Health Law
When can the gov restrict freedoms? (Vaccine policy)
WHO’s the definition of health
Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
Population health
- Understanding patterns and distributions of health outcomes and their causes in populations
- Populations defined by geopolitical spaces and social characteristics
- Multi-level focus: upstream (macro), midstream (meso), and downstream (micro) drivers of health and health inequities
Public Health
Loosely defined as the set of activities a society undertakes to monitor and improve the health of its collective membership
Clinical medicine
Focus on individuals, assesses physiological factors impacting a disease or injury state, diagnosis and treatment, concerned with disease presentation in individuals, Interventions almost exclusively aimed at individuals
How is public health different from medical care
Focus on the aggregate groups, communities, and populations, assesses social and environmental conditions impacting disease or injury, concerned with prevention, distributions, and equity, interventions aimed at groups of people, policy interventions are key
Public Health’s Niche: 3 P’s
Health protection, health promotion, health prevention
health protection
actions to eliminate or reduce risks from environmental hazards, unsafe water, food, drugs, etc
Health promotion
policies and processes that allow individuals to increase control over and improve their own health (focus is populations and broad determinants of health)
Disease prevention
Primary, secondary, tertiary
Primary prevention
prevention of onset disease or injury (immunizations, anti-smoking education, bicycle helmets, safe housing)
Secondary prevention
Identify or control disease processes in their early stages, before signs/symptoms are apparent (mammography, HIV testing, hypertension control