Unit 2: Policy Development Flashcards

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1
Q

Policy definition

A

Authoritative decisions and guidelines that direct human behavior toward specific goals

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2
Q

A policy pertains to both ___ and ____ policymakers

A

public; private

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3
Q

What is an important component in policies?

A

authoritative decisions

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4
Q

Private institutions who make healthcare policy can include (4)

A
  1. commercial insurance companies
  2. private employees
  3. influential indv
  4. private foundations
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5
Q

Who provide grants that help support health initiatives?

A

private foundations

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6
Q

Any organization that establishes policy should have _______ to implement the polic

A

authority

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7
Q

Federal government is limited to the power which are enumerated in the constitution and must rely on ____

A

persuasion

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8
Q

what does the federal government do to persuade?

A

uses its power through tax and spending OR incentives through govt grants.

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9
Q

Article ___ of the constitutions grants the legislative branch the power to make laws

A

1

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10
Q

State-level policymaking:

A
  • differs by state
  • nearly all have laws that require a balanced budget
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11
Q

House of representatives (3)

A
  • 2 yr temrs
  • short term issues
  • more turnover since based by population
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12
Q

Senate (3)

A
  • 6 yr temrs
  • less turn over since each state gets 2
  • long term issues
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13
Q

Congressional leadership Positions: VP

A

President of Senate; can break ties

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14
Q

Congressional leadership Positions: President Pro Tempore

A

President of Senate in absence of VP

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15
Q

Congressional leadership Positions: Speaker of the House

A

Presides over HR

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16
Q

Congressional leadership Positions: Senate Majority Leader

A

Speaks for majority party; schedules floor action and bills, directs strategy; keeps part united

17
Q

Congressional leadership Positions: House Majority Leader

A

works with the Speaker to direct party strategy

18
Q

COngressional Committees

A
  • Draft and amend legislation, educating members on key issues,
  • help legislation get on the floor, work with President and lobbyists to gain support for a bill
19
Q

Are there different agencies that can help congress?

A

YES

19
Q

Medicare Payment Advisory Commission

A

An independent federal commission that gives Congress advice on issues relating to the Medicare program, including payment, access to care, and quality of care

20
Q

A pocket veto occurs when …

A

congress is not in session and the president does not sign

21
Q

The executive branch includes these 3 components:

A
  1. executive office agencies
  2. policy development offices
  3. 15 cabinet departments
22
Q

three frameworks for healthcare policy

A
  1. healthcare policy and law
  2. Social, political and econ/historical
  3. key stakeholders
23
Q

Healthcare Policy and Law

A

Access, quality, and financing of healthcare (iron triangle)

24
Q

Public Health Policy and Law

A

Why and how the government regulates private individuals in the name of public health and what are the limits upon which to impose on private freedom in the name of public health.

25
Q

Bioethics Health Policy

A

Ethical issues-the point at which public policy, law, individual morals, societal values, and medicine intersect

  • Abortion, end of life questions, human genetic code
26
Q

Professional Autonomy Perspective (1880-1960)

A

The notion that the medical profession should have the authority to regulate itself

27
Q

Social Contract Perspective (1960-1980)

A

“modestly egalitarian social contract”

  • This perspective holds that complete physician autonomy is potentially dangerous in terms of patient care and healthcare expenditures
  • Public policy and law should sometimes enforce a “social contract” at the expense of physician control
28
Q

Free Market Perspective (1990s - today)

A
  • Grounded in the notions of freedom of the marketplace and market competition
  • Perspective that competition and consumer empowerment will lead to the most efficient healthcare system
29
Q

Key stakeholders

A

This framework seeks to acknowledge the various values and interest on healthcare’s key stakeholders