Pop exam2-3 Flashcards
Macroeconomic?
big picture/larger view
concerned with the broad variables
economy as a whole
production, consumption,investment, international trade, inflation, recession and unemployment on the aggregate level
(big picture – global scale)
Microeconomic?
Concerned with supply and demand
examines individual preference and finances, and how those actions affect cost of care and resource distribution
a) Supply
b) demand
a) Quantity of good/services available
b) COnsumer willingness to buy goods/services
What determines supply and demand in health care?
Different prices for same service
Competition is important but what if insurance tied to employment?
Waste (1/3 of healthcare spending is wasteful actions)
Higher demand due to aging population
Shattuck Report?
a landmark document made a tremendous impact on sanitary
progress addressing
emphasizing the need for improved sanitation & working conditions
fundamental documents in public health in US
First systematic use of birth and death records and other demographic data to describe the health of a population
Why current health care delivery system disincentives primary and secondary prevention?
Diminished federal and state allocations
連邦および州の割り当ての減少
Federal and State budget cuts
Incentives for illness/tertiary care
Conflicts with public health issues and
managed care
Managed Care
focused on event
driven cost avoidance
HMO
PPO
Private Health Sector(group)
promote health legislation
meet the needs of people with special needs
Health related professional organizations develop standards & lobb
a specific focus,
Public health
3 core PH functions
-assessment, policy development,assuarance
focus on the entire population within their jurisdiction
responsible for carrying out health legislation
CAP steps
a) data collection
b) analysis
c) nursing dx
d) planning
e) implementing
f) evaluation
a) assessment
identify the health needs
b)gathering collect data into a database
c) identify and prioritize health needs of the community
Risk +++ among++++ related to++++
d) smart goal
e) preparation
activities or actions
3 Parts community nursing dx
1) Description of the problem, response, or state
2) Identification of factors etiologically related to the problem
3) Signs and symptoms that are characteristic of the problem
Problem
-High infant and childhood morbidity from communicable disase
Ethiology (related to)
-Low rates of immnization coverage in shildren under two years of age
S/S (as manifested by)
-Three times higher incidence rate for pertussis in the ast year
SMART goal
Specific
Measurable
Achievable
Relevant
Time-framed
Process or formative evaluation
Are program activities following the intended plan?
Are staff and materials sufficiently available?
Are expected numbers of clients participating?
Do inputs and outputs meet some predetermined plan?
Impact or summative evaluation
short term outcome
Were program objectives met?
Were clients satisfied with the program?
Were program providers satisfied with activities and clientninvolvement?
Outcome evaluation
long term outcome
What are the long-term implications of the program?
As a result of the program, what changes can be expected in 6 weeks, 6 months, 6 years?
Did the program meet its goal?
Was health improved?
