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Intro To Public Health > Unit 3: Health Systems > Flashcards

Unit 3: Health Systems Flashcards

Observing and understanding public health Institutions, Relationships, Politics and Economics

1
Q

Until 1960, how were people usually paying for healthcare

A

People were usually paying for healthcare out of pocket.

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2
Q

What was a core idea of “the peoples hospital”?

A

Public Hospitals are funded by tax payers

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3
Q

In “The Peoples Hospital” what does Nulia argue about healthcare in the US?

A

She argues that the US healthcare should focus on prioritizing treatment first and focus on money after.

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4
Q

What is Fee for service?

A

A healthcare payment system in which doctors and medical professionals get paid for each service provided.

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5
Q

True or False: the physician charges separately from the hospital

A

True

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6
Q

Currently, how do most people pay for hospital bills/care?

A

For most people this is paid for by insurance companies.

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7
Q

Is the out of pocket cost for healthcare greater or lesser for someone without insurance.

A

The charge is HIGHER.

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8
Q

Do most insurance companies work with co- pay

A

YES

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9
Q

How does money in the healthcare system flow?

A

From top to bottom?

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10
Q

Who is in charge of regulating market places and private insurances?

A

State Government

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11
Q

How old do you have to be for Medicare?

A

65 or Older

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12
Q

Who is Medicaid for?

A

Populations with low income and limited resources.

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13
Q

How much was the National health dollar as of 2022?

A

4.5 Trillion

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14
Q

Where does most of the money from healthcare go towards?

A

Insurance

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15
Q

Why was the hospital in “ The Hospital” called the Band- Aid- Station

A

because it was a small local hospital in a rural area.

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16
Q

whats the setting of “ The Hospital” by Brian Alexander

A

Bryan, Ohio

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17
Q

Who funds a Public hospital?

A

It is funded through taxes

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18
Q

Who owns a Public Hospital?

A

The government AND it is funded by tax payers

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19
Q

Who owns a private for profit hospital?

A

An individual owns it

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20
Q

Who owns a non Profit hospital?

A

The people (lowkey), usually funded by donations made in the community.

21
Q

What does “ In Network” provider mean?

A

means that a provider has a contract with your insurance company to negotiate prices . Usually has a co-pay and the insurance company pays the rest.

22
Q

What does an “Out of Network” provider mean?

A

Means that an provider does NOT have a contract with your insurance company and results in patient getting billed full cost.

23
Q

What does SES stand for?

A

Social economic status

24
Q

What does Quantitative mean in context of a study?

A

the study is number focused

25
Q

What does it mean if a study has a Qualitative focus?

A

Means there is emphasis on the stories and self reporting of population of their stories.

26
Q

What makes Raudenbush’s study on access to health care different from other previous studies?

A

She uses a Qualitative approach and describes the unexpected strategies people use instead of formal routes.

27
Q

What are the 3 factors of SES.

A

1) income + wealth 2) education 3)occupation

27
Q

What is the importance of the whitehall study?

A

First study to show a clear connection between SES and effects on health.

28
Q

What was published in 1964?

A

The Surgeon General Report

28
Q

What does the FTC stand for?

A

Federal Trade Commission

29
Q

what did the FTC enforce that is called “ fair use/ fair time”

A

If a station was going to advertise smoking, they had to advertise alternative views.

30
Q

Pre- emption meaning:

A

laws at one level of government taking precedence over laws of a lower level; in the context tobacco, the feds supersede the local state and the state couldn’t enforce stricter laws.

31
Q

Synar Amendment

A

unfunded mandate that regulated the age you could purchase tobacco.

32
Q

Who (what group) were the start to anti smoking legislation.

A

Grass roots non smokers.

33
Q

What does CMS stand for ?

A

Center of medicare/medicaid services

33
Q

When was the Asylum era at a peak?

A

1950s

34
Q

How were large Asylums funded?

A

state governed and funded systems.

35
Q

This type of meds were discovered in the 1960s

A

Antipsychotic

36
Q

Asylums were an easy way for people to send off both mentally ill and _________ family members.

A

difficult

37
Q

what is the LA DMH

A

LA Department of mental health

38
Q

Goal of Public System

A

Simply trying to solve the issue of homlessness.

39
Q

Goal of Private Systems

A

Clients are individual families that try to solve dynamics of love, family etc

40
Q

What is Jones v City of LA ruling?

A

It was illegal to arrest/punish homeless people unless the gov provided housing.

41
Q

Anosognosia

A

A condition were someone lacks awareness of their mental illness deficit.

42
Q

Was change in the 4 countries similar or different?

A

Different

43
Q

Important details on Frances anti tobacco history

A

The first major anti-smoking law was named after Health Minister Simone Veil, then the Evin law came that prohibited smoking and advertising in all public areas (1990)

44
Q

Important details on Canadas anti Tobacco history

A

Had a slow start and in the 1980s/90s smoking bands and campaigns were launched. in the 2000s Canada became strict in their regulation of tobacco product packaging and had clear labels to dissuade users. They became a global leader in graphic health warnings

45
Q

Important details on the UKs anti tobacco history

A

in the 1960s the gov banned smoking advertizing on tv which soon turned into package warnings being mandatory. they have also been rising tobacco taxes.

Intro To Public Health (2 decks)

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