ANSWERS 100% CORRECT!!
ASPPH Public Health Priority 1 - ANSWEREnsure every American has the
opportunity for a healthy life through initiatives that promote health, including
mental health, and that:
Prevent disease, injury, and disability.
Integrate affordable, quality medical care
with public health.
Eliminate health inequities and promote
social justice.
ASPPH Public Health Priority 2 - ANSWEREducate the next generation of skilled,
highly competent public health professionals.
ASPPH Public Health Priority 3 - ANSWERIncrease investment in public health
research by:
Rebalancing the research portfolio of the National
Institutes of Health to address population-wide health
threats and to advance prevention research.
Identifying and expanding the public health research
portfolios of the Centers for Disease Control and
Prevention and other relevant Federal agencies.
why focus on medical care? - ANSWERImmunizations
Prenatal care
Well baby care
Testing for risk factors and secondary
prevention
Treat injuries and illnesses
Deals with failures of public health
definitions of health - ANSWER1. individuals
2. population
What are the roles of nonmedical interventions in these causes of mortality? -
ANSWERrole of prevention
-can play a bigger role in chronic diseases than infectious diseases
how healthy is the US? - ANSWERfrom #24 in life expectancy to #41
How much do we spend on health care? - ANSWERUS spends most per capita over
the past 3 decades
-controlling for size of economy, this trend is still present
-projected to only increase
distribution of national health expenditures by payer - ANSWER33% back to
government (15% medicaid and SCHIP, 17% medicare)
,12% other public sources
34% private insurance
12% other public
6% other private
15% out of pocket
distribution of national health expenditures by type of care - ANSWER31.4% hospital
care
19.9% physician/clinical services
10% prescription drugs
long-term care 5%
15% other personal care
15.7% other health care spending
What factors might be considered determinants of health (of individuals or
populations)? - ANSWER1. medical care
How much might medical care affect population health? - ANSWERdepends on how
we measure health
- life expectancy
top ten causes of death - ANSWERearly 1900s: dominated by infectious diseases
now: dominated by chronic diseases (diseases of later life)
- preventable diseases
So what is the role of medical care in population health? - ANSWERMedical services
are obviously very important
Researchers analyze the role of medical care in
improving population health, relative to (other)
population-level interventions
Important population health question: Both
medical care and other determinants matter-
what is the proper balance?
--maybe why other countries have better life expectancies, have different balances
--dont see this at individual outcomes
The many determinants of health - ANSWERIncome and Social Status
Social Support Networks
Education
Employment/Working
Conditions
Social Environments
Physical Environments
Personal Health Practices and
Coping Skills
Healthy Child Development
Biology and Genetic Endowment
Health Services
Gender
, Culture
-medical care is an important determinant
When is Medical Care a Public Health Responsibility? - ANSWERPrevent spread of
communicable diseases
Emergency services
Hospitals required by law to provide care for life-threatening conditions
Veterans can get care in VA system
Prisoners have a right to medical care
medical care and public health are closely intertwined
many components of the US healthcare system - ANSWEREduc Research
Suppliers
Insurers
Providers
Payers
patchwork of public and private systems
Service Provision & Financing Process - ANSWERwe (patients/tax
payers/consumers) are demand
suppliers are doctors/healthcare providers
-patients are also providers
How Is Medical Care Paid For in the U.S.? - ANSWERMost Americans get health
insurance through employer
Charity care - long tradition
Public clinics for communicable diseases
Community health centers
Medicare and Medicaid - passed in the 1960s
Approximately 20% of US population under 65 is
uninsured
The American Medical Association supports
increased access to health care for all citizens
many avenues of access to care
public financing - ANSWERCategorical programs
Medicare (four parts)
Medicaid
PACE
CHIP (for children)
Military Health Services
- TriCare
Veterans Health Administration
- CHAMPVA
Indian Health Service