PUBH 6012 Review Exam 1 Questions With
Correct Answers
What |are |the |core |functions |of |our |public |health |system? |- |CORRECT |ANSWER✔✔-
ASSESSMENT, |
POLICY
DEVELOPMENT, |
ASSURANCE
Assessment |- |CORRECT |ANSWER✔✔--monitor |health
-diagnose |and |investigate
Policy |development |- |CORRECT |ANSWER✔✔--inform, |educate, |empower
-mobilize |community |partnerships
-develop |policies
Assurance |- |CORRECT |ANSWER✔✔--enforce |laws
-link |to |and |provide |care
-assure |competent |workforce
-evaluate/maintain/quality |review
-research
powers |of |federal |government |- |CORRECT |ANSWER✔✔-■Ensure |that |all |levels |of |gov |have
|capabilities |to |provide |essential |PH
services
,■ |Act |when |health |threats |may |span |multiple |states/region/nation
■ |Act |where |the |solutions |may |be |beyond |the |jurisdiction |of |individual |states
■ |Act |to |assist |states |when |they |lack |expertise/resources |in |an |emergency
■ |Facilitate |the |formulation |of |PH |goals
power |of |the |states |- |CORRECT |ANSWER✔✔-■ |States |retain |primary |responsibility |under |the
|constitution
■ |State |governments |primarily |responsible |for |public |health, |regulation |of
insurance |business, |and |provider |licensing
power |of |the |local |governments |- |CORRECT |ANSWER✔✔-■ |(1 |of |2 |models): |"the |home |rule"
|or |"local |autonomy" |model |is
delegated |from |the |state |to |local |health |dept. |*independent |model*
● |Autonomy |in |setting |structure |and |function |and |raises |its |own
funding
■ |(2nd |model): |local |health |departments |can |be |viewed |as |a |"branch
office" |of |the |state, |with |little |or |*no |independent |authority* |or |funding
■ |Authority |and |responsibility |(at |least) |similar |to |the |state:
● |Immunizations
● |Communicable |disease |surveillance |and |control; |investigating
outbreaks; |treatment
● |inspecting/licensing |restaurants
● |Environmental |health |surveillance
● |Coordination |of |public |health |screening |programs
● |Public |health |preparedness |and |response |to |disasters
, where |do |the |powers |come |from |- |CORRECT |ANSWER✔✔-○ |Federal |→ |funding
○ |States |→ |constitutional |right
How |does |the |federal |government |influence |what |happens |in |states? |- |CORRECT |ANSWER✔✔-
■ |fed |doesn't |have |direct |authority |over |PH |under |the |constitution. |Power |is
reserved |to |the |state, |but |the |states |need |money
● |funding |incentives |and |conditions
○ |mutual |dependence |b/n |fed |and |state/local
○ |About |½ |of |state |funding |comes |from |feds, |only |¼ |of |local
funding |comes |from |local |sources
What |"power |levers" |do |the |various |fed |branches |have? |- |CORRECT |ANSWER✔✔-○ |Surgeon
|general: |bully |pulpit |to |impact |public |opinion |on |smoking
○ |Executive |branch: |office |of |management |and |budget |control |funding |of |federal
agencies, |Executive |orders |directly |impact |agencies
How |do |states |push |back? |Enlist |help? |Etc. |- |CORRECT |ANSWER✔✔-○ |Ask |for |or |refuse
|funding |assistance
Health |care |system |in |comparison |other |OECD |nations
● |What |is |comparative |content? |- |Tenzin |discussed |this! |- |CORRECT |ANSWER✔✔-I |believe
|'comparative |content' |is |referring |to |the |OECD |measures |used |to |compare
health |systems |in |four |categories.
1. |Risk |factors |for |health: |daily |smoking/alcohol |consumption/obesity/air |pollution
2. |Access |to |care: |population |coverage/share |of |OOP |expenditure/waiting |time |to |fix
a |cataract*/consultations |skipped
3. |Quality |outcomes |of |care: |Asthma |and |COPD |admissions/antibiotics |(my |trash
Correct Answers
What |are |the |core |functions |of |our |public |health |system? |- |CORRECT |ANSWER✔✔-
ASSESSMENT, |
POLICY
DEVELOPMENT, |
ASSURANCE
Assessment |- |CORRECT |ANSWER✔✔--monitor |health
-diagnose |and |investigate
Policy |development |- |CORRECT |ANSWER✔✔--inform, |educate, |empower
-mobilize |community |partnerships
-develop |policies
Assurance |- |CORRECT |ANSWER✔✔--enforce |laws
-link |to |and |provide |care
-assure |competent |workforce
-evaluate/maintain/quality |review
-research
powers |of |federal |government |- |CORRECT |ANSWER✔✔-■Ensure |that |all |levels |of |gov |have
|capabilities |to |provide |essential |PH
services
,■ |Act |when |health |threats |may |span |multiple |states/region/nation
■ |Act |where |the |solutions |may |be |beyond |the |jurisdiction |of |individual |states
■ |Act |to |assist |states |when |they |lack |expertise/resources |in |an |emergency
■ |Facilitate |the |formulation |of |PH |goals
power |of |the |states |- |CORRECT |ANSWER✔✔-■ |States |retain |primary |responsibility |under |the
|constitution
■ |State |governments |primarily |responsible |for |public |health, |regulation |of
insurance |business, |and |provider |licensing
power |of |the |local |governments |- |CORRECT |ANSWER✔✔-■ |(1 |of |2 |models): |"the |home |rule"
|or |"local |autonomy" |model |is
delegated |from |the |state |to |local |health |dept. |*independent |model*
● |Autonomy |in |setting |structure |and |function |and |raises |its |own
funding
■ |(2nd |model): |local |health |departments |can |be |viewed |as |a |"branch
office" |of |the |state, |with |little |or |*no |independent |authority* |or |funding
■ |Authority |and |responsibility |(at |least) |similar |to |the |state:
● |Immunizations
● |Communicable |disease |surveillance |and |control; |investigating
outbreaks; |treatment
● |inspecting/licensing |restaurants
● |Environmental |health |surveillance
● |Coordination |of |public |health |screening |programs
● |Public |health |preparedness |and |response |to |disasters
, where |do |the |powers |come |from |- |CORRECT |ANSWER✔✔-○ |Federal |→ |funding
○ |States |→ |constitutional |right
How |does |the |federal |government |influence |what |happens |in |states? |- |CORRECT |ANSWER✔✔-
■ |fed |doesn't |have |direct |authority |over |PH |under |the |constitution. |Power |is
reserved |to |the |state, |but |the |states |need |money
● |funding |incentives |and |conditions
○ |mutual |dependence |b/n |fed |and |state/local
○ |About |½ |of |state |funding |comes |from |feds, |only |¼ |of |local
funding |comes |from |local |sources
What |"power |levers" |do |the |various |fed |branches |have? |- |CORRECT |ANSWER✔✔-○ |Surgeon
|general: |bully |pulpit |to |impact |public |opinion |on |smoking
○ |Executive |branch: |office |of |management |and |budget |control |funding |of |federal
agencies, |Executive |orders |directly |impact |agencies
How |do |states |push |back? |Enlist |help? |Etc. |- |CORRECT |ANSWER✔✔-○ |Ask |for |or |refuse
|funding |assistance
Health |care |system |in |comparison |other |OECD |nations
● |What |is |comparative |content? |- |Tenzin |discussed |this! |- |CORRECT |ANSWER✔✔-I |believe
|'comparative |content' |is |referring |to |the |OECD |measures |used |to |compare
health |systems |in |four |categories.
1. |Risk |factors |for |health: |daily |smoking/alcohol |consumption/obesity/air |pollution
2. |Access |to |care: |population |coverage/share |of |OOP |expenditure/waiting |time |to |fix
a |cataract*/consultations |skipped
3. |Quality |outcomes |of |care: |Asthma |and |COPD |admissions/antibiotics |(my |trash