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Describe population health as a driving health system comprising health care, public health, and
related social services: ✔Correct Answer-Refers to the health outcomes of a group of individuals,
including the distribution of such outcomes within the group
It includes health outcomes, patterns of health determinants, and policies & interventions that link
these two
Describe the need for intersectional work to advance health, with a particular emphasis on the role
of public health: ✔Correct Answer-PH encompasses population health, but often is limited to the
role of a government entity in addressing health and health-related needs; therefore, there is a need
for intersectional work with various different sectors to achieve public health goals.
What is the role of public health? ✔Correct Answer-to protect and prevent
protect - from things we don't have control of
prevent - helping us make healthier choices and making sure that we are aware of what we need to
do to be as healthy as possible
What are the core public health functions? ✔Correct Answer-assessment, policy development,
assurance
When it comes to the core functions of public health, what is meant by assessment? ✔Correct
Answer-assess/evaluate what is going on in a community and what social factors are affecting health
obtaining data that define the health of the overall population and specific groups within the
population, including defining the nature of new and persisting health problems
When it comes to the core functions of public health, what is meant by policy development?
✔Correct Answer-identifying programs and policies that can make a difference
- developing evidence-based recommendations and other analyses of options, such as health policy
analysis, to guide implementation, including efforts to educate and mobilize community partnerships
When it comes to the core functions of public health, what is meant by assurance? ✔Correct
Answer-PH has a role/responsibility in community to assure people get the services they need
- governmental PH's oversight responsibility for ensuring that key components of an effective health
system, including health care and PH, are in place even though the implementation will often be
performed by others
What are the 10 essential PH services? ✔Correct Answer-1. Monitor health
2. Diagnose and investigate
3. Inform, educate, empower
4. Mobilize community partnerships
5. Develop policies
,6. Enforce laws
7. Link to/provide care
8. Assure competent workforce
9. Evaluate
10. Research
When it comes to the 10 essential services of public health, what is meant by monitor health?
✔Correct Answer-identify and solve community health problems
use of community health assessments and registries
When it comes to the 10 essential services of public health, what is meant by diagnose and
investigate? ✔Correct Answer-identification of emerging threats, rapid screening & high volume
testing, active communicable disease epidemiology programs, etc.
investigate infectious water-, food-, and vector-borne disease outbreaks
When it comes to the 10 essential services of public health, what is meant by inform, education,
empower? ✔Correct Answer-health education and health promotion
When it comes to the 10 essential services of public health, what is meant by mobilize community
partnerships & action? ✔Correct Answer-Partnerships with private sector, civic groups, NGOs, faith
community, etc.
Undertaking defined preventive, screening, rehabilitation, and support programs
When it comes to the 10 essential services of public health, what is meant by develop policies?
✔Correct Answer-strategic planning, community health, improvement planning
When it comes to the 10 essential services of public health, what is meant by enforce laws?
✔Correct Answer-enforcement and review of laws
Ex.: local - fluoridation and chlorination of water; state - regulation of nursing homes; federal - FDA
approval
When it comes to the 10 essential services of public health, what is meant by link to/provide care?
✔Correct Answer-access to care & link to primary care
ensuring effective entry for socially disadvantaged people into a coordinated system of clinical care;
culturally and linguistically appropriate materials & staff; transportation
When it comes to the 10 essential services of public health, what is meant by assure competent
workforce? ✔Correct Answer-Ex.: licensure requirements of physicians, nurses, and other health
professionals
When it comes to the 10 essential services of public health, what is meant by evaluate? ✔Correct
Answer-evaluation and continuous quality improvement
evaluate effectiveness, accessibility, and quality of personal and population-based health services
, When it comes to the 10 essential services of public health, what is meant by research? ✔Correct
Answer-identifying and sharing best practices; participation in research
Describe the organization of PH in the U.S. ✔Correct Answer-The federal government does NOT
have direct authority over state and local Public Health; however it does have economic leverage in
form of federal funding incentives and conditions
The states retain primary responsibility under the constitution; there are 51 total state health
departments (including D.C.), 8 territorial health departments, and 197 tribal health departments
Local government works with the state; there are 2,533 local health departments that vary
tremendously in size and capacity
What is the role of federal government in PH? ✔Correct Answer-ensures all levels of government
have the capabilities to provide essential PH services
act when health threats may span more than one state, a region, or the entire nation
act where the solutions may be beyond the jurisdiction of individual states
act to assist the states when they lack the expertise or resources to effectively respond in a PH
emergency
facilitate the formulation of PH goals
Describe the approaches to PH at the state and local levels: ✔Correct Answer-1.)
Local/decentralized: local health departments are units led by local governments, which make most
fiscal decisions
2.) State/centralized: all local health departments are units of the state government, which makes
most fiscal decisions
3.) Mixed: some local health departments are led by the state and some are led locally; no one
arrangement predominates in the state
4.) Shared: all local health departments are governed by both state and local authorities
Compare the organization, structure, and function of public health systems across national and
international settings: ✔Correct Answer-the U.S. has a division of authority among federal, state,
and local governments; in contrast, other countries organize PH in a much more centralized way
What is a downfall of how PH is structured in the U.S. (specifically in regards to the different
approaches across states)? ✔Correct Answer-Because the approach to PH within each state varies
so dramatically across the nation, there are different minimum standards for the level of PH
protection you will receive depending on where you live.
This includes both the quality of local health departments and the role that a local health
department will play
What are 3 concepts that have been developed to try to address the differences in PH protection
from state to state? ✔Correct Answer-1.) Accreditation - voluntary process where state and local
health departments are seeking accreditation from the PH Accreditation Board, which sets a
minimum standard for what a health department needs to be able to do and can demonstrate that it
can do