PUBH 302 STUDY EXAMS GUIDE QUESTIONS AND
ANSWERS SURE A+
✔✔Explain the role of Medicaid - ✔✔- support for healthcare system and safety net
- state capacity to address health changes
- serves low income families, individuals with disabilities, and the elderly
✔✔Explain the role of Medicare - ✔✔- provides coverage for those 65+, those under 65
with certain disabilities, and people with end-stage renal disease
✔✔How did PPACA expand access to health care? - ✔✔Patient Protection and
Affordable Care Act
- benefits for women
- young adult coverage
- strengthens medicare
- holds insurance companies accountable
✔✔How does insurance work? - ✔✔A person facing a risk pays a fee to the insurance
company, which in return accepts part or all of the risk
✔✔List the populations where trends related to utilization of the healthcare system are
seen - ✔✔- aging population
- diversity in the population
- income/insurance status
- family structure
- specific chronic conditions (cancer, HIV/AIDs)
✔✔What are common characteristics of other countries' healthcare systems that could
be incorporated into reform in the US? - ✔✔- British pay for healthcare out of tax
revenue, hospitals compete to stay open
, - Tokyo has social insurance, mandates insurance paid for by work or community based
insurer, no gatekeeper, fixed procedure and drug prices, insurance companies don't
profit
- Germany uses the Bismarck model, Germans split premiums with employers,
insurance plans compete for customers, but do not profit
- Taiwan has universal healthcare, that forces everyone to pay, smart cards to avoid
high admin costs
- Switzerland has high quality universal coverage, rich pay for the poor, non-profit
insurers, benefit packages fixed
✔✔Identify opportunities for innovation of the US healthcare system - ✔✔- types of
insurance plans
- empower patients/consumers
- non-traditional setting care
- drug pricing
- more focus on social determinants of health
✔✔Explain opportunities for innovation of the US healthcare system - ✔✔- types of
insurance plans: engage employers in lowering costs
- empower patients/consumers: call for increased transparency, shopping for care
- non-traditional setting care: More than half expressed a willingness to receive care in a
non-traditional setting if the care was less costly and more convenient
- drug pricing: finding ways to lower costs of drugs, generic drugs
- more focus on social determinants of health: Nonprofits working to increase to access
to healthy foods and safe housing
✔✔How are social determinants of health shaped by wider forces? - ✔✔Economics,
social politics, and policies
✔✔For ACEs, what does abuse refer to? - ✔✔physical, emotional, and sexual abuse
✔✔For ACEs, what does neglect refer to? - ✔✔physical and emotional neglect
✔✔For ACEs, what does household dysfunction refer to? - ✔✔mental illness,
incarcerated relative, mother treated violently, substance abuse, and divorce
✔✔What was the CDC-Kaiser ACE study? - ✔✔Landmark study surveying over 17,00
people in the US and showed the breakdown of how many people reported having
experienced ACEs
✔✔What did the CDC-Kaiser ACE study find? - ✔✔- almost 2/3 reported at least one
ACE
- people with 6+ ACEs died nearly 20 years earlier on average than those without ACEs
ANSWERS SURE A+
✔✔Explain the role of Medicaid - ✔✔- support for healthcare system and safety net
- state capacity to address health changes
- serves low income families, individuals with disabilities, and the elderly
✔✔Explain the role of Medicare - ✔✔- provides coverage for those 65+, those under 65
with certain disabilities, and people with end-stage renal disease
✔✔How did PPACA expand access to health care? - ✔✔Patient Protection and
Affordable Care Act
- benefits for women
- young adult coverage
- strengthens medicare
- holds insurance companies accountable
✔✔How does insurance work? - ✔✔A person facing a risk pays a fee to the insurance
company, which in return accepts part or all of the risk
✔✔List the populations where trends related to utilization of the healthcare system are
seen - ✔✔- aging population
- diversity in the population
- income/insurance status
- family structure
- specific chronic conditions (cancer, HIV/AIDs)
✔✔What are common characteristics of other countries' healthcare systems that could
be incorporated into reform in the US? - ✔✔- British pay for healthcare out of tax
revenue, hospitals compete to stay open
, - Tokyo has social insurance, mandates insurance paid for by work or community based
insurer, no gatekeeper, fixed procedure and drug prices, insurance companies don't
profit
- Germany uses the Bismarck model, Germans split premiums with employers,
insurance plans compete for customers, but do not profit
- Taiwan has universal healthcare, that forces everyone to pay, smart cards to avoid
high admin costs
- Switzerland has high quality universal coverage, rich pay for the poor, non-profit
insurers, benefit packages fixed
✔✔Identify opportunities for innovation of the US healthcare system - ✔✔- types of
insurance plans
- empower patients/consumers
- non-traditional setting care
- drug pricing
- more focus on social determinants of health
✔✔Explain opportunities for innovation of the US healthcare system - ✔✔- types of
insurance plans: engage employers in lowering costs
- empower patients/consumers: call for increased transparency, shopping for care
- non-traditional setting care: More than half expressed a willingness to receive care in a
non-traditional setting if the care was less costly and more convenient
- drug pricing: finding ways to lower costs of drugs, generic drugs
- more focus on social determinants of health: Nonprofits working to increase to access
to healthy foods and safe housing
✔✔How are social determinants of health shaped by wider forces? - ✔✔Economics,
social politics, and policies
✔✔For ACEs, what does abuse refer to? - ✔✔physical, emotional, and sexual abuse
✔✔For ACEs, what does neglect refer to? - ✔✔physical and emotional neglect
✔✔For ACEs, what does household dysfunction refer to? - ✔✔mental illness,
incarcerated relative, mother treated violently, substance abuse, and divorce
✔✔What was the CDC-Kaiser ACE study? - ✔✔Landmark study surveying over 17,00
people in the US and showed the breakdown of how many people reported having
experienced ACEs
✔✔What did the CDC-Kaiser ACE study find? - ✔✔- almost 2/3 reported at least one
ACE
- people with 6+ ACEs died nearly 20 years earlier on average than those without ACEs
