SPHG 352 Exam 1 With Complete
Solution
Describe a well-functioning health system - ANSWER IMPROVES health
status
DEFENDS population against health threats
PROTECTS people against financial consequences of illness
PROVIDES equitable access
PEOPLE CAN PARTICIPATE in decisions affecting their health
what is a health system? functions? - ANSWER WHO definition:
the sum total of all the organizations, institutions, and resources whose
primary purpose is to promote, restore, maintain or improve health.
- improving health of the population they serve
- responding to people's expectations
- providing financial protection against costs of ill-health
- needs staff, funds, information, supplies, transport, communications,
overall guidance
- needs to provide services that are responsive & financially fair, while
treating people decently
institute of medicine definiton of public health - ANSWER ph is what we as a
society do collectively to assure the conditions in which people can be
,healthy
public health infrastructure pyramid - ANSWER TOP: public health response.
bioterrorism, emerging infections, other PH needs/priorities
MIDDLE: assessment, policy development, assurance (capacity for essential
public health services)
BOTTOM: information systems, workforce, organizational capacity (basic
infrastructure)
why is there not a US public health system? - ANSWER there is not a unified
system in the US. instead, there are multiple "systems" that interact to
greater & lesser degrees.
both public and private elements
not-for-profit and for-profit
financed by governmental and non-governmental sources
degree of integration of public health and health systems is questionable
some ppl have difficulties accessing needed services
public health system does not equal health services, which does not equal
health care
examples of who the "players" are in the public health system - ANSWER
health care providers, employers, community centers, police, ems, schools,
health dept, lab facilities
basic public health infrastructure components - ANSWER information
systems
,workforce
organizational capacity
the new essential public health services... - ANSWER replaced the middle with
EQUITY instead of RESEARCH. the new services enable optimal health for all.
replaces the middle with equity.
WHO's six building blocks and key components of a well-functioning health
system: - ANSWER service delivery
health workforce
health information systems
access to essential medicines
financing
leadership/governance
what will the six building blocks contribute to? - ANSWER improved health
social and financial risk protection
improved efficiency
responsiveness
what's required to get a well-functioning system? - ANSWER systems
thinking. "the responses of many health systems so far have been generally
considered inadequate and naive... a system's failure req a systems solution -
not a temporary remedy"
most systems are... - ANSWER self-organizing
, constantly changing
tightly linked
governed by feedback
non-linear
history dependent
counter-intuitive
resistant to change
the ten steps to systems thinking - ANSWER intervention design
- convene stakeholders
- collectively brainstorm
- conceptualize effects
- adapt and redesign
evaluation design
- determine indicators
- choose methods
- select evaluation design
- develop a plan and timeline
- set a budget
- source funding
social ecological framework - ANSWER this isn't a theory, but instead a
Solution
Describe a well-functioning health system - ANSWER IMPROVES health
status
DEFENDS population against health threats
PROTECTS people against financial consequences of illness
PROVIDES equitable access
PEOPLE CAN PARTICIPATE in decisions affecting their health
what is a health system? functions? - ANSWER WHO definition:
the sum total of all the organizations, institutions, and resources whose
primary purpose is to promote, restore, maintain or improve health.
- improving health of the population they serve
- responding to people's expectations
- providing financial protection against costs of ill-health
- needs staff, funds, information, supplies, transport, communications,
overall guidance
- needs to provide services that are responsive & financially fair, while
treating people decently
institute of medicine definiton of public health - ANSWER ph is what we as a
society do collectively to assure the conditions in which people can be
,healthy
public health infrastructure pyramid - ANSWER TOP: public health response.
bioterrorism, emerging infections, other PH needs/priorities
MIDDLE: assessment, policy development, assurance (capacity for essential
public health services)
BOTTOM: information systems, workforce, organizational capacity (basic
infrastructure)
why is there not a US public health system? - ANSWER there is not a unified
system in the US. instead, there are multiple "systems" that interact to
greater & lesser degrees.
both public and private elements
not-for-profit and for-profit
financed by governmental and non-governmental sources
degree of integration of public health and health systems is questionable
some ppl have difficulties accessing needed services
public health system does not equal health services, which does not equal
health care
examples of who the "players" are in the public health system - ANSWER
health care providers, employers, community centers, police, ems, schools,
health dept, lab facilities
basic public health infrastructure components - ANSWER information
systems
,workforce
organizational capacity
the new essential public health services... - ANSWER replaced the middle with
EQUITY instead of RESEARCH. the new services enable optimal health for all.
replaces the middle with equity.
WHO's six building blocks and key components of a well-functioning health
system: - ANSWER service delivery
health workforce
health information systems
access to essential medicines
financing
leadership/governance
what will the six building blocks contribute to? - ANSWER improved health
social and financial risk protection
improved efficiency
responsiveness
what's required to get a well-functioning system? - ANSWER systems
thinking. "the responses of many health systems so far have been generally
considered inadequate and naive... a system's failure req a systems solution -
not a temporary remedy"
most systems are... - ANSWER self-organizing
, constantly changing
tightly linked
governed by feedback
non-linear
history dependent
counter-intuitive
resistant to change
the ten steps to systems thinking - ANSWER intervention design
- convene stakeholders
- collectively brainstorm
- conceptualize effects
- adapt and redesign
evaluation design
- determine indicators
- choose methods
- select evaluation design
- develop a plan and timeline
- set a budget
- source funding
social ecological framework - ANSWER this isn't a theory, but instead a
