PUBH 6012 Review for Exam 1 from instructor || All Accurately
Answered.
What are the core functions of our public health system? correct answers ASSESSMENT,
POLICY
DEVELOPMENT,
ASSURANCE
Assessment correct answers -monitor health
-diagnose and investigate
Policy development correct answers -inform, educate, empower
-mobilize community partnerships
-develop policies
Assurance correct answers -enforce laws
-link to and provide care
-assure competent workforce
-evaluate/maintain/quality review
-research
powers of federal government correct answers ■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 answers ■ 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 answers ■ (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 answers ○ Federal → funding
○ States → constitutional right
How does the federal government influence what happens in states? correct answers ■ 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 answers ○ 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 answers ○ Ask for or refuse funding
assistance
Health care system in comparison other OECD nations
● What is comparative content? - Tenzin discussed this! correct answers 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
can fire notes literally just read 'ABX!!!! CHAD')/acute myocardial infarction
mortality/colon cancer survival/obstetric trauma
4. Healthcare resources: expenditure/doctors per capita/nurses per capita/number
of inpatient beds
*"second suns" interesting read about fixing cataracts in low income countries.
Answered.
What are the core functions of our public health system? correct answers ASSESSMENT,
POLICY
DEVELOPMENT,
ASSURANCE
Assessment correct answers -monitor health
-diagnose and investigate
Policy development correct answers -inform, educate, empower
-mobilize community partnerships
-develop policies
Assurance correct answers -enforce laws
-link to and provide care
-assure competent workforce
-evaluate/maintain/quality review
-research
powers of federal government correct answers ■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 answers ■ 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 answers ■ (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 answers ○ Federal → funding
○ States → constitutional right
How does the federal government influence what happens in states? correct answers ■ 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 answers ○ 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 answers ○ Ask for or refuse funding
assistance
Health care system in comparison other OECD nations
● What is comparative content? - Tenzin discussed this! correct answers 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
can fire notes literally just read 'ABX!!!! CHAD')/acute myocardial infarction
mortality/colon cancer survival/obstetric trauma
4. Healthcare resources: expenditure/doctors per capita/nurses per capita/number
of inpatient beds
*"second suns" interesting read about fixing cataracts in low income countries.
