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PHCY 609 - USHC Exam 2 Study Guide
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PHCY 609 - USHC Exam 2 StudyGuide
Governmental Public Health
This includes the CDC providing for the entire country, State Health Departments
providing for the entire state, etc. - Answer Governmental ___________ ___________ is
defined as government agencies offering services to provide health coverage for all
persons served by the agencies.
1. Communicable Disease Control
2. Chronic Disease & injury prevention
3. Environmental Public Health
4. Maternal, Child, and Family Health
5. Access to & Linkage with Critical Care. - Answer What are the 5 foundational areas
where public health exists?
1. Assessment and surveillance
2. Community partnership development
3. Equity
4. Organizational Competencies
5. Communications
6. Accountability & Performance management
7. Policy Development & Support
8. Emergency Preparedness & response
(acronym: think Ace of capabilities - ACE O CAPE) - Answer What are the 8 capabilities
that cover all 5 of the foundational areas of public health? (ACE O CAPE)
False:
The structure is highly variable, making it a challenge of the current health system. Each
governmental health agency can choose to function as centralized, decentralized,
mixed or shared/largely shared structure. - Answer True or False: The structure of
public health governance is strictly organized, therefore is not a current challenge of
,the healthcare system.
1. Centralized or largely centralized
2. Decentralized or largely decentralized
3. Mixed
4. Shared or largely shared - Answer What are the 4 possible structures of public health
governance?
Centralized or largely centralized.
Every public health employee in the state is a state employee (SC for example) - Answer
Which public health governance structure is defined by local health units being primarily
led by employees of the state?
1. Streamlined services = possible cost savings
2. More consistent vision of what public health should be throughout the state due to
"top-down" directive.
3. Centralized telecommunications between departments. - Answer What are the
benefits of a centralized structure for public health governance?
Decentralized or largely decentralized.
There is a state health department that is separate from individual county health
departments. (i.e., NCDPH vs Buncombe or Orange Co. DPH) - Answer What public
health governance structure is defined by local health units being primarily led by
employees of local governments?
Local people are making decisions that impact local health. - Answer What is the benefit
of a decentralized structure for public health governance?
b. CDC.
This is the most noteworthy agency, but not the only federal agency over public health. -
Answer Which agency is the foremost federal agency over public health?
a. Department of Health and Human Services
b. CDC
c. Drug Enforcement Agency
d. Federal Drug Administration
Mixed structure
These are commonly seen in states where there is a drastic urban-rural divide. Local
, involvement in decision making about what a county needs is extremely important to
make sure public health is provided to the best ability for citizens. - Answer Which
public health governance structure is defined by some local health units being led by
state employees, while other are led by local government, with no single structure
predominating?
Shared or largely shared structure - Answer Which public health governance structure
is defined by local health units being led by state -or- local government employees; If
they are run by state employees, local government has the authority to make fiscal
decisions and/or issue public health orders, and vice versa (locally led = state has
authority).
Decentralized - Answer As of 2020, which public health governance structure is most
widely used in the US?
State Law - Chapter 130A
(NCGA130A) - Answer Which NC State law established a mission for the NC Public
Health system and also established 10 additional services that health departments
MUST provide in order to achieve this mission?
1. Monitoring health status to identify community health problems
2. Diagnosing and investigating health hazards in the community
3. Informing, educating, and empowering people about health issues
4. Mobilizing community partnerships to identify and solve health problems
5. Developing policies and plans that support individual and community health efforts.
6. Enforcing laws and regulations that protect health and ensure safety
7. Linking people to needed personal health care services and ensuring the provision of
health care when otherwise unavailable
8. Ensuring a competent public health workforce and personal health care workforce
9. Evaluating effectiveness, accessibility, and quality of personal and population-based
health services
10. Conducting research
(not sure how important this is to memorize, but probably should be familiar with it) -
Answer What are the 10 additional services that NCGA130A required each local health
department to deliver?
Prevent health risks and disease
Identify and reduce health risks in the community
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