Policy Making and Community Health Advocacy Exam 2
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Policy Making and Community Health Advocacy Exam 2
Scenario: NP is assessing john and noticed he is obese. So then the np talks to john about his habits and assesses that if things continue as they are that weight will be a problem as he continues to get older. So she talks to mom about things s...
policy making and community health advocacy exam 2
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Policy Making and Community Health
Advocacy Exam 2
Scenario: NP is assessing john and noticed he is obese. So then the np talks to john about his habits and
assesses that if things continue as they are that weight will be a problem as he continues to get older. So
she talks to mom about things she can do. (physical activity and more healthy food choices)
-How did the current system of healthcare work well here? - Correct Answer Worked well - this family
did have access to a healthcare provider (does everyone have this access?); the provider recognized the
potential health problem and addressed it with Mom giving recommendations and suggestions.
Scenario: NP is assessing john and noticed he is obese. So then the np talks to john about his habits and
assesses that if things continue as they are that weight will be a problem as he continues to get older. So
she talks to mom about things she can do. (physical activity and more healthy food choices)
-What are some additional concerns/questions/aspects for this scenario? - Correct Answer Some
additional concerns/questions/aspects:
-*healthier food choices*: we should look to see if this family has access, where do they live, their
economic status, culture, marketing being driven-fast food/cereal, etc, agriculture policies, grown
locally, policies about food safety, additives labeling, does mom know how to read labels?
-*physical activity*: where does person live? Is it safe to play in community? Are there recreations near
by? School or community activities? Does mom have time to watch john outside? Parks?
In the US we take healthcare seriously. What GDP do we spend on healthcare? (also what is GDP?) -
Correct Answer -In the U.S. we take healthcare seriously - spending *17.5 of the gross domestic product
on healthcare* - double that of other comparable countries [*spend double on healthcare* compared
to other countries]
,[GDP: the total value of goods produced and services provided in a country during one year.]
Since the US takes healthcare seriously (spend double that of other comparable countries in GDP), how
do we stand up to other countries? - Correct Answer the *US does not stand up to other comparable
countries as far as* life expectancy, mortality rates for chronic illnesses, mortality rates for
communicable disease, infant mortality
The Institute of Medicines (IOM) 2013 report found what *positive* feedback in reference to the US
healthcare system? - Correct Answer provided positive feedback for our comparisons towards *cancer
and stroke mortality, control of BP and cholesterol, suicide, elderly survival and self-rate health*
The Institute of Medicines (IOM) 2013 report found what *negative* feedback in reference to the US
healthcare system? - Correct Answer -however *we rate poorly when compared in* infant mortality and
low birth weight, injuries and homicide, adolescent pregnancy and STI, HIV / AIDs, obesity and diabetes,
drug-related deaths, cardiovascular disease, chronic lung disease, and disability.
What did the IOM 2013 report that the US was doing wrong in reference to healthcare? - Correct
Answer The IOM reports a *lack of attention to the social determinants of health* - aka the *challenge
with access to healthcare and the nonclinical causes of poor health*
The IOM reported a lack of attention to the social determinants of health - aka the challenge with access
to healthcare and the nonclinical causes of poor health as reasons for issues with the US healthcare
system. What are nonclinical causes of poor health? - Correct Answer nonclinical causes of poor health:
-our private pay system/private insurance and the lack of national health care system for all ages-this
exacerbates poor outcomes and nonclinical causes of poor health
Explain the US 20th Century Thinking of healthcare:
-Focus on __________ treatment
-Fee-for-service financing
,-_______________-based insurance
-Significant investment in medical technology & pharmaceuticals
-_____________ financial support for prevention and public health. - Correct Answer US 20th Century
Thinking of healthcare:
-Focus on *medical treatment*
-Fee-for-service financing
-*Employment*-based insurance
-Significant investment in medical technology & pharmaceuticals
-*Limited* financial support for prevention and public health.
Why has the 20th century way of thinking for healthcare led to a present day crisis? - Correct Answer
Since people living longer and baby boomers are getting older and have increased chronic illness=our
system is not working now because can't support all
Below is 20th Century Thinking:
-Focus on medical treatment
-Fee-for-service financing
-Employment-based insurance
-Significant investment in medical technology & pharmaceuticals
-Limited financial support for prevention and public health
Health Care Analysis:
-While there are many opinions about the ACA (affordable care act) the truth is it is an attempt to fix the
issues that are causing the US to fall behind in health care excellent.
, -True, it is far from perfect or even the best option - but it has set into motion a way to change
healthcare as we know it. - Correct Answer Health Care Analysis:
-While there are many opinions about the ACA (affordable care act) the truth is it is an attempt to fix the
issues that are causing the US to fall behind in health care excellent.
-True, it is far from perfect or even the best option - but it has set into motion a way to change
healthcare as we know it.
What are the 4 Major Types of Healthcare Policies? - Correct Answer Type of Healthcare Policies:
-Substantive
-Procedural
-Distributive
-Regulatory
What is important to note when considering healthcare policy/payment? - Correct Answer HEALTH
POLICY/PAYMENT *IS POLITICALLY BASED*
Which Type of Healthcare Policy is this:
-policy that involves action or activity
(ex: funding for health program) (Example: federal funding for the Indian Health Service & its activities)
A: Distributive
B: Procedural
C: Regulatory
D: Substantive - Correct Answer Types of Healthcare Policy:
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