HSA 3150 Study Guide - Summer 2018, Comprehensive Midterm Notes - Medicaid, United States Congress, Rulemaking
HSA 3150
MIDTERM EXAM
STUDY GUIDE
Fall 2018
Chapter 1- Health and Health Policy
Health Defined
• Health according to the WHO
– Complete physical, mental, social well-being
– Not simply absence of illness
• Cost of health
– Resources reflect value nations place on health
– Exhibit 1.1
Health Determinants
• Health determinants
– Factors affecting health
– Specific determinants defined differently by various organizations
• Force Field paradigm (1974)
• Healthy People 2020
What Is Health Policy?
• Policy
– Authoritative decision
– Guides action, decision, and behavior
• Public policy
– Policies enacted by legislative, judicial, or executive branches of government
– Exhibit 1.2
• Health policy
– Policies regarding health or pursuit of health
Challenges for Health Policy
• Affordable, sustainable healthcare
• Informed, empowered, engaged patients
• Evidence-based, safe patient care
• Accountable delivery system
• Improvement- and learning-oriented environment
• Innovations evaluated for effectiveness, then widely and rapidly adopted
• Reliable information for monitoring quality, cost, and population health
Forms of Health Policies
• Laws
– National Institute of Biomedical Imaging and Bioengineering Establishment Act
of 2000
– Medicare
• Rules or regulations
– Also come from governmental bodies, implementation organizations, and
agencies
• Other implementation decisions
• Judicial decisions
Categories of Health Policies
• Categories of health policies
find more resources at oneclass.com
find more resources at oneclass.com
– Allocative
– Regulatory
• US healthcare market: private
– Ideal market (not United States): many informed buyers and sellers; new sellers
welcome; sellers’ products equivalent; buyers and sellers have equal power
– Problems with US market
Allocative and Regulatory Policies
• Allocative policies
– Provide net benefits to some distinct group
– Equivalent to subsidies
– Exhibit 1.4
• Regulatory policies
– Designed to influence the actions, behaviors, and decisions of others by directive
– Five categories: four of economic regulation, one social
The Impact of Health Policy on Health Determinants and Health
• Health policy and health determinants
– Exhibit 1.5
– Overview:
• Physical environments
• Behavior/biology
• Social factors
• Availability/access
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Health defined: health according to the who. Not simply absence of illness: cost of health. Resources reflect value nations place on health. Specific determinants defined differently by various organizations: force field paradigm (1974, healthy people 2020. What is health policy: policy, public policy, health policy. Policies enacted by legislative, judicial, or executive branches of government. Policies regarding health or pursuit of health. Informed, empowered, engaged patients: affordable, sustainable healthcare, evidence-based, safe patient care, accountable delivery system. Innovations evaluated for effectiveness, then widely and rapidly adopted: reliable information for monitoring quality, cost, and population health. National institute of biomedical imaging and bioengineering establishment act of 2000. Also come from governmental bodies, implementation organizations, and agencies: other implementation decisions. Categories of health policies: categories of health policies. Ideal market (not united states): many informed buyers and sellers; new sellers welcome; sellers" products equivalent; buyers and sellers have equal power. Provide net benefits to some distinct group.
