Social Determinants of Health
List 3 Modifiable Factors of Health Populations
Education, geography, socioeconomic status, health behaviors and lifestyle choices
what is the definition of health from WHO (World Health Organization)
health is not merely the absence of disease, but should encompass a state of complete physical, mental and social well-being
uninsured vs underinsured
uninsured is someone with no healthcare
underinsured is someone who has insurance but it doesn't satisfy healthcare specific healthcare needs
what is the lifecycle order of project group work management?
pregroup, forming, storming, norming, performing and adjourning
("people feel sad not perfectly amazing")
What act/amendment developed Medicare / Medicaid and cost shifting in 1960s?
Social Security Amendment
Sickle cell disease is much more common amoung people of african descent due to genetic factors (Health inequality, disparity or inequity?)
Health Inequality
a company implements mandatory 3-minute movement breaks twice per shift and provides adjustable workstations for all staff (primary, secondary or tertiary)
primary
in 2013 44.5 million people we uninsured, then in 2016 it dropped to 26.7 million. What ACT created more opportunities for healthcare during this time? What are 3 benefits from this Act?
Affordable Care Act to allow for better eligibility for medicare, stay on parents health insurance until 26, no pre-existing conditions and a universal developed healthcare purchasing platform
Define Monthly premium, deductible and co-pay
Monthly premium: monthly cost of having insurance coverage and agreement between employer and employee to buy insurance
Deductible: amount patient must pay before insurance company assists in payment of services
Co-Pay: fixed amount the patient pays for healthcare service (Depends on insurance plan, contracted rate, service being provided, deductible and status.)
What is the HMO Act of 1970 + what other acts did it develop?
HMOs finanse and deliver health care to specific group of individuals from SET providers (Developed Tax equity + EMTALA act for FFS to Prospective payment in hospitals)
Studies show black patients are less likely to receive adequate pain medication than white patients for same conditions (Healthcare inequality or healthcare disparity?)
Healthcare disparity (systemic differences in healthcare access, quality and delivery tied to disadvantages)
explain difference between public health vs population health
public health is the public at large emphasis on improving health outcomes with policies of local/federal government
population health is individuals in a specific population focused on improving wellness and health outcomes with group attributes
Based on characteristics of uninsured non-eldery, family income and distribution of race/ethnicity what was found amoungst ALL data?
1. Medicare does not deliver necessary care
2. Health coverage is NOT affordable
3. Health coverage is NOT needed
2. Health coverage is NOT affordable
- one or more full time workers werent making enough, family income below 25,000 considered "in-poverty" and hispanic/white are mostly uninsured
what is the difference between market justice and social justice + limiting factor for each.
Market Justice: supply and demand with imperfect system
Limiting factor → cost (depends on ability to pay or insurance coverage)
Social Justice: everyone has same healthcare
Limiting factor → availability (based on need not pay)
Balanced Budget Act
List the 5 Social determinants of health
Education access and quality
Healthcare and quality
neighborhood and built enviornment
social and community context
economic stability
differ disease prevention, health promotion and health protection
Disease prevention assess health risks and development of interventions to halt disease progression (Primary, secondary and tertiary)
health promotion encourages activities that facilitate healthy living and well-being
health protection safeguards the public health against external threats (policy and regulations from government)
what was the effect of uncompensated care with the medicaid expansion based on this graph?
states that DID the medicaid expansion (left) experiences less expenses for care which allowed for more care needs paid for (less uncompensated care)
5 Parts of the quintuple aim
patient experience, population health, reducing cost, Care team well-being, and health equity
define the act: value-based implementation of services in post-acute settings with one set used outcome measure (CARE tool) to measure values and performance for medicare payment.
Medicare Post-acute Care Act of 2010
Building a community jogging track and bike trail (distal or proximal influence?)
distal
What is the SAFE act with APTA?
bipartisan legislation that would expand patient access to physical therapist fall prevention services under medicare's annual wellness benefit
differ bad debt with charity care
bad debt: healthcare provided was thought to be paid, but was not (high in CT!)
charity care: anticipated care but not actually getting paid from it
what is the MAIN difference between National Health Insurance (Single Payer) and Beveridge National System HC (Socialized Medicine)?
what did the bipartison budget act of 2010 implement?
Fixing the permanent (medicare) cap to therapy capacity