Pediatric Global Health
Name 3 reasons for high mortality rate in pediatric global health
Acceptable answers:
- disease
-access to care
-pandemics
-epidemics
-war
-human rights
-natural disasters and/or climate change
What group of children are most at risk?
Those who are in poverty
Child injury death rates have ____ over the past several decades.
Declined
Name 2 negative impacts Covid had on children:
Acceptable answers:
- Health and socioeconomic disparities, School closure, poor socialization, increased use of internet and technology, exposure to neglect and abuse, poor mental health
Should physician's be able to advocate? Why or why not?
First part is opinion, but second part should have some reasoning
In the reading: "Physicians and Implicit Bias: How Doctors May Unwittingly Perpetuate Health Care Disparities", what is "implicit" and "explicit" known as?
automatic is known as "implicit" and controlled is known as "explicit"
The 4 main principles of medical ethics
justice, beneficence, nonmaleficence, and autonomy
2 main disparities in chronic disease that we talked about in class
Asthma and childhood obesity
Which parent was more susceptible to developing an alcohol addiction during quarantine?
Fathers
True or false: Physician's integrate the principles of child health equity (eg, children's rights, social justice, human-capital investment, and health-equity ethics) into their practices
True!
Name 1 example of social determinants of MENTAL health
Acceptable answers:
- Adverse early life experiences
-Exposure to violence/war
-Impact of migration
According to the American Academy of Pediatrics, what are the 5 capitals of Human Capital Investment?
Social, economic, environmental, educational, and personal
___ and ___ account for more than 60% of injury deaths in 2013
automobile crashes and firearms
What percentage of US children live in single parent homes?
34%
Name 3 things a physician is responsible for
Acceptable answers:
-diagnosing disparities in one’s community and practice, innovating new models to address social determinants of health, addressing health literacy of families, ensuring cultural humility and a culture of workplace equity, advocating for issues that address the root causes of health disparities
What percentage is most responsible for determinants of health?
Individual behaviors
What is structural racism and why is it bad?
Structural racism is the normalization of an array of historical, cultural, institutional, and interpersonal dynamics that routinely favor racial majorities (in the USA, white people) while producing cumulative and chronic adverse outcomes for minorities (in the USA, people of color and especially African Americans). This is bad because minorities may not receive the proper care.
What act intended to expand access, reduce cost, and improve the quality of health for all Americans
Patient Protection and Affordable Care Act (2010)
Name 1 way brain plasticity was involved during COVID-19
Acceptable answers:
anything related to social behavior or playing/nature environment
Why would some argue against the physician advocating?
Acceptable reasons:
-they need to focus on their own work, they have too much going on, since they are not specialized in every issue, they may not know what they are doing, etc...
Social Determinants of Health and 3 factors
Social determinants of health refer to the social, economic, and environmental factors that can affect an individual's health and wellbeing.
3 of these:
Socioeconomic status, Education, Neighborhood and community, Family and social support, Cultural factors, Access to healthcare
Define ALL: reality, equality, equity, justice, inclusion
Look at slide 10 of Week 5(the image)
Which groups had the highest overall death rate compared to all other racial and ethnic groups?
black non-Hispanic children
Name one main difference between single mother and single father households:
Acceptable answers:
Mothers: More likely to have unmet healthcare needs, 23% higher odd of having a routine place for care, most likely to forgo prescription medications or dental care due to cost, and less likely to have employer-sponsored health insurance
Fathers: Less disadvantaged than children in single mother homes, higher odds of missing a regular checkups, lower odds of having the common cold or a medical condition requiring medication for three or more months
In Calhoun's article: "All Doctors Should Be Activists. Sincerely, a Psychiatry Intern", aside from her argument that all doctors should be activists, one of her other main points are:
Acceptable answers:
-Being a doctor puts one in a position to slowly start chipping away at an engrained system of unfair treatment, social justice shouldn’t be an optional course, but required curriculum, or one shouldn’t have to be part of a marginalized group to fight for equitable treatment