Intro
What are the key principles of global health?
A focus on the public good; Belief in a global perspective; A scientific and interdisciplinary approach; The need for multilevel approaches to interventions; The need for comprehensive frameworks for health policies and financing
____adjusts overall life expectancy by the amount of time lived in less-than-perfect health, weighted according to the type of disease and the severity of the disease.
Health-adjusted life expectancy (HALE)
Fee-for-service payment and per diem payment are __ reimbursement.
Retrospective reimbursement
What are the key components of a well-functioning health system?
health financing, leadership/governance, health information system, Human resources for health, Essential medical products and technologies, Service delivery
Wide variations in health outcomes and access to health care services between segments of the population.
Definition of health disparity
Global perspective on public health problems;a collective goal of nations and promoted by the world’s major health organizations; manifests itself in the diversity of culture, geography, demography, epidemiology, economics, and gender.
How are disability-adjusted life years (DALYs) calculated?
DALY= years lost due to premature death (YLLs) + years lived with disability (YLDs)
What are Diagnosis Related Groups and the Resource-Based Relative Value Scale?
Types of Prospective Reimbursement
What are the goals of a well-functioning health system?
improved health (level and equity), responsiveness, social and financial risk protection, improved efficiency
Air quality index, minimum wage, and concentrated poverty are examples of ___
Structural SODHs
____ _ is the largest cause of death from one infectious agent globally; the leading killer of people with HIV
Tuberculosis (TB)
One of the goals for public and global health is to minimize the gap between health-adjusted life expectancy and life expectancy. True or False?
True
What is the legislative process?
Developing the legislative proposal/policy option into a bill, introducing the bill to the legislature; hearings, testimony, and lobbying; and the bill moving to the other house.
What are the purposes of the United Nations Children’s Fund?
Advocate for the health needs of women and children under the age of 5
Which county should receive more public health resources? County A [Social Vulnerability index (SVI)=2] vs county B (SVI=10)
B
Assessment, policy development, and assurance
Core functions of public health
What are the most common global causes of DALYs lost?
ischemic heart disease, respiratory infections, cerebrovascular disease
What are strategies for implementing policy?
Coalition, lobbying (Providing personal communication and information to influence policymakers’ actions and votes), community organizing, testimony, voting, campaigning, holding office
How are Health Services Organized?
National health service (government pays for healthcare and owns most of the health facilities): UK
National insurance scheme
Pluralistic
What are wrap-around services?
–Comprehensive, family-centered services
–Social and economic services
What is Health for All in the 21st Century?
All world citizens should enjoy a level of health that permits them to lead productive life. Call for social justice and solidarity with an emphasis on the individual's, family's, and community's responsibility for health.
Global health program A is estimated to avert 10 DALYs/person; program B is estimated to avert 5 DALYs/person on average, which one is more effective?
A
What are Publicly Funded Insurances?
Medicare, Medicaid, CHAMPUS, Tricare, CHIP
What is development assistance for health?
The financial or in-kind assistance provided to low- and middle-income countries by international development agencies to maintain or improve health
High-risk diseases for women and girls
unintended pregnancies and repeat pregnancies, STIs (including HIV), malnutrition, depression, intimate partner and sexual violence