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Core functions of public health
Assessment, policy development, and assurance
Assessment
Monitor and Diagnose
Policy Development
Inform, Mobilize Communities, and Develop Policies
Assurance
Enforce Laws, Link People, Ensure Competency, and Evaluate Effectiveness
All three core functions require
Research
Public health
Prevention, protection, and government res
Population Health
Health outcomes and equity
What contributes most to determinants of health
SES factors
Public health 1.0
Infections disease control
Public health 2.0
Public health and healthcare collab
Public health 3.0
Cross sector collab and addressing social drivers
STEEP Quality Framework
Safe, Timely, Effective, Efficient, Equitable, and Patient-Centered
Quality measure types
Structural, Process, Outcome
Fed Gov responsibilities
National threats, multi-state issues, funding, and technical expertise
State Gov
Police powers, licensing, and health departments
Local Gov
Implement public health
Federalism For
National perspective, more resources, and prevents race to bottom
Federalism Against
States are labs of democracy, flexibility and one size doesn’t fit all
Fed powers
Tax, spend, regulate
State powers
Police, license, tax and health department authorities
Policy levers
Taxation, purchasing, direct regulation, incentives
US
Entrepreneurial system
Entrepreneurial System means
Private insurance, private providers, competition and choice
Germany
Welfare oriented system
Welfare-Oriented System means
Employment based insurance, social insurance funds
Canada
Single Payer system
Single payer system
Funded by taxes, Providers are public/private and there is one insurer
UK
Comprehensive system
Comprehensive system means
Funded by taxes, provider is government, insurance is a national service
Safety net providers
Community centers, free clinics
Uncompensated
Provider receives no payment
Unreimbursed
Provider receives payment that does not cover the full cost
Four principles of ethics
Autonomy, beneficence, non- maleficence, and justice
Beneficence
To act in the best interest of others
Non-maleficence
Ethical obligation to avoid causing harm