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What best describes how the SES determinant relates to the other BIG GEMS determinants

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33 Terms

1

What best describes how the SES determinant relates to the other BIG GEMS determinants

The socioeconomic determinants often influences the actions of other determinants

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2

What distinguishes DALYs from HALEs?

DALYs include disease specific measurements of morbidity and mortality

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3

What type of envr is related to these health issues

  • playground injury

  • lead poisoning

  • skin cancer

Playground - built

Lead poisoning - altered

Skin Cancer - unaltered

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4

Define Copayment

An amount that the insured is responsible for paying even when the service is covered by the insurance

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5

Define Premium

The price paid by the purchaser for the insurance policy on a monthly or yearly basis

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6

Define deductible

The amount that an individual or family is responsible for paying before being eligible for insurance coverage

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7

Define Cap

A limit on the total amount that the insurance will pay for a service per year, per benefit period, or per lifetime

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8

What are three reasons we do not use the term “the doctor’s office” anymore?

  1. The - there’s more than one

  2. Dr - see more than just the doctor

  3. Office - not necessarily in an office, they can be in trip malls, hospitals, etc.

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9

The ______ developed a widely recognized framework to assess the quality of health services

NCQA

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10

______ works to bring community needs and public health efforts together and to reach beyond the individual in offering health services

COPC

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11

Define Fee-For-Service

a system of reimbursement for health services provided based on charges for health services actually provided to patients

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12

Define pay per care

a payment option that allows patients to pay for services at the end of each visit

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13

Define Health Maintenance Organization

a medical insurance group that provides health services for a fixed annual fee

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14

Define Medicare

Federal health insurance for people 65+, disabled, end-stage renal disease

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15

Define Medicaid

joint federal and state program that helps cover medical costs for some people with limited income and resources

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16

Define Worker’s Compensation

insurance that provides cash benefits and/or medical care for workers who are injured or become ill as a direct result of their job

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17

Define Capitation

A flat amount that is paid to a provider to provide medically necessary services to patients

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18

Who qualifies for medicare?

65+

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19

Who qualifies for Medicaid?

Federal and State program who gives resources to those below poverty level

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20

Who qualifies for SNAP?

Low-income individuals and families who need nutritious food on an EBT card (electronic benefits transfer)

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21

Who qualifies for WIC?

Women, pregnant, breastfeeding, and children under the age of 5

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22

What are the core PBHL functions?

  1. Assessment

  2. Policy Development

  3. Assurance

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23

What is Assessment?

  1. Assess and monitor population health

  2. Investigate, diagnose, and address health hazards and root causes

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24

What is Policy Development?

  1. Communicate to inform and educate

  2. Strengthen, support, and mobilize communities and partnerships

  3. Create and implement policies and laws

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25

What is Assurance?

  1. Enable equitable access

  2. Build a diverse and skilled workforce

  3. Improve and innovate through evaluation and research

  4. Build and maintain a strong organizational infrastructure for public health

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26

Define phases 1, 2, 3, 4 of a drug trial

  1. Animals

  2. Small group of people

  3. Large group of people

  4. Check up on people in the first year who are prescribed the drug after the drug has been approved

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27

Be able to tell the difference between primary, secondary, and tertiary care

Dermatologist is a secondary care

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28

Be able to tell about training doctors receive and why we have doctor and nursing shortage

School debt

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29

What is the difference between rehab services and nursing homes?

Rehab provides more care to improve health. Nursing homes just help you live.

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30

Quizzes

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31

Primary

prevention (Stop smoking)

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32

Secondary

Screening (going to get mammograms often)

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33

Tertiary

Management/Treatment (Chemotherapy)

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