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Health Care System
Provide access to essential medical services
Promote public health
Ensure the well-being of population
What is Health?
Health is a state of complete Physical, Mental, and Social Well-being and not merely the absence of disease or infirmity
Primary prevention
aims to prevent the development of disease among healthy
people
Secondary prevention
focuses on early disease detection, which prevents progression of
the disease for apparently healthy individuals with asymptomatic conditions
Tertiary prevention
aims to reduce the impact of an already established disease by
minimizing disease-related complications
Quaternary prevention
A conceptual framework rather than a direct type of services provided to the consumers
What is Health Literacy
the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.
Economic Stability
Income, employment, housing costs, food security, and ability to afford health care
Education Access and Quality
Access to education, literacy, graduation rates, and ability to understand health information
Health Care Access and Quality
Having health insurance, access to doctors/hospitals, quality of care, and ability to get medications
Neighborhood and Built Environment
Housing quality, transportation, safety, pollution, and access to healthy food or recreational spaces
Social and Community Context
Family support, relationships, social networks, discrimination, and involvement in the community
Flexner Report
led to standardized admissions testing (i.e.,
Medical College Admission Test,
Florence Nightingale
established the Nightingale Principles for nursing education for British nurses
Social Security Act (SSA)
was enacted, supporting those of
retirement age.
Medicare
Mostly people 65+ and some younger people with certain disabilities
Medicaid
Low-income people who meet eligibility requirements
Health Care’s Iron Triangle
The quality of the service, the cost of the
service, and the accessibility of the
service must be balanced for good health
care to be provided.
A principle of the U.S. healthcare system
is duty to treat, which means that any person deserves basic health care.
Stakeholders
are people and groups who have an interest in or are affected by healthcare decisions and policies
Health Statistics
numbers that tell us how healthy people are.
NCHS = National Center for Health Statistics
Part of the CDC
→ Produces an annual report about the nation's health.
NVSS=National Vital Statistics System
Provides important statistics like births, deaths, infant mortality, and life expectancy.
international Healthcare Statistics
monitors trends of economic development.
Gross Domestic Product (GDP
Overall economic output of a country
• GDP per capita – the GDP divided by the population of the
country.
Federal government efforts
Marine Hospital Services, Port Health Stations, The National Board of Health, US Public
Health Services, Social Security Act, Medicaid/Medicare, Affordable Care Act, etc
Healthcare governance – National levels
Centralized, Decentralized, and Hybrid
Healthcare governance –state lvl
Each state has primary authority over healthcare governance and is responsible for
overseeing and regulating various aspects of healthcare in their state
The National Notifiable Disease Surveillance System
Federal efforts to monitor the incidence and spread of diseases or conditions that
pose a serious health threat to Americans:
Department of Health and Human Services
To enhance the health and well-being of all Americans, by providing for effective health and human
services and by fostering sound, sustained advances in the sciences underlying medicine, public
health, and social services.