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WHO definition of Public Health |
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Definition
a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity |
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Snow: Hero of Public Health for |
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Definition
Containment of cholera outbreak in London |
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Robert Caoch: Hero of Public Health for |
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Definition
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Hans Selye: Hero of Public Health for |
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Definition
General Adaptation Syndrome |
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Definition
pathogen, reservoir, portal of exit, transmission, and portal of entry, new host |
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pandemic - world epidemic - regional |
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disease present in people of certain class/location |
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Births during period / population x1000 |
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All cases given time/population given time x1000 |
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New cases during period/population at risk x1000 |
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Deaths/population during year x1000 |
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(less than 1 year old) Infant deaths/birthed infants x1000 |
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Age-specific mortality rate |
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Definition
number of deaths of given age/number of people at given age x1000 |
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65: old 65-74: young-old 75-84: old-old 85-over: oldest old |
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Total: (0-14 & 65+)/(15-64) x1000 Child: (0-14)/(15-64) x1000 Aged: (65+)/(15-64) x1000 |
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General Adaptation Syndrome |
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Definition
Alarm, Resistance, Exhaustion |
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Definition
Government (only 3% of overall health expenditure) |
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Acute vs. Chronic Disease |
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Acute – less than 3 months Chronic – over 3 months |
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Blood Alcohol Content ranges |
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Definition
.05 Safe range .10 Overestimate skill set .15 Most common DUI |
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3 leading causes of death |
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Definition
Cardiovascular Cancer Stroke |
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What the Hill-Burton Act did |
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Definition
Create funding to make new hospitals Remodel hospitals |
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Third party payment system – who are the parties? |
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Definition
Patient (pays insurance) Insurance (pays hospital) Hospital |
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Term
What limits access to care? |
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US spending on health care |
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Technology redundancies Elderly |
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HMO – puts you into a group of doctors PPO – assigns one provider, discount Point of Service – most flexible/expensive, can see whoever with discount |
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Definition
Universalized Health Care Cheaper medication Run by government |
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Care – 65+/disabled Aid – poor women and children/disabled |
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conditions that insurance won’t cover |
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cap on procedure/plan (you pay part of the bill) |
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O’Rourke article (Top Ten Lessons From Abroad) |
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Definition
1. It’s possible to provide universal access & at least restrain cost increases. 2. Spending more $ on HC isn’t necessary/desirable. It’s already too much. 3. Savings from administrative/inappropriate services are alone sufficient 4. Health status of other industrialized countries compares favorably w/ USA 5. Universal access/cost control can occur within limit of mixed delivery system 6. Public satisfaction w/ health services higher in other industrlzd countries 7. HC spending in other countries not open ended. Spending limits exist 8. Other countries view HC more as human service than commodity 9. Spend thy money where it will do the most good to maximize output 10. Improvement in HC/status requires broader perspective than just HC focus |
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(Health care) Democrats favor: |
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Definition
Govt run system, universal access, regulatory control |
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(Health care) Republicans favor: |
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Definition
Consumer driven system, loose controls, retain private operation |
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Spectrum of health care delivery |
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Definition
Public Health/Medical/Long-term Practice |
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Medical malpractice claims |
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Definition
Poor outcome for patient Substantial disability level as a result Poor interpersonal patient-physician relationship Physician negligence (rare circumstances) |
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Living being (viruses, parasites, etc…) |
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Safeguarding against waterborne disease |
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Water filtration/purification Ground water/rain water |
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Preparation-based (eg. salmonella) |
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Communicable through a living agent (bug) |
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UV Radiation – skin cancer |
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The most virulent form of skin cancer |
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Population over time (exponential growth and plateau) |
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Phases of Population growth |
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Lag phase, exponential phase, stable equilibrium |
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Physical harm resulting from an acute exchange of energy that exceeds bodily threshold |
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Most common unintentional injury |
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Definition
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(public health model for unintentional injuries) [Triangle] Host, environment, energy |
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bullets, swimming pools, etc… |
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Fatal injuries most often occur where? |
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Definition
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Term
If ________, this qualifies it to be a bioterrorism agent |
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Definition
A living organism is part of the device |
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