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Federal health insurance - entitlement program for age 65 or older, end-stage renal, OR eligible for SS/ retirement boards, some gov't employees |
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State-administered health insurance - entitlement program for low income, aged, blind, disabled, dependent children of one-parent families (50-80% fed-funded) |
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State Children's Health Insurance Plan (CHIP) |
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Badgercare Plus in WI - for <19 y/o pregnant women at or below 300% poverty line OR adults at or below 100% poverty line |
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Traditional (indemnity) insurance |
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Fee-for-service AKA group contract - provider charges a fee for each service rendered |
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includes HMOs, PPOs, and POSs - all prepaid practice plans that offer health services through groups of medical practitioners. |
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A health maintenance organization - provides or arranges managed care and acts as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. Must choose a PCP within HMO. |
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similar to HMO except that member is not required to select a PCP or in network providers. Less restrictive --> greater out-of-pocket expense. |
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Point of service - like a combination of the HMO and PPO. Member is required to designate an in-network primary care provider (PCP). May go out-of-network, but in doing so, will have to pay most of the cost, unless a primary care physician refers member to that specific doctor. |
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Consumer-directed health plans |
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Combination of high-deductible health plan with an HRA (health reimbursement arrangement) or HSA (health savings account). High deductible/low premium. |
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PPS - Prospective payment system |
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hospitals are paid a fixed sum of $ per case according to schedule of DRGs |
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DRG - Diagnosis related group |
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method of classifying patients illnesses according to principal diagnosis and treatment requirements, for purpose of establishing payment rates. (23 categories and 490 DRGs) |
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percent of insured American on Medicare in 2010 |
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percent of insured American on Medicaid in 2010 |
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percent of insured American on Employer-sponsored programs in 2010 |
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percent of insured American on private non-group plans in 2010 |
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Baby boomers percent of US population current |
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Why is health promotion an important component of health care reform? |
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Poor nutrition contributes substantially to increased health care costs. |
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US spends significantly (more/less) on healthcare than most other industrialized nations |
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5 components of food security |
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Quantity, Quality, Suitability, Psychological, Social |
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Food INSECURITY categories |
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need to maximize caloric intake --> lower cost food with high calories, fat, sugar --> overeating when food is available --> physiological changes leading to weight gain |
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gov't program that provides cash, commodities or services to all qualifying low-income individuals. Anyone who meets standard is entitled to receive benefits. E.g. SNAP, Medicare, School lunch (NOT WIC) |
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Food you cannot buy with SNAP |
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Hot, ready-prepared food items |
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organization that collects food and distributes it to food pantries, etc. |
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organization or agency that distributes food to individuals or families. |
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The emergency food assistance program e.g. food banks |
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"dying away" - slowly developing, chronic PEM occurs at age <2 years |
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"illness that develops when the second child is born" - rapidly developed, acute PEM in infants/young children |
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inadequate protein often coupled with infections |
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metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved or severely malnourished. Includes: electrolyte shifts of Na, Mg, and P that can be fatal. |
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GOBI - what it stands for |
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Definition
growth monitoring, oral rehydration therapy, breastfeeding, immunizations |
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Knowledge, beliefs, customs, laws, morals,etc. acquired by human members of society. OR shared history defined as thoughts, communication, actions, customs, beliefs, values, and institution of racial, ethnic, religious or societal groups. WHEW-WEE! |
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principles or standards that members of a cultural group share - provide a set of rules by which to govern lives |
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Cultural competence continuum model |
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gaining cultural competence as a succession of stages |
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Campinha-Bacote cultural competence model |
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cultural competence is a continuous process rather than end result; an encounter starts off the process |
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the four P's of marketing |
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Product, place, price, promotion |
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a strategy for changing consumer behavior |
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change in knowledge; easiest to market but little connection to behavior change |
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individual does something, but must understand the reason for doing so e.g. screening for breast cancer |
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change that involves costs of personal involvement / change on a continuing basis e.g. exercising 5x per week |
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most difficult type of change to market; involve persuasion to change one's beliefs and how one acts because of them e.g. changing the size of ecological footprint |
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The letter of ASKBOB that EBMM pre and post fitness tests evaluate |
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Attendance/awareness, satisfaction, knowledge, behavior, outcome, benefit |
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