Ethics in Healthcare and Human Rights
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Questions and Answers

Which of the following ethical frameworks are particularly relevant to the commercialization of healthcare?

  • Situational Awareness and Prudential Reasoning
  • Autonomy and Beneficence
  • Justice and Non-maleficence (correct)
  • Humility and People-centered perspective
  • Which of the following principles is NOT directly associated with the concept of healthcare as a human right?

  • Access to essential medicines
  • Universal health care coverage with fair distribution
  • Public participation in healthcare decisions
  • Privatization of all healthcare services (correct)
  • Which of the following is NOT considered a key characteristic of a healthcare system that aligns with the human rights approach?

  • Inclusion and participation of marginalized groups
  • Intersectoral collaboration
  • Individualistic market approach (correct)
  • Primary care as a central component
  • What is the significance of 'bioethics' in public health case studies?

    <p>It helps to understand the ethical considerations of public health interventions that might affect individuals differently. (C)</p> Signup and view all the answers

    Which ethical framework emphasizes the importance of considering the unique perspectives and experiences of individuals when making healthcare decisions?

    <p>People-centered perspective (A)</p> Signup and view all the answers

    What is the primary focus of public health?

    <p>Providing healthy conditions for the population (D)</p> Signup and view all the answers

    What is a core belief regarding access to health services in public health?

    <p>Access to health services is a fundamental right (A)</p> Signup and view all the answers

    Which of the following is NOT a factor impacting public health assessment?

    <p>Developing treatment plans (D)</p> Signup and view all the answers

    What type of prevention includes vaccinations and education?

    <p>Primary prevention (B)</p> Signup and view all the answers

    Which public health approach aims to answer the question 'what is the cause?'

    <p>Risk factor identification (D)</p> Signup and view all the answers

    What is a key role in the assurance aspect of public health?

    <p>Enforcing laws and regulations (A)</p> Signup and view all the answers

    Which prevention level involves managing blood sugar for diabetics?

    <p>Tertiary prevention (A)</p> Signup and view all the answers

    Which of the following is an example of secondary prevention?

    <p>Regular health checkups (A)</p> Signup and view all the answers

    Which type of study is defined by individuals being followed based on assigned exposure?

    <p>Experimental study (C)</p> Signup and view all the answers

    What is the primary purpose of a case-control study?

    <p>To compare past exposures of individuals defined by disease (A)</p> Signup and view all the answers

    Which component is NOT part of the epidemiological triangle?

    <p>Exposure (D)</p> Signup and view all the answers

    What type of bias occurs if subjects in a study are not representative of the general population?

    <p>Selection bias (A)</p> Signup and view all the answers

    Which measure of central tendency is calculated as the middle value when a data set is ordered?

    <p>Median (D)</p> Signup and view all the answers

    What defines prevalence in epidemiology?

    <p>Total cases, including both new and existing cases (D)</p> Signup and view all the answers

    Which ethical consideration ensures that research participants are fully aware of what they agree to?

    <p>Informed consent (D)</p> Signup and view all the answers

    What is the formula for calculating odds?

    <p>P/(N-P) (B)</p> Signup and view all the answers

    What is the primary focus of epidemiology?

    <p>To study the distribution and determinants of health-related states (A)</p> Signup and view all the answers

    Which aspect does descriptive epidemiology emphasize?

    <p>Describing the disease by time, place, and person (C)</p> Signup and view all the answers

    What is a key characteristic of analytical epidemiology?

    <p>It involves developing new data and requires comparison groups (A)</p> Signup and view all the answers

    Which of the following is a method used in experimental studies within epidemiology?

    <p>Randomized controlled trials (D)</p> Signup and view all the answers

    In which scenario would descriptive epidemiology be primarily useful?

    <p>Estimating demographic factors of a newly observed disease outbreak (C)</p> Signup and view all the answers

    What type of data does analytical epidemiology rely on?

    <p>Newly gathered data for testing hypotheses (D)</p> Signup and view all the answers

    Which factor does NOT typically describe aspects of descriptive epidemiology?

    <p>Comparative effectiveness of treatments (A)</p> Signup and view all the answers

    Which of the following is an example of an observational analytical study?

    <p>Cohort study tracking health outcomes over time (A)</p> Signup and view all the answers

    What does the risk ratio (RR) measure in epidemiology?

    <p>Risk among exposed compared to risk among non-exposed (B)</p> Signup and view all the answers

    Which of the following best describes the odds ratio (OR)?

    <p>Odds of disease occurrence for exposed versus non-exposed (B)</p> Signup and view all the answers

    What is the definition of crude mortality rate?

    <p>Death rate in the entire population without adjustment (D)</p> Signup and view all the answers

    How is the case-fatality rate calculated?

    <p>Number of deaths divided by the number of infected individuals (D)</p> Signup and view all the answers

    Which principle of bioethics focuses on equitable healthcare access?

    <p>Justice (C)</p> Signup and view all the answers

    Which of the following is NOT one of the UN Sustainable Development Goals (SDGs)?

    <p>Universal healthcare and insurance (A)</p> Signup and view all the answers

    What is the significance of principles and values in public health?

    <p>They influence healthcare access and equity (D)</p> Signup and view all the answers

    Which aspect is primarily focused on in public systems that emphasize primary care?

    <p>Universal coverage (A)</p> Signup and view all the answers

    What is the primary role of the World Health Organization (WHO)?

    <p>Direct and coordinate health matters internationally (A)</p> Signup and view all the answers

    Which of the following is NOT a core function of the WHO?

    <p>Determine health policy for individual countries (C)</p> Signup and view all the answers

    What is the primary focus area of the CDC?

    <p>Health promotion and disease prevention (B)</p> Signup and view all the answers

    Which agency publishes the Morbidity and Mortality Weekly Report (MMWR)?

    <p>Centers for Disease Control and Prevention (C)</p> Signup and view all the answers

    What is a key feature of the Healthy People 2030 initiative?

    <p>Provide science-based objectives and targets for health improvements (B)</p> Signup and view all the answers

    Which of the following statements best describes the role of state health departments?

    <p>They coordinate statewide public health initiatives (D)</p> Signup and view all the answers

    Which role is NOT associated with the United Nations (UN)?

    <p>Conducting global health research (C)</p> Signup and view all the answers

    How does the WHO primarily promote health among nations?

    <p>By facilitating communication and partnerships (D)</p> Signup and view all the answers

    Flashcards

    Epidemiology

    The study of health-related states in populations to control health problems.

    Descriptive Epidemiology

    Used when little is known about the disease, describing who, where, and when.

    Analytical Epidemiology

    Used to test hypotheses with comparisons between groups.

    Causality

    The relationship between exposure to a factor and health outcomes.

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    Experimental Studies

    Research where the epidemiologist controls circumstances to observe outcomes.

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    Observational Studies

    Research without intervention, just observing outcomes and exposures.

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    Trends in Disease Occurrence

    Patterns identified in how diseases appear over time.

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    Health Interventions

    Actions taken to improve public health outcomes based on epidemiological findings.

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    Public Health

    Focus on population health promotion, control, and prevention.

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    Medical Care

    Focus on individual diagnosis, treatment, and overall patient care.

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    Social Justice in Public Health

    Belief that health services access is a fundamental right.

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    Factors Impacting Public Health

    Assessment, policy development, and assurance of health services.

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    Levels of Prevention

    Approaches to prevent illness: Primary, Secondary, Tertiary.

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    Primary Prevention

    Prevents disease before it occurs; examples include vaccinations.

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    Secondary Prevention

    Identifies disease early; examples include screenings like mammograms.

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    Tertiary Prevention

    Manages and rehabilitates those with existing conditions.

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    Cohort Study

    Individuals are defined by exposure and followed for disease outcomes.

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    Case-Control Study

    Individuals defined by disease and exposures are compared.

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    Ecological Study

    Populations defined by exposure and disease at a single time.

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    Cross-Sectional Study

    Individuals defined by exposure and disease at one time point.

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    Epidemiological Triangle

    Model consisting of host, agent, and environment interactions.

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    Ethical Considerations

    Ensuring informed consent and minimizing harm in studies.

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    Sampling Bias

    Systematic error due to unrepresentative sample selection.

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    Prevalence

    Total number of cases (old + new) in a population.

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    Beneficence

    The ethical principle of doing good for patients.

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    Non-maleficence

    The ethical principle of not causing harm to patients.

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    Justice in Healthcare

    The principle of fairness in distributing healthcare resources.

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    Healthcare as a Commodity

    Viewing healthcare primarily as a market-driven service.

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    Healthcare as a Human Right

    The approach that asserts healthcare is essential for all individuals.

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    Risk Ratio (RR)

    Ratio of risk among exposed individuals to risk among non-exposed individuals.

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    Odds Ratio (OR)

    Odds of disease in exposed individuals divided by odds in non-exposed individuals.

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    P-value

    Probability that the observed results happened by chance if the null hypothesis is true.

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    Mortality Rate

    The number of deaths in a specified population over a given time period.

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    Crude Mortality Rate

    The overall death rate in an entire population.

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    Cause-specific Mortality Rate

    The rate at which deaths occur for a specific cause within a population.

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    Case-Fatality Rate

    Proportion of deaths from a specific disease among all diagnosed cases.

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    Universal Healthcare

    Healthcare system that provides health services to all individuals regardless of ability to pay.

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    WHO

    The directing and coordinating authority for health within the UN system, established in 1948.

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    Director General of WHO

    Head of the World Health Organization, appointed by the World Health Assembly.

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    WHO Core Functions

    Leadership, research, standards, policy opinions, support, and health monitoring.

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    CDC

    The premier national agency focused on health promotion, prevention, and preparedness in the U.S.

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    National Center for Health Statistics

    Part of the CDC, responsible for collecting and analyzing health data.

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    Healthy People 2030

    Aims to improve national health through science-based objectives and tracking outcomes.

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    Roles of public health departments

    Include state, federal, local, tribal, and territorial agencies for health services delivery.

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    UN's Role in Health

    Promotes human rights, humanitarian aid, and sustainable development globally.

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    Study Notes

    MLSC 2060 Public Health - Spring 2025 - Exam I Study Guide

    • Similarities and Differences Between Public Health and Medical Care:
      • Public health focuses on populations, while medical care focuses on individuals.
      • Public health emphasizes prevention and health promotion for the community, while medical care focuses on diagnosis and treatment.
      • Public health uses a spectrum of interventions concerning the environment, human behavior, lifestyles and medical care.
      • Medical care emphasizes personal service ethics, conditioned by awareness of social responsibility.
      • Medical care is primarily concerned with care for each individual patient.

    Social Justice Aspect of Public Health

    • Access to health services and health itself are considered fundamental rights.
    • Governments have obligations to provide healthy conditions for citizens who are unable to do so themselves, including medical care.

    Factors Impacting Public Health

    • Assessment: Monitoring and investigating health problems
    • Policy Development: Educating and empowering communities, developing policies and plans
    • Assurance: Enforcing laws, ensuring quality and accessibility of services, having a competent workforce and evaluating programs

    Different Public Health Approaches

    • Surveillance and research: Identify the problem
    • Risk factor identification: Determining the cause of the issue
    • Intervention evaluation: Determining what works
    • Implementation: Applying the intervention effectively
    • Evaluation: Assessing the effectiveness of the intervention.

    Different Levels of Prevention in Public Health

    • Primary prevention: Vaccinations, education, safe behaviors.
    • Secondary prevention: Checkups, screenings.
    • Tertiary prevention: Managing chronic conditions, rehabilitation.

    Contribution to Public Health

    • Immunizations
    • Motor Vehicle Safety
    • Workplace safety
    • Infectious disease control
    • Healthy living / Healthy eating
    • Family planning strategies
    • Healthy mothers and babies
    • Water fluoridation
    • Tobacco use / risks

    Introduction to Epidemiology

    • Definition: Epidemiology studies the distribution and determinants of health in populations and applies this knowledge to control health problems. It's a part of public health assessment.
    • Types of Epidemiology:
      • Descriptive: Uses existing data to describe the situation, who, when, where, etc.
      • Analytical: Uses developed data or new insights regarding disease to understand causation, often including comparisons.

    Ethical Considerations for Epidemiological Studies

    • Participants' privacy, confidentiality, and minimizing harm must be ensured.
    • Potential social impacts of the research should be considered.
    • Ethical considerations include consent, conflict of interest, and the equitable selection of study populations.

    Threats to Validity

    • Chance: Random variation in outcomes.
    • Confounding variables: Third variables associated with both the exposure and outcome.
    • Bias: Systematic errors in measurement, selection, or data collection.

    Measures of Central Tendency

    • Mean: The average value, sensitive to extreme values.
    • Median: The middle value in a sorted data set, less sensitive to extreme values.
    • Mode: The most frequent value.

    Measures of Disease Frequency

    • Prevalence: Total number of cases (old and new) in a population at a given time.
    • Incidence: Number of new cases in a population over a specific period.

    Measures of Association

    • Risk ratio: Compares the risk of disease in exposed and non-exposed groups.
    • Odds ratio: Compares the odds of disease in exposed and non-exposed groups.

    Role of Ethics in Public Health

    • Bioethics and public health-interdisciplinary nature
    • UN Sustainable Development Goals

    Statistical Methods (in Public Health)

    • Mean: Calculated by summing all values and dividing by the total count.
    • Median: The middle value in a sequenced set of data.
    • Mode: The most frequent value.

    Prevalence and Incidence

    • Prevalence: Total number of cases (old and new) in the population at a given point in time.
    • Incidence: Number of new cases occurring in a specific time period in a defined population.

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    Description

    This quiz explores various ethical frameworks relevant to healthcare commercialization and the human rights perspective on healthcare. Test your knowledge on the principles associated with healthcare as a human right and the role of bioethics in public health. Delve into the significance of personal perspectives in healthcare decision-making.

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