Podcast
Questions and Answers
Which of the following is an example of a social determinant of health related to the community context?
Which of the following is an example of a social determinant of health related to the community context?
- Early childhood education
- Income level
- Medical bills
- Access to healthy food options (correct)
Which of the following is considered a social determinant of health related to the physical environment?
Which of the following is considered a social determinant of health related to the physical environment?
- Walkability (correct)
- Health coverage
- Literacy
- Employment
Which of the following is an example of a health outcome as influenced by social determinants of health?
Which of the following is an example of a health outcome as influenced by social determinants of health?
- Language
- Housing
- Social Integration
- Functional limitations (correct)
Which factor falls under the economic stability category of social determinants of health?
Which factor falls under the economic stability category of social determinants of health?
According to the model presented, which of these would be considered a social determinant of health related to the education sector?
According to the model presented, which of these would be considered a social determinant of health related to the education sector?
In Traditional Chinese Medicine (TCM), what is the state of balance within the body called?
In Traditional Chinese Medicine (TCM), what is the state of balance within the body called?
Which of the following options is an element of the 'Health Care and Social System' category among the social determinants of health?
Which of the following options is an element of the 'Health Care and Social System' category among the social determinants of health?
According to Traditional Chinese Medicine (TCM), what does a blockage in the flow of qi or blood lead to?
According to Traditional Chinese Medicine (TCM), what does a blockage in the flow of qi or blood lead to?
Based on the model, what is a common factor between 'Physical Environment' and 'Economic Stability' as social determinants of health?
Based on the model, what is a common factor between 'Physical Environment' and 'Economic Stability' as social determinants of health?
What are the interconnected channels in the body through which qi and blood flow, in the context of Traditional Chinese Medicine?
What are the interconnected channels in the body through which qi and blood flow, in the context of Traditional Chinese Medicine?
Which of these is an example of a social determinant that directly relates to place or area?
Which of these is an example of a social determinant that directly relates to place or area?
Which of the following is NOT considered a treatment method to unblock energy flow in Traditional Chinese Medicine?
Which of the following is NOT considered a treatment method to unblock energy flow in Traditional Chinese Medicine?
What concept does 'yang' represent in Traditional Chinese Medicine?
What concept does 'yang' represent in Traditional Chinese Medicine?
Which of the following best describes the Western medical approach to health problems?
Which of the following best describes the Western medical approach to health problems?
Which of these is a common goal of treatment within the Western medical system?
Which of these is a common goal of treatment within the Western medical system?
Which term is used to describe the medical system that gained dominance in the 19th century as referenced in the text ?
Which term is used to describe the medical system that gained dominance in the 19th century as referenced in the text ?
What is considered a component of the natural environment?
What is considered a component of the natural environment?
Which of the following best describes the built environment?
Which of the following best describes the built environment?
What is NOT a typical health threat arising from the built environment?
What is NOT a typical health threat arising from the built environment?
How does the built environment influence physical activity?
How does the built environment influence physical activity?
What is a common health risk for farm workers?
What is a common health risk for farm workers?
Which of the following is a health risk specifically associated with prolonged sun exposure for farm workers?
Which of the following is a health risk specifically associated with prolonged sun exposure for farm workers?
Which of the following is a health issue associated with sedentary habits due to the built environment?
Which of the following is a health issue associated with sedentary habits due to the built environment?
What aspects of a neighborhood are considered as a part of the built environment?
What aspects of a neighborhood are considered as a part of the built environment?
According to Cohen's research, which factor is NOT a distinct aspect of social relationships?
According to Cohen's research, which factor is NOT a distinct aspect of social relationships?
What did Thoits' reanalysis of data suggest regarding disadvantaged sociodemographic groups?
What did Thoits' reanalysis of data suggest regarding disadvantaged sociodemographic groups?
Which of the following best describes the scope of the 'social environment' in relation to health?
Which of the following best describes the scope of the 'social environment' in relation to health?
In the context of health, what does the term 'health behavior' generally refer to?
In the context of health, what does the term 'health behavior' generally refer to?
According to McGinnis and Foege's 1993 study, which of the following was NOT identified as a leading factor contributing to mortality?
According to McGinnis and Foege's 1993 study, which of the following was NOT identified as a leading factor contributing to mortality?
According to the provided text, what is the primary significance of improving health behaviors?
According to the provided text, what is the primary significance of improving health behaviors?
What is one of the main findings in health studies related to social support?
What is one of the main findings in health studies related to social support?
Which of the following was NOT listed as a specific health behavior that contributes to mortality and morbidity in the provided content?
Which of the following was NOT listed as a specific health behavior that contributes to mortality and morbidity in the provided content?
What are health behaviors traditionally viewed as being primarily under the control of?
What are health behaviors traditionally viewed as being primarily under the control of?
What is the main shift in perspective regarding health behaviors, as emphasized in recent scholarship?
What is the main shift in perspective regarding health behaviors, as emphasized in recent scholarship?
What do Short and Molborn (2015) identify as 'key mediating mechanisms' between structural environments and individual health outcomes?
What do Short and Molborn (2015) identify as 'key mediating mechanisms' between structural environments and individual health outcomes?
Which of the following did Healthy People 2010 focus on as a leading health indicator that did NOT relate directly to personal behavior or access to healthcare?
Which of the following did Healthy People 2010 focus on as a leading health indicator that did NOT relate directly to personal behavior or access to healthcare?
What is a key recommendation of Healthy People 2020 to improve population health?
What is a key recommendation of Healthy People 2020 to improve population health?
What is implied about the relationship between various levels of health determinants in the text?
What is implied about the relationship between various levels of health determinants in the text?
What does the text suggest about the effectiveness of interventions that solely focus on individual-level health determinants?
What does the text suggest about the effectiveness of interventions that solely focus on individual-level health determinants?
Which of the following most accurately reflects the evolution of thought regarding the main drivers of health behaviors?
Which of the following most accurately reflects the evolution of thought regarding the main drivers of health behaviors?
What is the primary focus of healthcare?
What is the primary focus of healthcare?
When does health care typically have an impact in the causal chain leading to disease?
When does health care typically have an impact in the causal chain leading to disease?
The text provides examples of increased need for healthcare related to both coal miners and smokers, which it implies are due to what underlying issue?
The text provides examples of increased need for healthcare related to both coal miners and smokers, which it implies are due to what underlying issue?
According to the text, at what point was coal worker's pneumoconiosis present in 33% of coal miners?
According to the text, at what point was coal worker's pneumoconiosis present in 33% of coal miners?
What is the primary focus of secondary prevention?
What is the primary focus of secondary prevention?
Which of the following best describes the main goal of tertiary prevention, according to the provided text?
Which of the following best describes the main goal of tertiary prevention, according to the provided text?
Based on the text, what is one major factor contributing to adult smoking habits?
Based on the text, what is one major factor contributing to adult smoking habits?
Based on the information provided in the text, which statement is most accurate regarding those who start smoking at an early age, compared to those that start later?
Based on the information provided in the text, which statement is most accurate regarding those who start smoking at an early age, compared to those that start later?
Flashcards
Homeostasis (Yin-Yang)
Homeostasis (Yin-Yang)
A state of balance between two opposing forces, Yin (cold, passive) and Yang (hot, active), in Chinese medicine.
Qi
Qi
Vital energy that flows through the body in channels called meridians.
Meridians
Meridians
Channels in the body that carry Qi and blood.
Traditional Chinese Medicine (TCM)
Traditional Chinese Medicine (TCM)
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Western Medicine
Western Medicine
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Materia Medica (Herbology)
Materia Medica (Herbology)
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Allopathic Medicine
Allopathic Medicine
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Western Medicine
Western Medicine
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Social Determinants Of Health
Social Determinants Of Health
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Economic Stability
Economic Stability
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Physical Environment
Physical Environment
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Education
Education
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Food Access
Food Access
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Social Context
Social Context
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Health Care System
Health Care System
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Health Outcomes
Health Outcomes
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What is the physical environment?
What is the physical environment?
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What is the built environment?
What is the built environment?
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How does the built environment pose health threats?
How does the built environment pose health threats?
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How does the built environment affect physical activity?
How does the built environment affect physical activity?
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What health problems can arise from a lack of physical activity?
What health problems can arise from a lack of physical activity?
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What are some potential health risks in occupational settings?
What are some potential health risks in occupational settings?
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What are common health risks faced by farm workers?
What are common health risks faced by farm workers?
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What are some specific health risks for farm workers?
What are some specific health risks for farm workers?
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Societal Organization Perspective
Societal Organization Perspective
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Biosocial Approach to Health
Biosocial Approach to Health
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Healthy People 2010 & 2020
Healthy People 2010 & 2020
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Focus of Healthy People 2010
Focus of Healthy People 2010
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Expansion of Healthy People 2020
Expansion of Healthy People 2020
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Multi-level Interventions
Multi-level Interventions
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Collaborative Action for Health
Collaborative Action for Health
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Social Integration, Negative Interaction, and Social Support
Social Integration, Negative Interaction, and Social Support
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Vulnerability of Disadvantaged Groups
Vulnerability of Disadvantaged Groups
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Social Support and Health
Social Support and Health
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Health Behavior
Health Behavior
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Health Behaviors as a Determinant of Health
Health Behaviors as a Determinant of Health
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Leading Causes of Death
Leading Causes of Death
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Improving Health Behaviors
Improving Health Behaviors
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Health Behaviors in Research
Health Behaviors in Research
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What is the primary goal of healthcare?
What is the primary goal of healthcare?
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How does healthcare relate to other determinants of health?
How does healthcare relate to other determinants of health?
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What does the need for healthcare often indicate?
What does the need for healthcare often indicate?
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What is primary prevention in healthcare?
What is primary prevention in healthcare?
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What is secondary prevention in healthcare?
What is secondary prevention in healthcare?
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What is tertiary prevention in healthcare?
What is tertiary prevention in healthcare?
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What is the relationship between determinants of health and healthcare need?
What is the relationship between determinants of health and healthcare need?
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What is the role of prevention in healthcare?
What is the role of prevention in healthcare?
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Study Notes
Introduction to Health Care Systems
- Health care systems are complex systems of interconnected parts functioning together
- Good health systems provide quality services to all people, when and where needed
- Systems vary from country to country but all require robust financing, skilled workforce, reliable information, maintained facilities, and logistics for delivering quality medicines and technologies
Defining Health and Determinants
- Health is a state of complete physical, mental, and social well-being, not just absence of disease
- Determinants of health include: genetic inheritance, physical environment, social environment, and health behaviors
- Individual and population health are influenced by factors beyond health care, including genetics, the environment (natural and built), social factors, and health behaviors
Health Care in the US: Present State
- The US health care system is unique even among comparable industrialized nations
- Basic structures and organization of the US system share some similarities with similar countries
- Differences exist in financing, equity, efficiency, and population health outcomes from the varied beliefs and practices of other systems.
Health Behaviors
- Health behaviors can be positive or negative
- Examples of negative health behaviors include smoking, alcohol abuse, unhealthy eating, and lack of physical activity
- Prevention and treatment of various health conditions and lifestyle issues are impacted by health behaviors
Population Served
- The US population is diverse, with significant differences in demographics, including age, sex, race/ethnicity, and socioeconomic status (SES)
- These variations influence health outcomes, health behaviors, and health utilization/access to health care services
- Age structure and poverty influence who uses health services and the types of services needed.
Health Care Workforce
- The U.S. health care workforce is employed in various roles and settings.
- A large number of occupations are involved in delivering health services
- The quantity and quality of the workforce vary significantly.
Health Care Facilities
- Traditional US health care included a mix of small, private practices and institutions
- In recent decades, there's been an increasing trend toward hospitals and systems integrating ambulatory/outpatient services, including physician practices
Medical Products
- Access to a variety of medical products is essential to health care systems, for diagnosis and treatment.
- The availability and use of these products vary across regions, races and socioeconomic status.
Health Care System Performance and Information Technology
- Health care delivery systems are evaluated using criteria focusing on quality, efficiency, and equity
- Health systems are evaluated at the individual, local, regional, and national/public levels
- Data is used to evaluate these performance aspects, and health outcomes
Health Care Financing
- The US health care financing system is characterized by substantial costs and complexity
- Funding sources include public and private entities, which influence healthcare access and affordability.
Role of Government and Non-Governmental Organizations
- Government plays a critical role in the U.S. health care system
- Various governmental organizations at the federal, state, and local level shape health care policy, financing, and delivery
- Non-governmental organizations (NGOs) also play a significant role in influencing health, advocacy, and related policy matters.
Types of Health Services
- Primary care focuses on preventive care, diagnostics, and treatment, with the support of various related healthcare/support roles/professionals
- Secondary and tertiary care are specialized medical services for handling more complex conditions and require follow-up or referral from a primary care physician
- Healthcare facilities and care are delivered through a mix of government-funded and private organizations, including but not limited to: hospitals, clinics, and community health centers, all addressing a variety of needs and diseases.
COVID-19 and the US Health Care System
- COVID-19 placed unprecedented demands on the US health care system and caused significant disruptions
- The pandemic exposed existing weaknesses and disparities in the system and impacted all aspects of healthcare
Morbidity
- Chronic conditions are major health problems and a leading cause of mortality requiring sustained medical attention.
- Examples include high blood pressure, high cholesterol, arthritis, diabetes, heart disease.
- Chronic conditions are frequently tied to behaviors, lifestyle, and environmental factors
Injury/Unintentional and Intentional Injuries
- Unintentional injuries (e.g., falls, accidents, and poisoning) and intentional injuries (e.g., assaults and suicide) are major causes of morbidity, disability, and mortality in the United States.
- Different age groups face varied risks of different types of injuries
- Risks increase with lower income and for certain ethnicities
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