Quiz 2 Flashcards

1
Q

Population Health Goals

A
  • set targets for overall population
  • maintain and improve health of entire population
  • eliminate or reduce deficiencies and disparities between subgroups
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2
Q

Health Services by Family Income

A
  • the poor and near poor income populations had 0% of their targets that were met or exceeded
  • as you increase in income, you increase in the number of targets met/exceeded
  • as you increase in income, you increase in number of targets met/exceeded but you also increase number of targets that got worse

Result: our HC system is better or targeted for higher income populations

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3
Q

Healthy People 2030 Objectives

A
  • health conditions
  • health behaviors
  • populations
  • settings and systems
  • SDOH
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4
Q

Social Determinants of Health

A
  • economic stability
  • education access and quality
  • health care access and quality
  • neighborhood and built environment
  • social and community context
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5
Q

What types of groups care about population health and why?

A
  • health outcomes are of relevance to policy makers and payers in both public and private sectors

Why?
- cost
- productivity

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6
Q

Types of Groups in Healthy People 2030

A

adolescents/children/infants
older adults
LGBTQ
men/women
partents & caregivers
disabilities
workforce

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7
Q

Lessons learned from COVID-19

A
  • impact on the overall population of a pandemic
  • key groups identified that had negative outcomes or were impacted the most
  • impact of using resources efficiently during a pandemic
  • REVEALED PUBLIC HEALTH DEFICIENCIES
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8
Q

Definition of Health

A

defined not simply as a state free from disease but as “the capacity of people to adapt to, respond to, or control life’s challenges and changes”

WE HAVE STARTED FOCUSING MORE ON SDOH

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9
Q

Common View of Healthcare

A

Patient and a Provider
- places patient first

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10
Q

Common View of Population Health

A

overall population and large sum of people

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11
Q

Potential Conflict of Individual vs Common Good

A
  • the self interest of the individual may be different than that of the common good
  • payers denying certain types of therapy for individual patients because they do not align with the overall population –> PAs
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12
Q

Foundations of Population Health

A
  1. Descriptive Epidemiology: Health of Populations
  2. Etiology, Benefits, and Harms: Health Research Evaluation (CER)
  3. Evidence-based Practice
  4. Implementation of Health Promotion and Disease Prevention Interventions
  5. Determinants of Health
  6. Population Health Informatics
  7. Evaluation
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13
Q

What makes examining population health possible?

A

DATA

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14
Q

Types of Healthcare Data Important to Population Health

A

CLAIMS DATA
- easy to obtain; standardized; diagnosis codes

Electronic Health Record (inpatient and outpatient info)
- clinical clues; ease of grouping patients

Socioeconomic (easier with social media)
- not frequently linked with EHR

Patient-generated
- satisfaction surveys; patient reported outcomes

Prescription and Medication Adherence
- EHR and claims

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15
Q

Examples of Population Health Outcomes

A

Life Expectancy
Mortality (infant and maternal death rates)
Premature death

cost
access
quality of life indicators
quality of care indicators
unhealthy days
% reporting fair/poor health
% reporting mentally unhealthy

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16
Q

What country has the lowest life expectancy and why?

A

Africa; caused by a 3rd world country

United States was relatively good; Canada had the highest life expectancy

17
Q

US Rank in Life Expectancy, Infant Mortality, and Maternal Mortality

A

Rank: 45th

Life Expectancy: 77
Infant Mortality: 5.8
Maternal Mortality: 10

18
Q

Healthcare spending vs Life expectancy in US

A

highest healthcare spending with the lowest life expectancy per capita
- 12,914$
- 76.1 life expectancy

19
Q

What two things caused a decrease in life expectancy in 2020?

A

COVID-19
Opioid overdoses

20
Q

Do males or females have a higher life expectancy?

A

Females

21
Q

Leading cause of death in children aged 1-19?

A

Firearms
- then motor vehicles & other injuries
- not normally killed by diseases or health

22
Q

Population Health Conceptual Framework

A
  • policy makers often only look at a single sector for a short time period
  • patient advocate groups looked only at specific diseases
  • no one looks at the overall health improvement

WHY?
- only short term focus and commitment when the majority of population health measures are long term problems

23
Q

What age group has the highest drug overdose deaths?

A

35-44 (middle age)

24
Q

Population vs Public Health

A

Public Health is the critical functions of state and local public health departments such as:
- preventing epidemics
- containing environmental hazards
- encouraging healthy behaviors
MORE LOW TO NO RISK PATIENTS

major population health determinants like health care, education, and income remain outside of public health authority and responsibility

current resources provide inadequate support for traditional and emerging public health functions