Session 6 Flashcards

1
Q

which level of the social ecological framework does this intervention take place: a cyclist commits to a virtual charity ride across texas to improve physical activity

A

individual

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2
Q

which level of the social ecological framework is responsible for creating this intervention: to improve worker health, a company CEO implements standing desks for all employees

A

institutional/organizational

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3
Q

which level of the social ecological framework is involved with managing this intervention: to ensure proper disposal of hazardous waste, a neighborhood board hosts collection events two times per year

A

community

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4
Q

what is the primary responsibility for health within government structure

A

promote general welfare

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5
Q

who is responsible for things not delegated to the government

A
  • state
  • responsibilities not delegated to the government are delegated to the state
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6
Q

what is included in the federal governmental infrastructure

A
  • policy making
  • financing
  • public health protection
  • collection and dissemination of information
  • capacity building
  • direct management of services
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7
Q

what are some federal government health agencies

A
  • CDC
  • FDA
  • department of health and human services
  • department of transportation
  • department of agriculture
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8
Q

what is included in the state governmental infrastructure

A
  • long-term care
  • mental health with substance abuse
  • medicaid
  • public assistance
  • substance abuse
  • mental health
  • environmental protection
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9
Q

what do state health departments often do with their resources

A

delegate resources to local areas

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10
Q

what is the state government responsible for in regard to health

A

protection, promotion, and preservation of health

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11
Q

what is included in the local governmental infrastructure

A
  • immunizations
  • maternal and child health screenings
  • drug prevention
  • preparedness
  • food safety
  • disease surveillance
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12
Q

what are the types of local public health agenices

A
  • county
  • city
  • city county
  • township
  • multicounty
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13
Q

what are the 3 governance types

A
  • centralized
  • decentralized
  • mixed/shared/hybrid
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14
Q

define the centralized governance type

A
  • controlled at the state level
  • arkansas
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15
Q

define the decentralized governance type

A
  • controlled at the local level
  • local health boards
  • texas
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16
Q

define the mixed/shared/hybrid governance type

A
  • combination of centralized and decentralized (state and local control)
  • georgia
17
Q

describe texas governance

A
  • largely decentralized
  • 254 counties
  • some counties have local health departments (counties with many people)
  • some counties are controlled by public health regions
18
Q

how many full time equivalent positions do most local health departments have and what is the range

A
  • 25
  • ranges from 5 to 200 (small places to large places)
19
Q

what is the basic staffing in small local health departments

A
  • RN
  • support staff
  • leadership
  • environmental health (food safety and water testing)
20
Q

what happens to staff positions in local health departments as the community population increases

A

more diverse staff positions as population increases

21
Q

define informational resources

A

how to save, collect, and disseminate information

22
Q

examples of informational resources

A
  • technology of immunizations registries, disease reporting, health records
  • communication channels: print media, social media
23
Q

which communication channel is used most for routine or emergency response communications

A

print media

24
Q

where does the majority of revenue come from in local health departments

A
  • federal funding (53%)
  • state/territory general funds (24%)
25
Q

what is the majority of the expenditures for local health departments

A
  • consumer health (27%)
  • WIC (26%)
  • infectious disease (10%)