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Policy-708-Spring1 > Week2:Ch 1, Marketplace > Flashcards

Week2:Ch 1, Marketplace Flashcards

1
Q

Negotiation between suppliers/demanders leads to completed transactions. In economic mktplce this is a ____. In Health policy mktplce these lead to _____.

A

Deal. Current health policy.

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2
Q

what are 2 main issues of negotiations?

A
  1. Division of resources- money, products, services
  2. Intangibles- power, satisfaction, competing fairly and effectively
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3
Q

In negotiations, intangible items include?

A

power, satisfaction, competing fairly and effectively

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4
Q

Division of resources, including money, products, and services, occurs during what?

A

Negotiations

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5
Q

Name two strategies of negotiations

A

Cooperative (win, win) and competitive (win, lose)

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6
Q

Cooperative negotiations are what?

A
  1. fair and reasonable
  2. est. cooperative relationship
  3. has sufficient resources
  4. takes a long view of future
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7
Q

Competitive negotiations are what?

A
  1. Just 1 winner (and 1 loser)
  2. insufficient resources
    3.Win now!
  3. short term view of horizon
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8
Q

A negotiation results in insufficient use of resources and takes a short view is what type of negotiation?

A

Competitive (not cooperative)

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9
Q

What type of market is about “benefit now, pay now”?

A

Economic market

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10
Q

What type of market establishes a cooperative relationship (more deals)?

A

Economic market

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11
Q

T/F- Benefits should = cost in an economic market?

A

TRUE

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12
Q

What type of market is a “benefit now, pay later” market?

A

Policy market

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13
Q

What type of market uses “establish relationships to get re-elected”?

A

policy market

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14
Q

T/F- Policy markets are a benefit NOW and pay NOW

A

False. Policy markets are a benefit now, pay later type market.

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15
Q

Name 3-4 suppliers of a health marketplace

A
  1. Legislators
  2. Executives/Bureaucrats
  3. Judiciary
  4. also Demanders
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16
Q

Boards and public health authorities represent what type of marketplace player?

A

Executives and Bureaucrat Suppliers. Boards and public health authorities, plus execs, bureaucrats.

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17
Q

Demanders of health marketplace include (4)

A
  1. individuals
  2. special interest groups (NGOs, advocacy groups-AMA, AHA, AARP, Pharma, etc)
  3. Media
  4. Legislators/Bureaucrats
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18
Q

Special interest groups (NGOs, Am Medical Association) represent suppliers to the healthcare marketplace, T/F?

A

False, they are “Demanders”

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19
Q

what is formal power known as?

A

Legitimate power. Derived from one’s position

20
Q

Name examples of legitimate power

A

Elected officials, executives, judges, union leaders

21
Q

What type of power includes the ability to give promotions?

A

Reward power.

22
Q

What type of power includes quid pro quo?

A

Reward power- favors/polictical

23
Q

What type of power is the opposite of reward? (harm)

A

Coercive power

24
Q

T/F: expert power is the power to give pay increases?

A

False. That is reward power

25
What power is from expertise in solving problems and performing tasks?
Expert power
26
What power is the ability to engender admiration, loyalty and actions from others?
Referent power
27
What power is represented in the charisma of politicians?
Referent power
28
What is the Iron Triangle?
Link between Government agency, special interest groups, and legislative committees.
29
What iron triangles exist today?
Big tobacco, pharmaceutical, Medicare
30
Is US a social justice or market justice type?
Neither- we are quasi market, private insurance plus medicaid and medicare social justice
31
The hallmark of the Clinton healthcare plan was what?
universal coverage mandate
32
What did the Obama plan focus on reforming?
Reforming the private health ins market, extending insurance to uninsured, better coverage for pre existing conditions, and lower rx drug costs
33
How much of our GDP is spent on healthcare?
4.1 trillion, or 18.5%
34
What is quality adjusted life years?
combined morbidity and mortality index that reflects years of life free from disability and symptoms of illness
35
What are our nation's top two burdens on health and productivity?
heart disease and mental illness
36
Incidence vs prevalence?
Incidence= number of new cases that develop. 70,000 cases of lung cancer in a certain year Prevalence=instances in a defined population, a percentage. 50% of population had lung cancer
37
What is the instance of disease in a defined population? 50% of population had stomach cancer.
Prevalence
38
What does disability measure?
restricted activity days, limitations in performing activities of daily living
39
What does public health focus on vs population health?
Public health focuses on prevention to protect lives and promoting good health Population health seeks to identify the determinants of health, why is one group affected more than another? Looks at subgroups, and looks upstream.
40
Which type of health (public vs population) looks upstream to causes of determinants of health?
population
41
What are 4 health determinants? (E, I, M, H)
1. Environment (physical, social) 2. Individual characteristic (demographic, behavioral. socioeconomic) 3. Medical care (delivery, financing) 4. Health status (phys, mental, social)
42
What are the major components of socioeconomic status?
income, education, occupation
43
T/F: demand for medical care is derived?
True
44
how does medical care differ from other commodities? *4 ways
1. Demand is derived (from health) 2. Agency relationship (md+pt) 3. variable fees because of third party payers 4. influenced by political, SE, cultural, environment
45
What is example of a redistributive policy?
Take money from one group and give to another. Medicaid is paid for by taxes.
46
Are distributive polices entitlements?
yes typically
47
Two types of allocative health policies?
distributive and redistributive

Policy-708-Spring1 (7 decks)

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