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Exam II Lecture Notes.docx

Exam II Lecture Notes.docx - Exam II Lecture Notes...

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Exam II Lecture Notes 03/23/2016 ° HealthCare ° Determinants of Health -Policymaking: smoking bans in public places -Social Factors: networks of friends -Health services: availability of services -Individual Behavior: taught -Biology and Genetics: history of cancer/heart disease Definitions -Disparity: unequal distribution -Dissimilar: lack of services, comparative mortality, access among groups/populations, socioeconomic factors -Health Disparities: -Health Care Disparities: -Health Care Dissimilarities: -Health Equity: lack of disparities, objective(end goal), decreasing hlth disparities, access, quality care Leading Causes of Death -Heart Disease -Malignant Neoplasms (tumors)
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Health Care Disparities Institute of Medicine Report: Unequal Treatment- Confronting Racial and Ethnic Disparities in Health Care o Mortality rates o Racism o Economic Status o Health Equity ° ° Health Care Utilization ° Enabling Factors: networks (friends), resources, conditions of living, societal supports, access and skills ° Predisposing Factors: history, family structure, biology, family health history, (family views) ° Perceived Need for Health Care Service: perceived need, perceived opportunity cost, providers perspective NOT ONLY THE INDIVIDUAL BUT THE PROVIDER PERSPECTIVE AND HOW THEY RELATE IT (The Major one we focus on) ° ° Theories of Health Disparities ° Socio-Environmental Theories Risk Exposure: Perceived need Resource Deprivation: depends on ? what resources are there that affect one socio-ecological group to another (all of these go back to enabling, predisposing and need) Access (all used up etc) leads to other barriers and other access issues ° Psychosocial/Behavioral Theories Weathering Hypothesis: the more you receive services, the less it becomes an important factor ( over utilization ) John Henryism: Where you work, work, work and then health care is not on your first priority (never takes care of yourself) puts other factors and excuses above your own. ( going keep going ) ° Physiological Theories
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Genetic differences among racial/ethnic populations: ex. Breast cancer and looking at each group ° ° Empirical Example ° Burden of risk factors: physiological – (increase incidence bc deprivation of quality/access of care) ° Incidence/prevalence: provides level of documentation you need ° Awareness/Education: predisposing and perceived need(role of knowledge, role of environment) (John Henryism- acknowledge of flu symptoms so just say oh we have a flu instead of just going to the doctor like people don’t know symptoms and just go to the doctor…) ° Access to Care (goes back to predisposing factors) Acute Rehabilitation Prevention ° Quality of Care: perceived need, perceived quality and how it is available; ° Participation in Research: types of studies, willingness to participate, predisposing (history-role of trust)
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Caucasians/White Health Issues 03/23/2016 ° Objectives: ° > Identify inappropriate racial and ethnic labeling in health research and propose o. appropriate variations.
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