QUIZ%206%20PREP0

QUIZ%206%20PREP0 - PREP FOR QUIZ #6 - The 9 factors that...

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PREP FOR QUIZ #6 - The 9 factors that lead to the high cost of healthcare in the United States. - Cost-control mechanisms (e.g., prospective payment in Medicare) - Vulnerable populations and specific health issues - Rural health issues - Who are the uninsured - Effect of third party reimbursement - The three cornerstones of healthcare: cost, access, and quality * CHAPTER 11: Underserved Populations FRAMEWORK TO STUDY VULNERABLE POPULATIONS * Vulnerability model is an integrated approach to studying the susceptibility of certain populations to the likelihood of experiencing poor health or illness. Vulnerability represents the interaction of multiple factors, over many of which individuals have little or no control. * Vulnerability model has a number of distinctive characteristics a) it is a comprehensive model, including both individual and ecological attributes of risk b) it is a general model focusing on the attributes of vulnerability for the total population rather than focusing on vulnerable traits of subpopulations c) emphasizes on the convergence of vulnerability * Attributes that predispose to vulnerability include demographic characteristics, belief systems, and social structure variables. 1. Racial/Ethnic Minorities Significant differences exist across the various racial/ethnic groups on health Minority race and ethnicity usually serves as a proxy for other factors such as socioeconomic status, language ability, or cultural behaviors that are correlated with health status and health care experiences Available evidence consistently suggests that racial/ethnic minorities have poorer access to health care, receive poorer-quality care, and experience greater deficits in health status 2. Women and Children Women a) Women have a greater life expectancy than men, but face greater morbidity and poorer health outcomes b) Compared to men, w omen develop more acute and chronic illnesses and resulting disabilities c) Certain mental disorders, especially depression, are more common among women d) Women are the principal users of health care ser vices, and often coordinate health care for their families. But, women under the age of 65
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are less likely to be insured than men. Children a) Developmental vulnerability: Illness, injury, family, and other social circumstances have an impact on a child's life-course trajectory b) Dependency: Children f ace special circumstances in that adults generally have to recognize and respond to their health care needs c) New morbidities: Youngsters face challenges related to drug and alcohol abuse, family and neighborhood violence, emotional disorders, learning problems, and other problems such as teenage pregnancies, tobacco use, etc. These dysfunctions are mostly linked to family and socioeconomic
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This note was uploaded on 01/12/2011 for the course HAP 301 taught by Professor Henderson during the Fall '10 term at George Mason.

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QUIZ%206%20PREP0 - PREP FOR QUIZ #6 - The 9 factors that...

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