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Chapter 10

Chapter 10. Health Care Policy Issues . Policy Defined. Course of action developed to deal with a concern Guidelines for directing behavior Reflect values and beliefs of people setting the policy . Types of Policy. Social Health Regulatory policies Allocative policies . Regulations.

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Chapter 10

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  1. Chapter 10 Health Care Policy Issues

  2. Policy Defined • Course of action developed to deal with a concern • Guidelines for directing behavior • Reflect values and beliefs of people setting the policy

  3. Types of Policy • Social • Health • Regulatorypolicies • Allocative policies

  4. Regulations • Guidelines written by governments that clearly explain how a law is implemented • Ex: Americans with Disabilities Act(PL101- 336) enacted in 1994

  5. Systematic Approachto Health Improvement

  6. Health and Health Policy • Health determinants • Biology and genetics • Environment (physical, socio-economic, and cultural) • Lifestyle choices and behaviors • Availability of health related information and services

  7. How Policies Are Made • Stakeholders • Issue at hand • Advocacy • Lobbyists

  8. Types of Policy • Rational • Incrementalist • Stage sequential

  9. Lomas Model

  10. Longest Model

  11. Health Policy and Finance • Implications for: • Medicare • Medicaid • State Children’s Health Insurance Plan (SCHIP) • Military insurance • Social Security

  12. Big Issues Affecting Policy in the United States • Cost • Quality • Access

  13. Healthy People 2010 • Federal, state, and local implications for health care and other social policies

  14. Table 10-3: Leading HealthIndicators for the United States • Physical activity • Overweight and obesity • Tobacco use • Substance abuse • Responsible sexual behavior

  15. Table 10-3: Leading Health Indicators for the United States • Mental Health • Injury and Violence • Environmental Quality • Immunization • Access to Health Care

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