Textbook Readings Summary
Week 1
Week 1: Chapter 1: Paradox of Excess & Deprivation
● Not enough care: underinsured, uninsured, medicaid coverage
... [Show More] not accepted.
● Too much care: too much care (tests/procedures), that can end up being harmful and are unnecessary expenses.
● Wasteful healthcare: 21-34% expenditures
● US Healthcare: least universal, most expensive in the industrialized world.
Week 1: Chapter 11: Prevention of Illness
● Primary prevention: prevent disease or injury (ie. vaccinations). good in preventing human suffering and decreasing the cost of thwarting diseases. Avert the occurrence of disease or injury.
● Secondary prevention: early detection of disease and intervention to reverse or stop conditions from progressing. (ie. mammograms).Strategies of Prevention
○ 1. address the fundamental social determinants of illness
○ 2. public health interventions to reduce the incidence of illness in the population as a whole
○ 3. individual health care providers performing preventative interventions for individual patients
● First Epi Revol: 19th century discovery of agents that cause infectious diseases allow for mapping of risk and efforts to reduce incidence.
○ 1870-1930: death rates from infectious disease fall
○ immunizations, antibiotics (mid 1990s)
● Second Epi Revol: 1950s breakthrough in epidemiology of non infectious diseases: combating major causes of death, reduction of premature death , and disability.
○ main causes of death are preventable.
● 2.6% out of the $2.9 trillion that go into health is used in preventing illness/Public Health (2013)
● Infectious disease mortality is influenced more by improved living standards and public health measures than by medical interventions
● A large number of people at small risk for a disease may give rise to more cases of the disease than the smaller number of people who are at high risk
● community-oriented primary care: in this model, primary care clinicians systematically define a target population, determine its health needs, and develop community-based interventions to address these needs
Week 1: Chapter 15: Health Care Reform & National Health Insurance [Show Less]