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PAM 2350 Introduction, PAM 2350 Health & Role[] - Coggle Diagram
PAM 2350 Introduction
What are the three objectives of the healthcare/ the iron triangle?
High quality care
US has shorter wait times for patients
ACA pushed uninsured rates to lowest ever
US has better cancer survival rates
Broad access
US has higher percentage of low and higher income citizens with problems with accessing medical care
9% of the US is uninsured
female life expectancy/infant mortality rate higher than in most other countries
low cost
In what ways is the US healthcare system lacking?
Inconsistent spending-
30% of spending goes to low/negative value of medical care
fee for service to value based care is slow, mediocre channge
can we maintain innovation with with lower spending
Inconsistent quality-
high spending leads to incentive for medical innovation
US worse for primary care, preventative care, and coordination of care
US system best in terms of complexity
Inefficient spending-
insured/high income people have high quality of care- everyone else doesn't really
radically different healthcare across different demographics
PAM 2350 Health & Role[]
What inputs effect people's health?
structural factors that affect distribution of resources of populations
conditions of person's life
biological factors
access to medical resources
safe environments
What are the three eras of expected age?
1st Era: high infant mortality caused by poor nutrition
Fixed through economic growth and improved nutrition
What is the importance of nutrician?
adult height increased
mortality U-shaped in regards to BMI
mortality of turburculosis dropped before treatment was created
2nd Era: Stronger drop in infant mortality rates
Fixed through PUBLIC HEALTH programs against disease; done through MACRO and MICRO changes; eliminated water and food-borne disease
What are examples of macro projects?
filtering water; vaccines; sanitation systems; draining swamps
What are examples of micro projects?
boiling bottles & milk; washing hands; ventilating rooms; protecting food from insects
Medical care was having some impact but not a huge impact;
3rd Era: Medical care making meaningful effects on health improvements
Anti bacterial drugs started to improve such as sulfa drugs which led to lower infant mortality; reduction in cardiovascular mortality rate
What is a summary of important drivers in reducing mortality by each phase?
1st Era: 1750-1850 (4 years)
improved nutrition and economic growth; 2. Early public health; 3. Medical care
2nd Era: 1850-1950 (27 years)
Public health programs- cost efficient; 2. Nutrition and economic growth; 3. Medical care
3rd Era: 1950-Today (9 years)
Medical Care (vacinations and antibiotics); 2. public health; nutrition and economic growth