vulnerability correct answers Predisposing, enabling reinforcing
Individual and ecological
Policy and intervention focus need to target multiple risks
Racial Ethnic Minorities correct answers Over 34% of the US population belongs to a minority
group
12% Black
15% Hispanic
4% Asian
1% American Indian
The Uninsured correct answers Tend to be:
Less educated
Working in PT jobs or employed by small firms
Medically uninsured are employed but not covered because:
Employer does not offer health insurance
Employee works too few hours
Children - the future of health correct answers Disparities between races
Development vulnerability - physical and emotional childhood changes that can be impacted by
poor health and/or social circumstances
Affected by "new morbidities"
YRBS
Women correct answers Leading providers of care in the nursing profession
Live 8 years longer than men, but suffer greater morbidity and poorer health outcomes
Heart disease and stroke
HIV/AIDS
Depression
Alzheimer's
DHHS Office of Women Health correct answers Government agency specifically designed to
address disease and disability of women. and Coordinate and implements a comprehensive
women's health agenda.
SAMHSA Targets for Women (Substance Abuse Mental Health Services Administration) correct
answers Substance Abuse and Mental Health Services Administration. Targets: Physical and
sexual abuse of women, women as caregivers, women with mental and addictive disorders,
women with HIV/AIDS , STDs and TB, Older Women, Women Convicts
Rural Health correct answers Poor access due to: Poverty, long distances, topography, weather,
availability of health care and transportation. Measures to improve rural health care. 1. the
, national health service Corps, medically undeserved areas, community and Migrant Health
Centers, The Rural Health Clinics Act, Rural Managed Care
The National Health Service Corps correct answers Created in 1970, to recruit and retain
physicians in shortage areas, a scholarship and loan repayment program, targeted doctors,
dentists, nurse practitioners, midwives, and mental health professionals who serve a minimum of
2 years in undeserved areas. Since 1972 over 27,000 have been placed in medically undeserved
communities.
Health Professional Shortage Areas (HPSA) correct answers The Health Professions Educational
Assistance Act of 1976 provided for HPSAs. Three different types of HPSAs: Geographic areas,
population groups, medical facilities.
Medically Undeserved Areas (MUA) 1 correct answers Developed to support the: Federal health
maintenance organization grant program. Community health center and rural health clinic
programs. Factors in designing MUAs: Available health resources related to area size and
population, health indices, care, and demographics
Medically Undeserved Areas (MUA) 2 correct answers The index of Medical Under-service was
developed comprising four variables: percent of population below poverty income levels, percent
of population 65+ years old, Infant mortality rate, Primary care physicians/1,000 population
Community and Migrant Health Centers correct answers Service to low income populations on a
sliding-fee scale, serve over 18 million patients per year, Offers primary and prevention care,
hard to attract physicians
The Rural Health Clinics Act correct answers Created to benefit isolated rural communities,
financial viability, midwives, physician assistants, nurse practitioners do not need physician
oversight, there are over 3,000 currently operating
The Homeless correct answers An estimated 3.5 million people are without a home: single men:
43%, Single women 17%, Children under 18-39%, Families with children 33%. A multifaceted
problem related to personal, social, and economic factors: homeless adults and children have a
high prevalence of untreated acute and chronic medical, mental health, and substance abuse
problems, at a greater risk of assault and victimization and exposure to harsh weather. Barriers to
health care, Reasons for barriers: Individual factors (e.g., competing needs, substance
dependence, mental illness), and System factors (e.g., availability, cost, convenience). Outreach
to shelters, hotels, soup lines, parks, bus stations. Health care for the homeless: a federal effort
for medical service, Robert Wood Johnson supported, Salvation Army provides: social, rehab,
support, food housing.
Mental Health correct answers 1 in 4 American have a mental disorder in any given year.
Industry plagued with disparities in availability and access: Hinges on financial status, tear down
the stigma, fear, and the hopelessness. Medicaid is the single larges payer: states had strong
emphasis on inpatient care. Psychiatrists: Physicians, postgraduate training in mental health,
have power to prescribe prescriptions and admit patients. Psychologists: usually have doctoral