Pubhlth 200 Final Exam With 265 Ques ons and
answers Newest RATED A+ 2025/2026 NEW!!
Nine essen al public health services - Ans 1. Monitor popula on health status to iden fy and
solve community health problems
2. Diagnose and inves gate health problems and health hazards in the community
3. Inform and educate people about health issues
4. Mobilize community partnerships and ac on to iden fy and solve health problems
5. Develop policies and plans that support individual and community health efforts
6. Enforce laws and regula ons that protect health and ensure safety
7. Link people to needed personal health services and assure the provision of health care when
otherwise unavailable
8. Evaluate effec veness, accessibility, and quality of personal and popula on-based health
services
9. Conduct research for new insights and innova ve solu ons to health problems
Six building blocks of a health system - Ans 1. WHO looks at health care systems across the
world
2. Delivery of services
3. Health workforce to deliver those services
4. Informa on has to be collected
5. Medical products, vaccines, and technologies
6. Financing
Public policy - Ans O7en intervenes when there are market failures or market inefficiencies.
Addresses access to care, financing of health care, and quality of care
, 5 A's of (health care) access - Ans Affordability, accessibility, availability, accommoda on, and
acceptability
Affordability - Ans Prices of services meet client's income and ability to pay. If you can't afford
a service, you don't really have access to it
Accessibility - Ans Loca on of supply aligns with loca on of clients or demand
Availability - Ans Size or volume of the supply meets the client's needs. Volume and type of
services vs. resources to client's volume and type of needs. Is it available when you need it?
Accommoda on - Ans Delivery of healthcare accommodates client's needs. Cultural and
language barriers. People think about health and their bodies and illnesses in different ways
Acceptability - Ans Healthcare providers accept all clients regardless of their characteris cs
such as age, sex, social class, ethnicity, and type of insurance
Eligibility for Medicare - Ans People 65 and older, people of any age who have kidney failure
or long term kidney disease, people who are currently disabled and cannot work
Eligibility for Medicaid - Ans Low income, pregnant women, children under 19, people who
are 65+, people who are blind, people who are disabled, people who need nursing home care
Dual eligibility for Medicare and Medicaid - Ans Low income people who are disabled and
cannot work, low income and 65+
Medicare - Ans 1965 amendment to the Social Security Act of 1935. Social insurance for the
elderly and disabled. Na onwide eligibility and benefits. A defined benefit plan with no limit to
,annual spending. Covers 55 million people. Age 65+, and under 65 if disabled by end stage renal
disease (kidney failure) and ALS
Medicaid - Ans Covers ~50% of births. Medicaid expanded under Reagan administra on to
assist near-poor women in gaining financial access to prenatal care, labor/delivery, and post-
natal care based on previous infant mortality, low birth weight, and nega ve birth outcomes.
Third largest domes c program in the federal budget (9% and Medicare 14% so together 23%
which is a fourth of the federal budget)
Six dimensions of quality of care - Ans Effec ve, efficient, safe, mely, pa ent-centered, and
equitable
Effec ve - Ans Providing services based on scien fic knowledge to all who could benefit and
refraining from providing services to those not likely to benefit (avoiding underuse and misuse,
respec vely)
Efficient - Ans Avoiding waste, including waste of equipment, supplies, ideas, and energy
Safe - Ans Avoiding harm to pa ents from the care that is intended to help them
Timely - Ans Reducing waits and some mes harmful delays for both those who receive and
those who give care
Pa ent-centered - Ans Providing care that is respecFul of and responsive to individual pa ent
preferences, needs, and values and ensuring that pa ent values guide all clinical decisions
Equitable - Ans Providing care that does not vary in quality because of personal characteris cs
such as gender, ethnicity, geographic loca on, and socioeconomic status
, Health care disparity vs health status disparity - Ans Health status disparity: a higher burden
of illness, injury, disability, or mortality experienced by one popula on group rela ve to another.
Health care disparity: differences between groups in health insurance coverage, access to and
use of care, and quality of care
Social determinants of health - Ans Economic stability, neighborhood and physical
environment, educa on, food, community and social context, health care system, and health
outcomes
Affordable Care Act - Ans Passed in 2010, is a historic legisla on that ranks with SS, Medicare,
and the Civil Rights Act in crea ng social change. Makes significant reforms to health insurance
industry and healthcare system, but leaves the overall structure in place. Consists of 10 tles,
each dedicated to different parts of the health care system, and subsequent crea on of
hundreds of regula ons and administra ve rules by various agencies within the DHHS. Triple
aim to improve health, maintain or improve quality, and reduce costs
ACA Title I - Ans Quality, affordable health care for all Americans. Insurance industry reforms,
guaranteed issue, no rescission, no annual or life me caps, cover dependents up to 26 years
old, effec ve clinical preven ve services must be offered at no charge to pa ents, federal
government can regulate insurance company rate increases and unfair prac ces, health
insurance companies must spend 80-85% of premiums on health care, limit on annual out of
pocket spending, essen al health benefits package, employer and individual mandates,
insurance subsidies for low-income persons through marketplace exchanges
ACA Title II - Ans Role of public programs. Medicaid, Indian Healthcare Improvement act
permanently reauthorized - extends current law and authorizes new programs and services
within IHS, and community health centers
ACA Title III - Ans Improving quality and efficiency of health care. Moves health care financing
away from fee-for-service to value-based payments based on quality and efficiency.
answers Newest RATED A+ 2025/2026 NEW!!
Nine essen al public health services - Ans 1. Monitor popula on health status to iden fy and
solve community health problems
2. Diagnose and inves gate health problems and health hazards in the community
3. Inform and educate people about health issues
4. Mobilize community partnerships and ac on to iden fy and solve health problems
5. Develop policies and plans that support individual and community health efforts
6. Enforce laws and regula ons that protect health and ensure safety
7. Link people to needed personal health services and assure the provision of health care when
otherwise unavailable
8. Evaluate effec veness, accessibility, and quality of personal and popula on-based health
services
9. Conduct research for new insights and innova ve solu ons to health problems
Six building blocks of a health system - Ans 1. WHO looks at health care systems across the
world
2. Delivery of services
3. Health workforce to deliver those services
4. Informa on has to be collected
5. Medical products, vaccines, and technologies
6. Financing
Public policy - Ans O7en intervenes when there are market failures or market inefficiencies.
Addresses access to care, financing of health care, and quality of care
, 5 A's of (health care) access - Ans Affordability, accessibility, availability, accommoda on, and
acceptability
Affordability - Ans Prices of services meet client's income and ability to pay. If you can't afford
a service, you don't really have access to it
Accessibility - Ans Loca on of supply aligns with loca on of clients or demand
Availability - Ans Size or volume of the supply meets the client's needs. Volume and type of
services vs. resources to client's volume and type of needs. Is it available when you need it?
Accommoda on - Ans Delivery of healthcare accommodates client's needs. Cultural and
language barriers. People think about health and their bodies and illnesses in different ways
Acceptability - Ans Healthcare providers accept all clients regardless of their characteris cs
such as age, sex, social class, ethnicity, and type of insurance
Eligibility for Medicare - Ans People 65 and older, people of any age who have kidney failure
or long term kidney disease, people who are currently disabled and cannot work
Eligibility for Medicaid - Ans Low income, pregnant women, children under 19, people who
are 65+, people who are blind, people who are disabled, people who need nursing home care
Dual eligibility for Medicare and Medicaid - Ans Low income people who are disabled and
cannot work, low income and 65+
Medicare - Ans 1965 amendment to the Social Security Act of 1935. Social insurance for the
elderly and disabled. Na onwide eligibility and benefits. A defined benefit plan with no limit to
,annual spending. Covers 55 million people. Age 65+, and under 65 if disabled by end stage renal
disease (kidney failure) and ALS
Medicaid - Ans Covers ~50% of births. Medicaid expanded under Reagan administra on to
assist near-poor women in gaining financial access to prenatal care, labor/delivery, and post-
natal care based on previous infant mortality, low birth weight, and nega ve birth outcomes.
Third largest domes c program in the federal budget (9% and Medicare 14% so together 23%
which is a fourth of the federal budget)
Six dimensions of quality of care - Ans Effec ve, efficient, safe, mely, pa ent-centered, and
equitable
Effec ve - Ans Providing services based on scien fic knowledge to all who could benefit and
refraining from providing services to those not likely to benefit (avoiding underuse and misuse,
respec vely)
Efficient - Ans Avoiding waste, including waste of equipment, supplies, ideas, and energy
Safe - Ans Avoiding harm to pa ents from the care that is intended to help them
Timely - Ans Reducing waits and some mes harmful delays for both those who receive and
those who give care
Pa ent-centered - Ans Providing care that is respecFul of and responsive to individual pa ent
preferences, needs, and values and ensuring that pa ent values guide all clinical decisions
Equitable - Ans Providing care that does not vary in quality because of personal characteris cs
such as gender, ethnicity, geographic loca on, and socioeconomic status
, Health care disparity vs health status disparity - Ans Health status disparity: a higher burden
of illness, injury, disability, or mortality experienced by one popula on group rela ve to another.
Health care disparity: differences between groups in health insurance coverage, access to and
use of care, and quality of care
Social determinants of health - Ans Economic stability, neighborhood and physical
environment, educa on, food, community and social context, health care system, and health
outcomes
Affordable Care Act - Ans Passed in 2010, is a historic legisla on that ranks with SS, Medicare,
and the Civil Rights Act in crea ng social change. Makes significant reforms to health insurance
industry and healthcare system, but leaves the overall structure in place. Consists of 10 tles,
each dedicated to different parts of the health care system, and subsequent crea on of
hundreds of regula ons and administra ve rules by various agencies within the DHHS. Triple
aim to improve health, maintain or improve quality, and reduce costs
ACA Title I - Ans Quality, affordable health care for all Americans. Insurance industry reforms,
guaranteed issue, no rescission, no annual or life me caps, cover dependents up to 26 years
old, effec ve clinical preven ve services must be offered at no charge to pa ents, federal
government can regulate insurance company rate increases and unfair prac ces, health
insurance companies must spend 80-85% of premiums on health care, limit on annual out of
pocket spending, essen al health benefits package, employer and individual mandates,
insurance subsidies for low-income persons through marketplace exchanges
ACA Title II - Ans Role of public programs. Medicaid, Indian Healthcare Improvement act
permanently reauthorized - extends current law and authorizes new programs and services
within IHS, and community health centers
ACA Title III - Ans Improving quality and efficiency of health care. Moves health care financing
away from fee-for-service to value-based payments based on quality and efficiency.
