Health Care Policy Issues 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 Guidelines written by governments that clearly explain how a law is implemented Ex: Americans with Disabilities Act (PL101- 336) enacted in 1994

Systematic Approach to Health Improvement

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

How Policies Are Made Stakeholders Issue at hand Advocacy Lobbyists

Types of Policy Rational Incrementalist Stage sequential

Lomas Model

Longest Model

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

Big Issues Affecting Policy in the United States Cost Quality Access

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

Table 10-3: Leading Health Indicators for the United States Physical activity  Overweight and obesity  Tobacco use  Substance abuse  Responsible sexual behavior 

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