1. BME 301 Lecture Six

2. WA4

3. Start here What are the problems in health today? Advance to next unit Screening and Prevention Diagnosis Treatment and Therapy Definition of Health Role of World Health Organization Health Data Types and Uses Sensitivity and Specificity PPV EpidemiologyBurden of Disease QALY, DALY,HRQL Mortality Ages 15-44 AIDS/HIV Accidents Interpersonal Violence Mortality Ages 45-60 Respiratory Cancers TB Heart Disease Cerebrovascular disease Developing and Developed World Contrasts

4. Who pays to solve problems in health care? How have health care costs changed over time? Advance to next unit What contributes to increasing health care costs? International International Start here United States Vendor/Purchaser System – choice dependent on ability to pay Financing of the system Health Technology Development Provider of services Hospitals Nonprofit Private (for profit) Public Ambulatory Care Private Practice Public Health Services Voluntary Agencies University Student Private insurance HMO PPO Public (tax based) Medicare/Medicaid Military Out of pocket expenses Canada Universal Insurance 13 provincial systems Hospitals – nonprofit (all government funded) Government sets ceilings on gross revenue for physician private practices. India Public – free treatment health centers Private care – for profit usually urban areas Western and traditional medicine International aid – especially in rural areas Angola 27 year civil war “Near absence” of government Displacement and malnutrition International aid only source of health care.

5. Review of Lecture 1 Course organization Course goals Four questions we will answer Technology assessment – The big picture What is health? Role of WHO Health data and uses

6. Review of Lecture Two Developing countries Leading causes of mortality: ages 15-44 Developing world 1. HIV/AIDS 2. Road Accidents 3. Interpersonal violence Developed world 1. Road accidents 2. Self-inflicted injuries 3. Interpersonal violence

7. Review of Lecture Three Leading causes of mortality: ages 45-60 Developing World 1. Heart Disease - ARF 2. Cerebrovascular Disease 3. Tuberculosis Developed World 1. Heart Disease – IHD 2. Respiratory Cancers 3. Cerebrovascular Disease Global health challenges

8. Review of Lecture 4 Who pays to solve problems in healthcare? United States: Multi-payer system Canada: Single payer system Developing world Angola India The need for health care reform

9. Review of Lecture 5 How have health care costs changed over time? What drives increases in health care costs? Health Care Reform – Back to Oregon

10. Practice Exam Questions?

11. Assignments Due Next Time Project 1 presentations February 10 th Rubric Exam 1 is COMING RIGHT UP February 12 th Practice Exam is available under student resources Practice Exam