1. Health Care Policy Issues
Chapter 10
Health Care Policy Issues

2. Policy Defined Course of action developed to deal with a concern
Guidelines for directing behavior
Reflect values and beliefs of people setting the policy

3. Types of Policy
Social
Health
Regulatory policies
Allocative policies

4. Regulations
Guidelines written by governments that clearly explain how a law is implemented
Ex: Americans with Disabilities Act (PL ) enacted in 1994

5. Systematic Approach to Health Improvement

6. 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

7. How Policies Are Made
Stakeholders
Issue at hand
Advocacy
Lobbyists

8. Types of Policy
Rational
Incrementalist
Stage sequential

9. Lomas Model

10. Longest Model

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

12. Big Issues Affecting Policy in the United States
Cost
Quality
Access

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

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

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