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246 Exam 1
246 CH 4
Term | Definition |
---|---|
family policy | explicit and implicit laws, codes, programs and policies designed to promote, safeguard and protect children, families and communities |
social policies | broad set of laws and programs aimed at addressing social, economic and culturally defined concerns |
jone's three levels of racism theory | emphasizes racism from a complex view of institutional prejudice and related policies and practices |
institutional racism | deferential access to resources and opportunities, including health care, education, employment, healthy food, clean water, housing |
institutional impacts | health, looked at as health determinant |
personally mediated racism | prejudice and discrimination practiced by individuals, families and communities across societies |
prejudice | assumptions about motive, ability or intention of another person |
discrimination | action toward the differentiated groups that negatively affects their well being, lack of respect, unwarranted suspicion |
devaluation | not choosing a qualified person based on stigmatized characteristics |
scapegoating | punishing an entire group based on rumored actions of one |
internalized racism | stigmatized individuals accept negative messages about their abilities and inherent a lower status |
bronfenbrenner's ecological systems theory | interacting systems, influences of social environments on human development |
microsystem | internal system, most intimate, individual |
mesosystem | family system, including roles, responsibilities, boundaries and communication patterns within family and outside world |
macrosystem | surrounding community, neighborhood culture and structure, population |
exosystem | external environment, larger government and culture |
chronosystem | changes over time |
social determinants of health | conditions in which people are born, grow, work, live and age, systems shaping the conditions of life |
health determinants | demographic characteristics, race and ethnicity, genetics, age, education, employment |
social determinants | physical environment, economic environment, access to health care, public safety, transportation, community resources |
health disparities | cause negative health outcomes for individual groups and families, lack of resources, exposure to toxins, inadequate nutrition |
health disparity examples | poverty, health care, LGBTQ, socioeconomic disparities, chronic illness, elder care, women's reproductive health |
homeless children | likely to be born to a single mother |
major causes of poverty | lack of affordable housing, racial disparities, traumatic experiences |
health promotion | strategy to promote health equity by transforming and devloping policies |
medicare | over 65, disabled, federal government |
medicaid | state managed, low income |
CHIP | children's health insurance program, address the lack of health insurance coverage for children who did not qualify for medicaid |
affordable care act | decreased number of uninsured, decrease health care costs, improve efficiency of care, decrease discrimination, improve health care outcomes |
emergency medical treatment and active labor act | ensures hospitals cannot refuse to treat anyone who comes to the emergency room regardless of insurance coverage |
social determinants | root cause of illness and health because they affect lifestyle possibilities and limitations and access to health care resources |