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(Complementary and Alternative Medicine) Integrative medicine seeks to improve medical care by combining best tradional medicine with alt. medicine |
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Acupunture Yoga Biofeedback Spiritual Guidance Chiropractic |
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| Reasons people turn to CAM |
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- feel that conventional medicine isn't helping - more serious health problems, more desperate they become - get help and try different things - fear conventional medicine - feel in control by picking help - practitioners don't listen to them - no harm in trying alt. medicine |
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| Primary focus of public health |
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| to control transmission of communicable diseases, mantain sanitary envir., provide safe water/food, help disable ppl/low income ppl |
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| factors influence mental health |
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| disorders, envir., lifestyle, sub. abuse |
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| mental health service today |
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private funds, private hospitals, in patient/out patient settings for individuals w/ insurance coverage individuals w/o private means for coverage get state, country, and community health clinics |
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Managed Care Military Vunerable Populations Integrated delivery |
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| 4 key functions of Manged Care |
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Insurance Employers Delivery Payments |
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| insurance companies like Blue Cross/Blue Shield, or self-insurance |
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| Gov't medicare/mediciniaid, individual funding |
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| Physicians, hospitals, nursing homes, etc. |
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| insurance companies, Blue Cross/Blue Shield |
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| Health is the absence of illness and disease |
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| complete phsical, mental, social well-being, not merely absence of disease |
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| treats individual as a whole person, spiritual, mental, physical, social |
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| relatively severe, episodic and often treatable |
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| some acute features, post acute treatment after discharge |
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| less severe, long and continuous, can be controlled, can lead to serious complications |
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| 4 leading determinants of health |
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envir. behavior & lifestyle heredity medical care |
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| 2 goals of Healthy People 2010 |
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- increase quality and years of healthy life - eliminate health disparities |
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| 5 major forces that shape health care delivery |
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cultures social factors advances in Science/Technology Economic forces political factors |
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| spurred growth in hospitals |
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| advancement in technology, urbanization, people demanding help |
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| 3 reasons national health care initiatives have failed |
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WWI/anti-German feels AMA against it Americans didn't want to increase taxes for Clinton's plans |
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