Social Determinants of Pain pRoFeSsIoNaLiSm Methics American Healthneglect Prevention of Quality
100
What is allostatic load
The accumulated wear and tear on the body that results from sustaining allostasis over the long-term
100
What is Morality
The values or beliefs accepted by a particular society or group without systemic reflection or an attempt at justification
100
What is Aristotelian Virtue Theory
Character, Focus on self-fulfillment, Details matter most, Rich moral descriptors, and Purpose guides the practice are all basic features of this Theory of Ethics
100
What is the Fee-for-service payment scheme
This payment model is the number one driver of cost in American Healthcare
100
What is Quality
To be used widely, a measure of THIS must be reliable, valid, and standardized
200
What is the Social Ecological Model
By this model, an individual's health is determined by "bands of influence" representing personal, interpersonal, organizational, community, and policy levels
200
What is Professionalism
The extent to which members of a profession maintain a level of conduct above an ethical threshold determined by members of that profession, which is in turn heavily influenced by the people it serves
200
What is Palliative Sedation
THIS is ethically permissible under the following conditions:
1) Severe pain or other physical symptoms which are refractory to treatment
2) Patient is close to death with a DNR in place
3) Careful consent from the patient or surrogate
200
What is the Market approach
In THIS approach to cost containment, the emphasis is placed on competition and transparency
200
What is The Prevention Pyramid
Health gains improve less as you go higher in this model of Prevention, defined by three levels: Basic needs of life, Public health infrastructure, and clinically based prevention
300
What is the Developmental Origins Hypothesis
The name for the connection between fetal development and chronic disease risk
300
What is Equanimity
Consistent performance at the highest level at all times under any circumstances is referred to as this
300
What is Mill's moral theory
An ethics theory with the primary idea that the morality of an action ought to be measured solely by the consequences
300
What is the Preferred Provider Organization (PPO)
The backlash against managed care and HMOs paved the way for the growth of THIS, a network model that expanded provider access, returned to fee-for-service payments, and fewer utilization oversights by health insurance companies
300
What are Low Risk Strategy and High Risk Strategy
Population-based prevention tends to follow THIS because it targets a large group of minimal risk individuals, Clinical prevention tends to follow THAT because it usually involves stratifying patients according to their individualized probability of future harm and focusing only on those at high risk
400
What is the Gini Coefficient
The fraction of the aggregate income in a population that would need to be redistributed to obtain full equality (also known as the Robin Hood Index)
400
What is an Imposter
Someone who *does* medicine, rather than *being* medicine
400
What is Informed Consent
The following are categories of THIS:
1)Determination of decision making capacity
2)Assessment of the voluntariness of the action
3)Disclosure of information
4)Practitioner recommendation
5)Assessment of understanding
6)Reflection and choice
7)Legal authorization
400
What is A Global Budget
The total health care spending set at a federal or state government level (utilized in the UK)
400
What is Tertiary Prevention
Taking action to minimize the risk of additional harm coming to patients already diagnosed with a disease
500
What is individual behavior
Research since the 1979 Surgeon General's report shows that no more than 20% of the differences in mortality seen between groups stratified by socio-economic status are a result of what
500
What are Assimilation, Accomodation, Compromise, and Conflict
The four paths of medical professionalism identity formation
500
What is Shared decision making
The following are three phases in THIS process:
1) Team talk
2) Option talk
3) Decision talk
500
What are Accountable Care Organizations (ACOs)
Provider-led organizations that are accountable for the cost and quality of care provided to a defined population for a defined period of time, aiming to improve population health, quality, and reduce costs
500
What is To Each an Equal Share (Rawlsian Liberalism)
THIS theory of Justice involves three Principles:
1) Each person is to have an equal right to the most extensive basic liberty compatible with a similar liberty for others
2) Inequalities are to be of the greatest benefit to the least-advantaged members of society
3) Offices and positions must be open to everyone under conditions of fair equality and opportunity






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