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17 Cards in this Set
- Front
- Back
US Healthcare Steakholders |
Federal,state & local govn; hospital/healthcare setting providers; physicians/purchasers; industry manufacturers/ interest groups |
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Federalism |
A system of government in which the powers are divided between national government (federal) and constituent units (states) |
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3 branches of government & Responsibilities |
Legislative - Policy Making Executive - Implementation Judicial - Resolve constitutional and legal conflicts |
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Decentralized Government |
Separation of Powers Checks and balances |
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Congress |
Consists of committees and caucuses; has legislative & budget authority (i.e ACA) |
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President |
Appoints political executives & agency control; proposes policy; executive orders (i.e Dept. of Health and Human Services) |
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Judiciary |
Influences policy making indirectly; interprets the Constitution and laws ( i.e Webster V. Reproductive Health Services) |
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Consensus Building |
Compromises to gain support of groups with diverse and/or conflicting interests. |
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Imcrementalism & Punctuated Equilibrium |
Policy makers favor making relatively small changes and modifications in existing policies. |
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Political Feasibility |
Likelihood of positive public reaction of constituents. |
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Electoral Cycle |
Need to produce short-term results |
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Public Philosophy and Idealogy |
Beliefs/attitudes and values of policy makers and constituents. |
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Interest Groups |
Resources create most opportunities to influence policy; campaign contributions, distribution of information. |
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Economic Environment three fundamental assumptions |
Resources are limited Resources have alternative uses People have different wants and places a different importance to them. |
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Economic Feasibility |
Rats of economy growth/decline Philosophiesbon cost containment/effectiveness Placing a financial value on healthcare |
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7 Steps to Policy Making |
1. Problem Recognition 2. Agenda Setting 3. Policy Formulation 4. Policy Adoption 5. Budgeting 6. Policy Implementation 7. Policy Evaluation |
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Key Healthcare Policy Actors |
The Federal Government, state & local governments, industries/businesses, healthcare providers, third party payors, consumers, interest groups |