ANSWER BOTH SECTIONS IN ITS ENTIRETY1) Barriers. The reading for this week focused on evidenced based (data) policies. 1) What barriers do you face in your job in trying to use an evidenced based approach when making decisions? (If you are not currently working, you can use a previous job or you can anticipate the barriers one might face). 2) Give an example and explain a policy in your job that used evidenced based decision-making. 3) What type of work environment is conducive to evidenced based decision-making?

2) Levels of Prevention. There are three levels of prevention or types of prevention: 1) primary (education), 2) secondary (screening), and 3) tertiary (treatment). Public health is largely based on primary prevention and some secondary prevention (screening for breast cancer, sexually transmitted diseases, etc). In contrast, the medical model is largely based on tertiary care/treatment. If we could change American culture from tertiary to primary prevention this would lead to a large cost savings for individuals, government, and insurance companies. What are the main barriers to making this transition? How can we as a society overcome these barriers? What do you propose?

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