Ethics, Legal, and Health Insurance

Question 1

What is beneficence?

Answer 1

a moral obligation of health care providers to act for the benefit of others

Question 2

What is duty?

Answer 2

the obligations that individuals have to others in society

Question 3

What is fidelity?

Answer 3

the moral duty to keep commitments that have been promised

Question 4

What is justice?

Answer 4

the quality of being just and fair; righteousness

Question 5

What is nonmaleficence?

Answer 5

the obligation of health care providers to do no harm

Question 6

What is paternalism?

Answer 6

a term used when someone fails to recognize another individual’s right and autonomy

Question 7

What is veracity?

Answer 7

obligation of health care providers to tell the truth

Question 8

What is the Teleological Ethical Theory? (consequentialism)

Answer 8

the belief that the outcome or consequences of a particular action should come from answering the question “What should I do?”

Judging the good and bad outcome based on answering the questions “Which decision would bring the best consequences?”

If no clear answer is taken from those questions then the person does whatever will cause the most good with the least amount of harm

Question 9

What is the Deontologism Ethical Theory?

Answer 9

theory that does not focus on consequences but rather if the action follows moral principles

Question 10

What are the four elements of malpractice?

Answer 10

• a duty to act in a particular manner
• conduct that breaches that particular duty
• damage that occurs from that conduct
• conduct that is substandard, causing injury

Question 11

What is a Managed Care health plan?

Answer 11

a concept of health care delivery where subscribers utilize health care providers that are contracted by the insurance company at a lower cost to attempt to provide the highest quality of care at the lowest price

Question 12

What is a High Maintenance Organization health plan?

Answer 12

subscribers agree to receive all of their health care services through the predetermined providers of the HMO and their PCP manages health care access via referrals

Question 13

What is a Preferred Provider Organization health care plan?

Answer 13

subscribers can choose from a list of approved providers that contract with the insurance plan

Question 14

What is Medicare?

What are the two parts?

Answer 14

a health insurance plan run by the government for individuals over 65 and the disabled which is operated by the Centers of Medicare and Medicaid Services

Part A
Part B

Question 15

What is the difference between Medicare Part A and Medicare Part B?

Answer 15

Part A- enrollment is automatic and funding is through payroll taxes

Part B- enrollment is voluntary and funding is through premiums paid by beneficiaries and general federal tax revenues

Question 16

What is Medicaid?

Answer 16

An insurance plan that provides basic medical services for those who are economically lower class that is funded by the federal and state governments

Question 17

What is Primary Prevention Healthcare?

Answer 17

interventions that occur before the onset of disease or a condition with the goal of preventing disease/illness

examples: vaccines, healthy habit education, exercise, etc

Question 18

What is Secondary Prevention Healthcare?

Answer 18

Interventions to assist with early diagnosis and complication prevention of disease/illness or conditions

Examples: screening for adolescent scoliosis, blood glucose tests for diabetes, self breast cancer examinations, etc

Question 19

What is Tertiary Prevention Healthcare?

Answer 19

interventions trying to limit the long-term effects and symptoms of a disease/condition that has already occurred or is occurring

Examples: rehab after a spinal cord injury, HIV support groups, palliative care for end of life patients, etc.

Question 20

What is abandonment?

Answer 20

unacceptable one-sides termination of services by a health care professional without patient consent or agreement

Question 21

What is common law?

Answer 21

court decisions in the absence of statutory law

Question 22

What is malpractice?

Answer 22

failure to exercise the skills that would normally be exercised by other members of the profession with similar skills and training which can include negligence, breach of contract issues, and intentional conduct by a health care provider

Question 23

What is Negligence?

Answer 23

the failure to do what a reasonable and prudent person would ordinarily have done under the same or similar circumstances for a given situation

Question 24

What is a Tort?

Answer 24

a private or civil wrong or injury, involving omission and/or commission

Question 25

When can a PTA make modifications to a patient’s interventions?

Answer 25

When it is to progress the patient as directed by the PT or in order to insure safety and comfort

Question 26

What does general supervision from a PT mean?

Answer 26

PT does not need to be on site but does need to at least be available via telecommunications