Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Medical Sociology - Midterm 3 > Basic Concepts and Ideas > Flashcards

Basic Concepts and Ideas Flashcards

1
Q

Proponents of truth-telling:

A
  • basics of respect
  • undermines trust and support in patient-physician interactions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Opponents of truth-telling:

A

all in the patients interest!!
some patients cannot handle the truth of life threatening illnesses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

justifications of lying:

A

-discretion; doctors shouldn’t be forced to report just facts –> there is an emotional aspect into it as well!
-lying might benefit patient –> physician-patient relationship may give doctors understanding to what may cause patient undue stress
-some patients cant even fully understand the truth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

justifications of truth-telling:

A

idea that patients understand themselves more than doctors
enhances patient-physician relationship and builds trust and legitimacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

consensus on truthtellign

A

most patients want to be told the truth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

confidentiality

A

patients count physician not to share personal information with others
NOT ABSOLUTE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

importance of confidentiality

A

more people inclined to seek treatment (safety in secrecy)
patients more inclined to provide MAX info
trust with physicians is enhanced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

justifications for refusing treating patient

A

excessive risk
questionable benefits –> is it really going to help them in the long run
obligations to other patients/self/family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

justifications to treat regardless of risk

A

inherent part of profession –> its the job
apart of social contract and expectation of job
patients depend on doctor!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

AMA stance on treatment of patients (risk-wise)

A

expresses duty to treat regardless of risk BUT offers easy exemptions
AMBIGUOUS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Healthcare costs covered by

A

employers
family/individual
government
third party payer (insurance companies)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

1 payer for medicare and medicaid

A

government

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

1 payer for obamacare!

A

third party payer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

trend of healthcare costs

A

increase with stagnation of real wages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

why healthcare costs increase?

A

new medical technology
increased life expectancy –> more care needed to chronic and acute illnesses
medical wastes
larger corporate profits
exorbitant salaries and compensation packages
high administrative costs –> advertisement, marketing, etc
medical fraud/malpractice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

do companies want federal/national healthcare?

A

YES - would reduce overall costs; would make less demands by employees for more costly benefits and insurance packages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

private company health care expenditures:

A

mostly spent on health insurance
accompanied by higher employee contributions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

CHIP

A

wants to DECREASE number of children without insurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

MD facilites:

A

tend to do procedures that have higher fees
tend to pass recommended to places and areas with mutual monetary interest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is specifically not address in healthcare refomr

A

malpractice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what industry is growing to be the most profitabel

A

pharmaceuticals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

healthcare delivery system

A

hospitals
freestanding ambulatory units
surgical care sites
nursing homes
hospice care facilites

23
Q

1700s-1800s state of hospital care

A

volunteer staff, treated mostly people without family/money
*hospice-like treatment
*end of life treatment

24
Q

1900s

A

admited mostly sick people with curable illnesses
alternate care for elderly and homeless

25
BY 1920
hospitals became primary center for acute treatment included nursing services, auxillary services, surgical stuff, etc. churches actually funded a lot of this!
26
as hospital sizes grew...
need for mroe adminstrative services to control it all grew as well management!!
27
more money was given towards medicine and hospitals after
WWII
28
criticism for for-profit hosptials
profit maximizations catering to rich patients providing little to no care for those that cant pay
29
cheaper alternatives to normal hospital car e
increased use of ambulatory care urgent cares services used more by poor people for urgent events retail stores (walgreens cvs!), ambulatory surgical centers, public health center
30
physicians work in group/office like relationships
work cash deals based on patient ability to pay
31
patient dumping
ILLEGAL - still happens - when they just dump a person on streets when they cant pay
32
epicenter of pandemic
nursing homes
33
primary concerns for nursing homes
neglect abuse accidents high price of care staff shortages
34
technology innovations and advancements
INCREASED
35
benefits of tech
more accurate diagnoses --> leads to increase in diagnoses quicker diagnoses INCREASED effective treatments INCREASED life expectancies
36
negatives of tech
increased costs unequal access some technological advances FAIL --> can be harmful in long run ethical issues --> my body, my choice dependence on technology may lead to loss of motor skills in physicians
37
social effects of technology
- new more options for people - laters human relationships --> people live longer, increase in social pools - can affect healthcare system --> cause displacement of certain people -greater reflection of value of this --> consquences? -more social policy questons --> vaccine mandates, abortions? etc.
38
Top Advances in Technology
-cardiac technology (pacemakers, defibrillators) -critical care management (ICU,etc) -medical imaging (MRI, CT) -genomic medicine (genetic mutations,etc) -telemedicine (online medical info )
39
distance between patient and physicians with technology influence
increased distance
40
1991 self determination act
all health care providers have to inform patients about their rights under law to prepare living will 1st to talk about patients right to privacy and can refuse treatments EXTENDING to competent and incompetent peoples
41
supports of doctor assisted suicide
-consistent with right of self determination -most deaths in hospitals occur from preliminary discussion and agreement to not prolong life --> DO NOT REUCITATE
42
opponents on doctor assisted suicide
-patients too sick to think straight -inconsistent with idea that doctors should sustain life and relieve stress
43
consensus on doctor assisted suicide
most people are in favor of this
44
organ donations in US
voluntary by nature
45
United Network of Organ Sharing
helps find potential donors and people in need of transplants; healthcare providers have to notify patients and families about donations
46
strong market approach --> organ donation
individuals or next of kin can auction off organs to highest bidder
47
spending for best treatment options
fed gov and private corps say that they cant afford to fund this for EVERY person
48
curative care spending
-end of life spending -newborn with lfietime care needs spending
49
increased healthcare based on income and wealth for life expectancy
50
categories of healthcare performance
-preventative healthcare --> access to healthcare, diet, safety check ups etc. -healthcare use and services --> using healthcare resources, access to healthcare` -availability of top care tech -mortality -healthcare system responsiveness --> addressing needs of pop -stability per capita spending in relation to national income --> willing and able to spend for people
51
influences on healthcare systems
-physical, historical and situational events -cultural norms and values -structural norms and values *US has rugged indiviudalism cultural tendency --> less likely to react well to government handouts
52
private insurance
private entrepreneurial services; for profit! ex: US
53
types of national insurance
- with private regulated services --> canada, germany -with public regulated services --> great britain -socialized system --> cuba, china

Medical Sociology - Midterm 3 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions