Chapter One Delivery Flashcards
(20 cards)
What types of educational institutions are involved in health care delivery?
Medical schools, Dental schools, Nursing programs, Physician assistant programs, Nurse practitioner programs, Physical therapy programs, Occupational therapy programs, Speech therapy programs
These institutions contribute to the training of health care professionals.
Name three types of research organizations involved in health care.
Private foundations, US Public Health Service, Professional associations
Organizations like the CDC and NIH are included in the US Public Health Service.
What are some examples of public health service agencies?
Agency for Healthcare Research and Quality, Agency for Toxic Substances and Disease Registry, Centers for Disease Control and Prevention, Food and Drug Administration, Health Resources and Services Administration, Indian Health Service, National Institutes of Health, Substance Abuse and Mental Health Services Administration
These agencies play crucial roles in health research and public health.
What types of insurers are part of the health care delivery system?
Managed care plans, Blue Cross/Blue Shield insurers, Self-insured employers, Medicare plans, Commercial plans, Community Medicaid, Veterans Affairs, Tricare
These insurers provide various health care coverage options.
What are some examples of providers in primary care?
Primary Care Physicians, Dentists, Nonphysician providers, Health centers
These providers offer essential health services to the community.
Fill in the blank: Subacute care facilities include _______.
Ambulatory Surgery centers
These facilities provide care for patients who do not require full hospital admission.
What types of services fall under rehabilitative services?
Home health agencies, Rehabilitation centers, Skilled nursing facilities
These services assist patients in recovering and regaining independence.
What is the role of hospices in health care delivery?
End-of-Life Care
Hospices provide compassionate care for terminally ill patients and their families.
What is meant by integrated managed care organizations?
Organizations that combine various health care services and insurance under one network
They aim to streamline care and reduce costs for patients.
What components are involved in public insurance financing?
Government funding, Health regulations, Health policy, Research funding, Public health
These components shape the structure and delivery of public health services.
What is an enrollee?
An eligible person or eligible employee who is enrolled in a health insurance plan.
Enrollees are typically those who have signed up for a specific health insurance coverage.
What does reimbursement refer to?
The amount insurers pay to a provider.
Reimbursement is a key component of the healthcare payment system, determining how providers receive payment for services rendered.
What does it mean to be uninsured?
People who lack health insurance coverage.
Uninsured individuals often face significant financial challenges when accessing healthcare services.
Define an acute condition.
Short-term, intense medical care for an illness or injury, usually requiring hospitalization.
Acute conditions contrast with chronic conditions, which are long-lasting.
What is a chronic condition?
A medical condition that persists over time (3 months or longer).
Chronic conditions often require ongoing management and can significantly impact quality of life.
What is an epidemic?
An outbreak of an infectious disease that spreads rapidly and affects many individuals within a population.
Epidemics can occur in specific geographic areas and can lead to public health emergencies.
Define morbidity.
Sickness.
Morbidity refers to the prevalence of disease or health issues within a population.
Define mortality.
Death.
Mortality rates are often used to measure the health of a population and the effectiveness of healthcare systems.
What is gatekeeping in healthcare?
The use of primary care physicians to coordinate healthcare services needed by enrollees in a managed care plan.
Gatekeeping aims to manage costs and ensure appropriate use of healthcare resources.
What is Medicare Part B?
Federal government-subsidized voluntary insurance for physician services and outpatient services.
Medicare Part B covers various medically necessary services, including doctor visits and preventive services.
