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Flashcards in health care delivery system Deck (11):

what are challenges to health care

Reducing health care costs while maintaining high-quality care for patients
Improving access and coverage for more people
Encouraging healthy behaviors
Earlier hospital discharges result in more patients needing nursing homes or home care.


what is the health services pyramid

Managing health instead of illness
Emphasis on wellness
Injury prevention programs


what are national priorities

Patient and family engagement
Population health
Safety/eliminating errors as possible
Care coordination
Palliative care for advanced illnesses
Overuse/reducing waste


secondary and tertiary care

Also called acute care
Focus: Diagnosis and treatment of disease
Disease management is the most common and expensive service of the health care delivery system.
20% require 80% of health care spending.
Fastest growing age group of uninsured?
Postponement of care by uninsured


resotrative care: rehabilitiation

Focus: To restore patients to their fullest physical, mental, social, vocational, and economic potential
Includes physical, occupational, and speech therapy, as well as social services
Occurs in many health care settings, both inpatient and outpatient


restorative care: extended care

Extended care facility
Provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or disabilities
Skilled nursing facility (intermediate care)
Provides care for patients until they can return to their community or residential care location


respite care

The service provides short-term relief or “time off” for persons providing home care to an ill, disabled, or frail older adult.
Settings include home, day care, or health care institution with overnight care.
Trained volunteers allow family caregivers to leave the home for errands or social time.


adult day care centers

Provide a variety of health and social services to specific patient populations who live alone or with family in the community
May be associated with a hospital or nursing home or may operate independently
Offer services to patients such as daily physical rehabilitation and counseling



Family-centered care that allows patients to live and remain at home
Focuses on palliative (not curative) care: comfort, independence, and dignity
Provides patient and family support during terminal illness and time of death
Many hospice programs provide respite care, which is important in maintaining the health of the primary caregiver and family.


issues in health care delivery

Nursing shortage
Evidence-based practice
Quality and safety in health care/ Patient-centered care
Health care organizations are being evaluated on the basis of outcomes such as prevention of complications, patients’ functional outcomes, and patient satisfaction.


future of health care

Change opens up opportunities for improvement.
Health care delivery systems need to address the needs of the uninsured and the underserved.
Health care organizations are striving to become better prepared to deal with these and other challenges in health care.
The solutions necessary to improve the quality of health care depend largely on the active participation of nurses.