Midterm

Question 1

The health care system consists of all personal medical care services which includes the

Answer 1

prevention, diagnosis,
treatment, and rehabilitation

Question 2

prevention, diagnosis,
treatment, and rehabilitation services to restore _______ & __________

Answer 2

function and independence

Question 3

The health care system may be viewed as a complex made up
of three interrelated components which are

Answer 3

health care consumers
health care providers
institutions/organizations of the health care system.

Question 4

The people in need of health care services

Answer 4

health care consumers

Question 5

people who deliver health care services—the professionals and practitioners

Answer 5

health care providers;

Question 6

Examples of health care providers are

Answer 6

professionals and practitioners

Question 7

the systematic arrangements for delivering health care—the public and private agencies that organize, plan, regulate, finance, and coordinate services—called

Answer 7

institutions or organizations of the health care system.

Question 8

They include the hospitals, clinics, and home-health agencies, insurance companies and programs, managed-care plans, and entitlement programs

Answer 8

institutional component

Question 9

the insurance companies and programs that pay for services like

Answer 9

Blue Cross/Blue Shield,

Question 10

managed-care plans such as

Answer 10

health maintenance organizations & preferred provider organizations

Question 11

entitlement programs or the federal and state government public assistance programs examples are

Answer 11

Medicare and Medicaid

Question 12

HMO is also known as

Answer 12

health maintenance organizations

Question 13

PPO is also known as

Answer 13

preferred provider organizations

Question 14

There are 3 different levels of health care system which are

Answer 14

primary
secondary
tertiary

Question 15

Primary Level of Care devolved to

Answer 15

Cities and municipalities

Question 16

It is Usually the first contact between the community members and other levels of health facility. Examples are Center physicians, public health nurse, rural health midwives, Brgy. Health workers, traditional healers.

Answer 16

Primary Level of Care

Question 17

Given by physicians with basic health training.It is Usually given in health facilities either private owned or government operated.

Answer 17

Secondary Level of Care

Question 18

It is Rendered by specialists in health facilities. Examples of these health facilities are Infirmaries, municipal, district hospital, out-patient departments.

Answer 18

Secondary Level of Care

Question 19

Referral system for the secondary care facilities. Examples of the health facilities that are used are Medical centers, regional and provincial hospitals and specialized hospitals.

Answer 19

Tertiary Level of Care

Question 20

Tertiary level of care is provided in _____________ _____ & ___________ ____

Answer 20

complicated cases and intensive care.

Question 21

Considered to be an extension of tertiary care. It is even more specialized and highly unusual.

Answer 21

Quaternary Care

Question 22

Quaternary Care Offer only for particular ________ _________ or _________ of the _____

Answer 22

medical conditions or systems of the body.

Question 23

types of care that might be considered to be quaternary would be

Answer 23

Experimental medicine
Specialized surgeries

Question 24

Health professionals play a central and critical role in

Answer 24

Improving access &
quality health care for the population.

Question 25

main responsibilities of the members of a healthcare team include:

Answer 25

Operate and monitor medical equipment; Help perform diagnostic tests and analyze the results; Educate patients and the public about health conditions; Provide advice and emotional support to patients and their family members.

Question 26

They play an indispensable role in the healthcare system to prevent and manage common health conditions. They may guide patients to make healthy decisions and recommend treatment depending on the symptoms of diseases that present.

Answer 26

Primary healthcare providers

Question 27

providing data to inform

Answer 27

quality improvement efforts;

Question 28

inspecting and certifying that a facility or individual meets

Answer 28

previously established standards;

Question 29

comparing groups for a variety of purposes, including selective contracting by

Answer 29

purchasers and choice of providers and practitioners by individuals;

Question 30

informing patients, families, and employees about the

Answer 30

health care decisions and choices they face;

Question 31

performers—those whose performance is so far below an acceptable level that immediate actions are needed;

Answer 31

identifying and possibly eliminating substandard performers

Question 32

____________, ____________, & ____________ best practices;

Answer 32

highlighting, rewarding, and disseminating

Question 33

__________ & ___________ Information about changes in quality over time;

Answer 33

monitoring and reporting

Question 34

addressing the _________ ______ of communities.

Answer 34

health needs

Question 35

provides a variety of services to support the healthcare needs of a community or individuals.

Answer 35

healthcare industry

Question 36

classifies the different products it offers by sector.

Answer 36

healthcare industry

Question 37

are continually changing their service offerings, and responding to various internal and external forces including reimbursement issues, advances in technology, and shifts in the populations they serve.

Answer 37

Hospitals and healthcare systems

Question 38

Hospitals and healthcare systems are continually changing their service offerings, and responding to various internal and external forces including

Answer 38

reimbursement issues advances in technology shifts in the populations they serve.

Question 39

key sectors of healthcare industry can be broadly classified into following four sub-segments:

Answer 39

➢Health care services and facilities ➢ Medical devices, equipment, and hospital supplies manufacturers ➢ Medical insurance, medical services and managed care ➢ Pharmaceuticals & related Segments

Question 40

consists of businesses that provide medical services, manufacture medical equipment or drugs, provide medical insurance, or otherwise facilitate the provision of healthcare to patients.

Answer 40

healthcare sector

Question 41

is the network of health facilities and personnel which carries out the task of rendering health care to the people.

Answer 41

HEALTH CARE DELIVERY SYSTEM

Question 42

a complex set of organizations interacting to provide an array of health services

Answer 42

PHILIPPINE HEALTH CARE SYSTEM

Question 43

According to ______, PHILIPPINE HEALTH CARE SYSTEM a complex set of organizations interacting to provide an array of health services

Answer 43

Dizon, 1977

Question 44

According to ___________ -__________, _____, is the network of health facilities and personnel which carries out the task of rendering health care to the people.

Answer 44

(Williams-Tungpalan, 1981)

Question 45

is usually provided by the government through national healthcare systems.

Answer 45

Public health care

Question 46

can be provided through public and private providers.

Answer 46

Health care

Question 47

can be provided through “for profit” hospitals and self-employed practitioners, and “not for profit” nongovernment providers, including faith-based organizations.

Answer 47

Private health care

Question 48

are funded by the government and therefore cannot turn away patients.

Answer 48

Government hospitals

Question 49

privately funded and make their own rules. Because of this, they reject uninsured patients.

Answer 49

private hospitals

Question 50

Both private and public sectors are very

Answer 50

customer service oriented.

Question 51

The _________ for the private company is one that has agreed to pay for their services,

Answer 51

customer

Question 52

the customer for the public sector is its citizens as it relates to

Answer 52

Public service

Question 53

delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery.

Answer 53

Private sector healthcare

Question 54

the public sector is often regarded as providing more

Answer 54

equitable and evidence-based care.

Question 55

are significant contributors to clinical performance and associated patient outcomes.

Answer 55

Interdisciplinary team factors

Question 56

initiatives identify human factors associated with team performance as a prime improvement area for clinical patient care.

Answer 56

Quality of care and patient safety

Question 57

a group of healthcare providers from different fields who work together or toward the same goal to provide the best care or best outcome for a patient or group of patients.

Answer 57

interdisciplinary team

Question 58

Some examples of specialties hat can make up an interdisciplinary team include:

Answer 58

pharmacist. nurse.

Question 59

Beyond benefits to hospital staff, the advantages an ______________ _____ _____ provides to patients are significant.

Answer 59

interdisciplinary care plan

Question 60

Increased collaboration among healthcare providers, especially between physicians and nurses, helps patients who have interdisciplinary care plans by reducing

Answer 60

healthcare-related expenditures.

Question 61

5 characteristics underpinning effective interdisciplinary team work were identified:

Answer 61

(AACCI) appropriate resources and procedures; appropriate skill mix; clarity of vision; communication strategies and structures; individual characteristics that support interdisciplinary team work;

Question 62

Another 5 characteristics underpinning effective interdisciplinary team work were identified:

Answer 62

(PPQRS) personal rewards, training and development; positive leadership and management attributes; quality and outcomes of care respecting and understanding roles. supportive team climate