Week 6- US Healthcare system

Question 1

1. • not-for-profit
   • for-profit
   • government ownership

Answer 1

• tax designation- all the profits go back into the system, they dont pay taxes and most health care places are this form
• for profit- owned by shareholders that get the extra money- good outcomes sometimes bc they have something ti gain if they make it good
• government-focus on the health of the entire US supported by taxes

Question 2

2. 
primary
secondary
tertiary
sub acture care

Answer 2

• cheapest. prevention. entry point into the healthcare system. your doc’s office
• screening- pple have the disease and you go to these places to prevent further issues or to get early screening. more complex then primary and cost more then primary . ex ambulatory care and hospitial visits
• VERY EXPENSIVE. complex care for pple who are very sick. hospitals with speaclists functionings like burn unit or other instence areas.
• sub acture- for people who are not that sick to stay in the hospitial but not healthy enough to go home. lower cost then the tertiary care

Question 3

3.

where do nurses work

Answer 3

home- visitng nurse
hospitial
out patient
rehab
schools 
ocuppational health
they can also branch out and do other things- lawyers, advocates, etc.

Question 4

4.

what roles and titles do nurses have?

Answer 4

NP- new standard is slowly becoming of that of DNP
CNS- clinical nurse spec- special knowledge in the feild
CRNA
Midwife
Clinical nurse leader (new role)

Heirarcy of nursing
cheif nurse officer
APRN
Nurse manager
RN
LPN
CNA

Question 5

5.

common APRN roles

Answer 5

• NP- now masters but moving to need a DNP
• Clinical nurse specialist- has specialized knowledge of an area, can be educators, RSH, need a masters and certificate
• clinical nurse leader- new role, goal was to return clinical experts to the bedside to care. masters and certificate
• nurse manager- 24 hour accountability of the floor

Question 6

6.

Joint Commission functin

Answer 6

national accrediting and certifying body
not for profit
need to be accredited by them to get medicare funding

Question 7

7.

structural and social disparities in healthcare

Answer 7

population- SES, Race, Sex orientation
disease- cancer, HTN,
geography- urban vs rual
risk factor-weight, smoking, access to care

Question 8

8.

what are some common sources of inequality in health

Answer 8

-anything that makes you different from someone else

race, environment, disease, age, geophraical place you livve

Question 9

9.

system level ways to reduce health disparities

Answer 9

• use evidence based guidlines and make care constant and equal for everyone
• structure payment systems in a way that would allow minority pt to have assess
• limit the incentives providers might have to engage in disparities
• better communication between the PT and doc
• use interpreation serices where theyare needed
• build better trust between PT and doc
• provide incentives for the evidence based practice

Question 10

10.
components of health lit
how can a RN determine someone’s health literacy

Answer 10

• someone’s knowledge, motivation and ability to understand and use health info to make decisions in everyday life
• print lit- read
• numeracy- use quantitive data
• oral lit- speak and listen well

Question 11

11.

what can nurses do to improve effectiveness of PT edu with pple with low health lit?

Answer 11

• use conversational style- dont keep going on and on
• use an active voice
• talk in a way the person can follow
• engage the person
• limit info to the important stuff- don’t overload the person
• dont use complex lang
• when given reading materials assess if the person will be able to use it or no.

Question 12

12.

how can you assess someone;s health lit?

Answer 12

ask them how confident are you in filling out forms by yourself?