CH 2 healthcare delivery system Flashcards
profession’s values are rooted in helping people to regain, maintain, or improve their health; prevent illness; and find comfort and dignity at a time of death.
Nursing
present a challenge to health care and nursing because they are more likely to skip or delay treatment for acute and chronic illnesses and die prematurely
Patients who are uninsured
preventive, primary, secondary, tertiary, restorative, and continuing health care.
US health care system has six levels of care for which health care providers offer services:
describe the scope of services and settings delivered by health care providers to patients in all 15stages of health and illness.
Levels of care
preventive, primary, secondary, tertiary, restorative, and continuing health care
six levels of care for which health care providers offer services:
- Adult screenings for blood pressure, cholesterol, tobacco use, and cancer
- Pediatric screenings for hearing, vision, autism, and developmental disorders
- HIV screening for adults at higher risk
- Wellness visits
- Immunizations
- Diet counseling
- Mental health counseling and crisis prevention
- Community legislation (seat belts, car seats for children, bike helmets)
Preventive Care
- Diagnosis and treatment of common illnesses
- Ongoing management of chronic health problems
- Prenatal care
- Well-baby care
- Family planning
- Patient-centered medical home
Primary Care (Health Promotion)
- Urgent care; hospital emergency care
- Acute medical-surgical care: ambulatory care, outpatient surgery, hospital
- Radiological procedures
Secondary (Acute Care)
- Highly specialized: intensive care, inpatient psychiatric facilities
- Specialty care (such as neurology, cardiology, rheumatology, dermatology, oncology)
Tertiary Care (acute care)
- Rehabilitation programs (such as cardiovascular, pulmonary, orthopedic)
- Sports medicine
- Spinal cord injury programs
- Home care
Restorative Care
- Long-term care: assisted living, nursing centers
* Psychiatric and older-adult day care
Continuing Care
health promotion and disease prevention
- preventing pneumonia through repositioning a patient frequently
(primary prevention),
curing of disease
-ex: administering antibiotics on time to treat the pneumonia
(secondary prevention)
reducing complications
- ex: intensive care unit,
- assessing the patient frequently for signs of antibiotic intolerance.
tertiary prevention
focuses on the health of populations and their communities rather than simply curing an individual’s disease
Wellness care
is “a network of organizations that provides or arranges to provide a coordinated continuum of services to a defined population and is willing to be held clinically and fiscally accountable for the outcomes and health status of the population served”
integrated health care delivery system
an organizational structure that follows economic imperatives (such as combining financing with all providers, from hospitals, clinics, and physicians to home care and long-term care facilities) and a structure that supports an organized care delivery approach (coordinating care activities and services into seamless functioning)
two types of integrated health care systems are found:
focuses on improved health outcomes for an entire population.
- includes primary care and health education, proper nutrition, maternal/child health care, family planning, immunizations, and control of diseases
Primary health care
such as schools, physicians’ offices, occupational health clinics, community health centers, and nursing centers, health promotion is a major theme
patients receive preventive and primary care(setting)
are designed to lower the overall costs of health care by reducing the incidence of disease, minimizing complications, and thus reducing the need to use more expensive health care resources.
Health promotion programs
is more disease oriented and focused on reducing and controlling risk factors for disease through activities such as immunization and occupational health programs.
preventive care
is through psychiatric care.
Counseling
Health promotion and education are traditionally the
primary objectives of home care
analysis is a method that focuses on improvement of processes in a health care institution.
Value stream