Ch 3 Flashcards

1
Q

resolution supporting primary health care for all people by 2000

A

declaration of alma-ata

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2
Q

an integrated system for providing health care services in which consumers must abide by certain rules designed to achieve cost savings

A

managed care

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3
Q

a commissioned corps of health personnel who provides care in designated underserved areas

A

National Health Service corps

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4
Q

the providing of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community

A

primary care

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5
Q

a combination of primary care and public health care made universally accessible to individuals and families in a community, with their full participation, and provided at a cost that the community and country can afford

A

primary health care (PHC)

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6
Q

a technique for identifying prevention of error strategies and developing a culture of safety

A

root cause analysis

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7
Q

the federal agency most heavily involved in health and welfare

A

US dept of health and human services

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8
Q

activities whose goal is to protect people from becoming ill due to actual or potential health threats

A

disease prevention

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9
Q

racial or ethnic differences in the quality of health care, not based on access or clinical needs, preferences, or appropriateness of an intervention

A

disparities

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10
Q

a trend toward an increased flow of goods, services, money, and disease across national borders

A

globalization

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11
Q

a part of the National Academy of Sciences and an organization whose purpose is to provide national advice on issues relating to biomedical science, medicine, and health

A

Institute of Health

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12
Q

people 65 yrs or older
under 65 if disabled
ESRD

A

Medicare

Fed pays

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13
Q

low-income families with children who meet eligibility requirements
disabled who meet eligibility requirements
poor elderly

A

medicaid

Fed and State pay

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14
Q

created by the balanced budget act of 1997
builds on medicaid to provide insurance coverage to low-income, uninsured children who are not eligible for Medicaid
family of four income must be below $42,406

A

SCHIP

State administered with federal allocations

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15
Q

difference between primary care and primary health care

A

primary care is the first level of primary health care and is delivered in a variety of community settings, such as physcian’s office, urgent care centers, in-store clinics, community health centers, and community nursing centers.

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16
Q

mandated through laws that are developed at the national, state, or local level. Instituted to protect the health of the community such as a law mandating immunizations for all children entering kindergarten and a law requiring constant monitoring of the water supply

A

public health

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17
Q

Health Resources and Services Administration (HRSA)

A

USDHHS agency with primary responsibility for improving health care of special populations, including people who are uninsured, isolated, or medically vulnerable

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18
Q

Bureau of Health Professions

A

a component of HRSA, provide competencies and and expertise for education legislation for each of the health professions

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19
Q

National Institute of Health (NIH)

A

world’s premier medical research organization

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20
Q

Agency for Healthcare Research and Quality (AHCRQ)

A

supports research on healthcare systems, health care quality and cost issues, access to healthcare, and effectiveness of medical treatments; provide EBP

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21
Q

Food and Drug Administration

A

ensures the safety of foods and cosmetics and the safety and efficacy of pharmaceuticals, biological products, and medical devices. Also tracks foodborne illnesses

22
Q

Centers for Disease Control (CDC)

A

main job is protect lives and improve health. Two primary goals are to prepare for terrorist health threats and protect the health and quality of life across the US. Provides a system of health surveillance to monitor and prevent disease outbreaks, implement disease prevention strategies, and maintain national health stats. Also provides for immunization services, workplace safety, and environmental disease prevention

23
Q

those with insurance; employers prob provide insurance; viewed as being superior

A

private insurance

24
Q

depend on public funds; less adequate healthcare

A

public insurance

25
Q

the working poor

A

uninsured; typically young adults ages 25-34 are most likely to lack coverage

26
Q

food and nutrition service; WIC

A

dept of agriculture

27
Q

health services to federal prisoners

A

dept of justice

28
Q

provides health information and support the control of urban air quality

A

Dept of commerce

29
Q

develop safety and health standards and ensure compliance

A

Dept of Labor: OSHA and Mine Safety and Health Administration

30
Q

WHO, declaration of Alma-Ata, movement that came from this meeting and US answered with healthy people 2020; focus is on PREVENTION; encourages self care and self management of health; community participates and helps define problems; workforce is made up of a multidisciplinary team

A

primary health care

31
Q

the person that a sick person sees first

A

primary care physician (falls under primary health care)

32
Q

increasing quality and years of healthy life

eliminating health disparites

A

goals of Healthy People 2020

33
Q

what could cause a disparity?

A

mistrust, genetics, environment, lifestyle choices, little consensus in medical community regarding causes

34
Q

you buy the plan that lets you pick your provider (how medicaid is set up) generally costs less; needs referral to specialist

A

HMO

35
Q

can go to anyone on list, no need for referrals, can change providers as long as they are on the list

A

PPO

36
Q

at the local level, who provides care that is mandated by state and federal regulations?

A

health dept

37
Q

protect from bioterroism

A

Dept of Homeland Security (DHS)

38
Q

health services to military and their dependents

A

Dept of Defense

39
Q

Board of Nursing; population based, administration of programs such as Title V, surveillance and data collection, mental health hospitals and correctional facilities

A

State Public Health System

40
Q

provides mandated public health services

vital stats, communicable disease control, maternal and child health, health education, public health laboratories

A

local public health system

41
Q

Management of questions regarding West Nile, animal bites, vaccines, flu shots, insurance, manage all active and latent TB infections

A

local public health system

42
Q

what do comsumers want?

A

lower costs and better care

43
Q

what do employers want

A

reasonable price on insurance for employees

44
Q

what do managed care and insurance companies want?

A

balance in reimbursement

45
Q

legislators want?

A

access and quality? incremental changes

46
Q

what does the future hold?

A

EBP; the most sustainable individual and system changes come when the people who live in the community actively participate!

47
Q

no monthly premium, yearly deductible; pays for hospital, skilled nursing, hospice, prescribed home helath and durable medical equipment. Fee for Service

A

Medicare part A

48
Q

Monthly premium; pays for outpatient services, physician care, outpatient procedures, surgeries, PT, lab services, preventative service-screenings and immunizations. Fee for Service

A

Medicare Part B

49
Q

Medicare Advantage: HMO or PPO, can enroll in Medicare Advantage plan instead of original fee for service

A

Medicare Part C

50
Q

Prescrition drug coverage began in Jan 2006

A

Medicare Part D

51
Q

What doesn’t Medicare pay for?

A

skilled nursing home care past 100 days in each benefit period
meds if not administered in hospital or rehab setting (unless you have Part D)
medicare CAN be supplemented with other private insurance