Ch. 7 Terms Flashcards
Adult daycare
Complements informal care provided at home by family members with professional services available in adult daycare centers during the day
Alternative medicine
No traditional approaches and includes broad domain of all healthcare resources–other than those intrinsic to biomedicine–to which people have recourse. Ex) homeopathy, herbal formulas, use of other natural products as preventive and treatment agents, and acupuncture
Ambulatory care
Outpatient services. Includes (1) care rendered to patients in physician offices, outpatient depts of hospitals, and health centers to receive care (2)outpatient services intended to serve surrounding community, and (3) certain services transported to the patient
Case management
Provides coordination and referral among a variety of healthcare services. Objective is to find the most appropriate setting to meet a patient’s healthcare needs
Community-oriented primary care (COPC)
Incorporates the elements of good primary care delivery and adds to this a population-based approach to identifying and addressing community health problems
Durable medical equipment (DME)
Includes certain medical supplies and equipment, such as osteomyelitis supplies, hospital beds, oxygen tanks, walkers, and wheelchairs
Emergent conditions
Require immediate medical attention; time delay is harmful to patient; disorder is acute and potentially life threatening
Free clinic
A general ambulatory care center serving primarily the poor and homeless who may live next to affluent neighborhoods. Free clinics staffed predominantly by trained volunteers, and care is given free or limited cost
Gate keeping
Care coordination role of a primary care practitioner. Implies that patients don’t visit specialists without referral from PCP. Designed to protect patients from unnecessary procedures and over treatment
Home health care
Various types of services that are brought to the patients in their own homes. Such patients generally unable to leave homes safely to get care they need
Hospice
Refers to a cluster of comprehensive services that address special needs of dying persons and their families. Blends medical, spiritual, legal, financial, and family support service. Services taken to patients and families wherever they happen to be located
Medical home
Refers to quality features of primary healthcare delivery in primary care settings such as physician office or community health center
Medically underserved
Federal government designation that indicates dearth of PCPs and delivery settings, as well as poor health indicators of populace. Majority of population are Medicaid recipients
Nonurgent conditions
Don’t require resources of emergency service, and disorder is nonacute or minor
Outpatient services
Any healthcare services not provided on the basis of overnight stay, synonymous with ambulatory care
Palliation
Pain and symptom management associated with hospice care
Primary health care
Essential healthcare that constitutes first level of contact by patient with health delivery system and first element of continuing healthcare process
Secondary care
Routine hospitalization, routine surgery, and specialized outpatient care, such as specialist consultation. Usually short term in nature and more complex, involving advanced diagnostic and therapeutic procedures
Surgi-center
Freestanding ambulatory surgery centers independent of hospitals. Usually provide a full range of services for types of surgery that can be performed on outpatient basis and don’t require overnight stay
Telephone triage
Telephone call in system staffed by trained nurses to receive calls. Access patient’s medical history and view most recent rad and lab test results. Nurses use standardized protocols to guide them to deal with problem, and consult with PCP if needed
Tertiary care
Constitutes most complex level of care. Typically institution based, highly specialized, and highly technological. Ex) burn treatment, transplantation, and coronary artery bypass surgery
Urgent care center
Community-based freestanding clinics open 24/7. Not equipped to serve truly emergent patients or to receive ambulances
Urgent conditions
Require medical attention within a few hours; longer delay presents possible dangers, disorder is acute but not necessarily severe
Walk-in clinics
Proprietary, community-based freestanding clinics that provide ambulatory services from primary care to urgent care, used generally on episodic basis. Main advantage is convenience of location, late hours, and availability of services
