Ch. 7 Terms

Question 1

Adult daycare

Answer 1

Complements informal care provided at home by family members with professional services available in adult daycare centers during the day

Question 2

Alternative medicine

Answer 2

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

Question 3

Ambulatory care

Answer 3

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

Question 4

Case management

Answer 4

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

Question 5

Community-oriented primary care (COPC)

Answer 5

Incorporates the elements of good primary care delivery and adds to this a population-based approach to identifying and addressing community health problems

Question 6

Durable medical equipment (DME)

Answer 6

Includes certain medical supplies and equipment, such as osteomyelitis supplies, hospital beds, oxygen tanks, walkers, and wheelchairs

Question 7

Emergent conditions

Answer 7

Require immediate medical attention; time delay is harmful to patient; disorder is acute and potentially life threatening

Question 8

Free clinic

Answer 8

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

Question 9

Gate keeping

Answer 9

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

Question 10

Home health care

Answer 10

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

Question 11

Hospice

Answer 11

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

Question 12

Medical home

Answer 12

Refers to quality features of primary healthcare delivery in primary care settings such as physician office or community health center

Question 13

Medically underserved

Answer 13

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

Question 14

Nonurgent conditions

Answer 14

Don’t require resources of emergency service, and disorder is nonacute or minor

Question 15

Outpatient services

Answer 15

Any healthcare services not provided on the basis of overnight stay, synonymous with ambulatory care

Question 16

Palliation

Answer 16

Pain and symptom management associated with hospice care

Question 17

Primary health care

Answer 17

Essential healthcare that constitutes first level of contact by patient with health delivery system and first element of continuing healthcare process

Question 18

Secondary care

Answer 18

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

Question 19

Surgi-center

Answer 19

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

Question 20

Telephone triage

Answer 20

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

Question 21

Tertiary care

Answer 21

Constitutes most complex level of care. Typically institution based, highly specialized, and highly technological. Ex) burn treatment, transplantation, and coronary artery bypass surgery

Question 22

Urgent care center

Answer 22

Community-based freestanding clinics open 24/7. Not equipped to serve truly emergent patients or to receive ambulances

Question 23

Urgent conditions

Answer 23

Require medical attention within a few hours; longer delay presents possible dangers, disorder is acute but not necessarily severe

Question 24

Walk-in clinics

Answer 24

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

Question 25

accountability

Answer 25

Respective responsibility by clinicians and patients for the provision and receipt of efficient and quality healthcare services