Ch10 and 11 - HH Flashcards

1
Q

Medicare definition

A

Medicare is Australia’s universal health insurance scheme, providing free or subsidised basic health care to all Australians.

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2
Q

Pharmaceutical Benefits Scheme (PBS) definition

A
  • Is a Federal Government-funded scheme that subsidises part of the cost of essential prescription medications. This means that/therefore consumers make a co-payment and the government pays the remaining costs.
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3
Q

Private Health insurance definition

A
  • Is a type of insurance where members pay a premium (or fee) in return for payment towards health-related costs not covered by Medicare.
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4
Q

NDIS definition

A

It is a scheme that provides services and support for people with permanent, significant disabilities and their families and carers.

(must be under 65 to apply)

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5
Q

Explain chosen health technology

A

Assisted reproductive technologies (IVF)
- In-vitro fertilisation (IVF) is the most effective form of assisted reproductive technology.
- The procedure can be done using a couple’s own eggs and sperm. Or IVF may involve eggs, sperm or embryos from a known or anonymous donor.
- During IVF, mature eggs are collected (retrieved) from ovaries and fertilised by sperm in a lab. Then the fertilised egg (embryo) or eggs (embryos) are transferred to a uterus.
- One full cycle of IVF takes about three weeks.

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6
Q

What issues arise with chosen health technology

A
  • Equity of access, as IVF is an expensive medical procedure. An average cycle of IVF costs around $5000, with ongoing costs for services such as embryo storage. The high cost of this procedure puts it out of reach for some Australians.
  • There are questions about whether IVF should be offered to older women wanting to become mothers, particularly after reports of women in their 60s and 70s in Spain and India having babies through IVF. Many people believe that it is not fair on the children to have such old mothers, who may not live long after the birth of their child.
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7
Q

Rights of accessing health services

A
  • access
  • safety
  • respect
  • communication
  • participation
  • privacy
  • comment
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8
Q

Responsibilities of accessing health services

A
  • to treat medical staff with respect
  • to ask questions about costs before treatment
  • provide information about health history (eg: past and present diseases)
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9
Q

Medicare safety net

A

Ensures that people who require frequent services covered by Medicare, such as doctor’s visits and tests, receive additional financial support

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10
Q

Patient co-payment

A

The payment made by the consumer for health products or services in addition to the amount paid by the government

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11
Q

Advantages of Medicare

A
  • Reduced cost for essential medical services including free treatment and accommodation in a public hospital
  • Choice of doctor for out-of-hospital services
  • Available to all Australian citizens
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12
Q

Disadvantages of medicare

A
  • No choice of doctor for in-hospital treatments
  • Waiting lists for many treatments
  • Often does not cover the full amount of a doctor’s
    visit
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13
Q

How is medicare funded

A
  1. general taxation (income from general tax of all Australians)
  2. medicare levy (an additional 2 per cent tax placed on the taxable income of most taxpayers.)
  3. medicare levy surcharge (an additional 1 to 1.5 per cent tax on the income of people without private hospital insurance earning more than a certain amount - $90 000 a year for individuals and $180 000 for families)
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14
Q

PBS safety net

A

Once someone has spent $1497.20 within a calendar year on PBS-listed medicines, the patient pays only a concessional co-payment rate of $6.60 rather than the normal $41.30.

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15
Q

Private health insurance advantages

A
  • enables access to private hospital care
  • choice of doctor while in public or private hospital
  • shorter waiting times for some medical procedures
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16
Q

Private health insurance disadvantages

A
  • Costly premiums
  • Sometimes there is a gap cost for the patient meaning the individual has to be the difference that the insurance doesn’t cover
  • qualifying periods to make claim (pregnancy)
17
Q

Private health insurance incentives

A
  • PHI rebate
  • Lifetime health cover
  • Medicare levy surcharge
  • Age based discount
18
Q

What is the PHI rebate

A

Can get a rebate back on your private health insurance premium however this is income tested.

19
Q

What is lifetime health cover

A

People who take up private hospital insurance after the age of 31 pay an extra 2 per cent on their premiums for every year they are over the age of 30.

20
Q

What is the Medicare levy surcharge

A

People earning more than $90,000 a year ($180,000 for families) pay an extra tax as a Medicare levy surcharge if they do not purchase private hospital insurance. The Medicare levy surcharge is calculated according to income and ranges from 1 per cent to 1.5 per cent.

21
Q

What is the age based discount

A

Insurers have the option of offering young people aged 18–29 a discount of up to 10 per cent for hospital cover. The discount allows for a two per cent reduction in premiums for each year that the person is aged under 30, to a maximum of 10 per cent.

22
Q

List a community service (or services)

A
  • doctors, dentists
  • maternal and child health service
  • sports clubs
  • headspace
  • places of worship
  • volunteer organisations
23
Q

Factors affecting access to health services

A
  • gender
  • geographic location
  • socioeconomic status
  • health literacy
  • cultural factors
24
Q

Digital media for health and wellbeing concepts/examples

A
  • symptom checkers
  • internet search engines
  • health and wellbeing websites and apps
  • technology based patient consultations
  • virtual reality
25
Q

Opportunities for health and wellbeing created by digital media

A
  • Australians living in rural and remote areas (Increased access to health information resources such as websites and mobile apps without having to travel long distances to see a healthcare professional. This means less time away from work and family and less money spent on travel. Telehealth consultations mean that people living far from their health providers can still access one-on-one care without having to travel.)
  • Australians of low socioeconomic status (Apart from the cost of the internet or phone connection, large amounts of the health-related information is available on websites or via mobile apps that are free. This makes healthcare more accessible for those who struggle with the cost of individual appointments.)
  • Support groups
  • Language barriers (use online translator)
26
Q

Challenges for health and wellbeing created by digital media

A
  • Reliability of information
  • Low health literacy (don’t have skills/knowledge to seek reliable advice therefore rely on ill-informed information/opinions)
  • self diagnosis
  • self medicating
  • cyberchondria (search up medical symptoms and believe the worst case scenario for their symptoms)
27
Q

Who can make a complaint to the HCC (health complaints commissioner) and about what

A

Anyone can make a complaint to the HCC about any health service provided in Victoria, or about any organisation that holds health records, including schools, gyms and other non-health service providers, about how they handle personal information. Complaints may be made by patients, their friends, family or guardians or another health service provider. Complaints can also be made about registered health practitioners (doctors, dentists, surgeons, etc) and non registered health practitioners (audiologists, dieticians, speech pathologists, etc).

28
Q

What does the HCC manage complaints related to

A
  • access to services
  • quality and safety
  • care and attention
  • respect, dignity and consideration
  • communication about treatment, options and costs
  • the level of involvement in healthcare decisions
  • access, privacy and confidentiality of personal health information
  • complaint handling by the health service provider.
29
Q

What are some possible outcomes a person can get from complaining to the HCC

A
  • an explanation about what happened, and why it happened
  • an apology
  • access to treatment
  • access or amendment to health records
  • a refund or compensation
  • a change in policy or practice to prevent future problems.