CH3 Historical Overview of US Healthcare Delivery Flashcards
preindustrial era
The phase of the medical delivery system was from the middle part of the 18th century until the later part of the 19th century. health care was not grounded in science and was delivered in a free market.
postindustrial era
The phase of the medical delivery system began in the late 19th century. The medical profession grew as a result of urbanization, new scientific discoveries, and reforms in medical education.
corporate era
A recent period in the evolution of the US medical delivery system is characterized by the domination of corporations rather than individuals in decision-making regarding care delivery and payment.
almshouse
Also called a poorhouse. An unspecialized institution existed during the 18th and mid-19th centuries that mainly served a general welfare function, essentially providing shelter to homeless individuals, mentally ill individuals, elderly individuals, orphans, and sick people who had no family to care for them.
asylum
forerunner of today’s inpatient psychiatric facilities. These institutions were built by state governments for patients with untreatable, chronic medical illnesses.
pesthouse
An institution that existed in preindustrial America to quarantine people with contagious diseases such as cholera, smallpox, or typhoid.
dispensary
A clinic during the preindustrial era that provided charity care in urban areas.
capitalism
A political and economic system that relies primarily on market forces in the production and distribution of goods and private ownership; contracts with socialism, where collective or governmental forces prevail.
organized medicine
Concerted activities of physicians, mainly to protect their interests, through such associations as the American Medical Association.
voluntary health insurance
private health insurance (in contrast to government sponsored compulsory health insurance)
socialized medicine
any large-scale government-sponsored expansion of health insurance or intrusion into the private practice of medicine.
part A
The component of Medicare that mainly covers hospital care and limited care in a skilled nursing facility.
part B
The component of Medicare in which government-subsidized voluntary insurance covers physicians’ services and outpatient services.
Title 18
The Medicare program; more precisely known as Title XVIII of the Social Security Amendments of 1965
Title 19
The Medicaid program; is more precisely known as Title XIX of the Social Security Amendments of 1965.
