Chapter 4 The Health Care Delivery System Flashcards
What is crisis intervention?
A patient or client seeks help only when unable to manage alone
Why is prevention an important part of to health care?
It is more affordable than the costs of treating diseases
What does the health maintenance system attempt to do?
Promote well-being and avoid the need for medical intervention
T/F: illnesses are treated promptly before they become chronic or life threatening
True
What is fee-for-service?
Insurance companies reimburse patients for the costs of their health care within the limits of the policy and patient is responsible for any costs not covered
What is health maintenance organizations (HMO)?
Provide complete and comprehensive health care for the cost of the premium and a co-pay for each visit
Who is the first person you see if you belong to an HMO and have a health concern?
Primary health care provider
If your condition requires additional diagnostic care, who do you see?
Secondary provider
What is tertiary (third level) care?
Care within a hospital setting
What are some of the benefits HMO has to lower cost of health care?
- regular physicals
- immunizations
- vaccines
- weight control
- treatment for hypertension
What are managed care systems?
Allow private hospitals and physicians to provide private services while also providing care thru insurance
What are preferred provider organizations (PPO)?
System that offers care at deuces rates within an established network of providers
What are urgent care / immediate care clinics?
System to treat patients who conditions are not immediately life threatening
What are surgicenters?
Outpatient surgical facilities; patients can come in early and leave the same day
What is the Affordable Care Act (ACA / Obamacare)?
Law that said all Americans had to be covered by health insurance
