Class 10- Health Care Use, Access, and Promotion Flashcards
1
Q
Levels of Healthcare service
A
- Health care services
- Primary
- secondary
- tertiary
2
Q
Groups involved in healthcare systems
A
- Encompasses the people, providers, and payors …and how they interact
- People use the services
- Providers provide the services
- e.g., physicians, hospitals, etc.
- Payors pay for the services
- A Healthcare system includes organization and financing of health care
- Public vs private, payment systems
3
Q
Types of Health Care System Models
A
- Out of Pocket model
- Bismark model
- Beverage model
- National Health Insurance model
4
Q
Out of Pocket model
A
- Cash payment for health care services
- Health care facilities and providers are private
- Generally, an unorganized system
- Health care facilities and providers are private
5
Q
Bismarck model
A
- Health insurance
- Paid for by mix of employer/employee
- Health insurers do not make a profit
- Social insurance, rather than US ideas of a private insurance company
- Health care facilities and providers are private
- Germany, Switzerland, Japan
6
Q
Beveridge model
A
- Government controls a large portion of the overall system
- Health care is financed through taxes
- Health care facilities and providers are generally public
- England, Spain, New Zealand
7
Q
National Health Insurance model
A
- Health insurance
- Controlled by the government
- All people pay into the system
- This is a “single payor” model
- Health care facilities and providers are generally private
- Canada, Taiwan, South Korea
8
Q
US Health Care System is fragmented
A
- A non-system system
- Out of Pocket (uninsured population)
- Bismark (employed population)
- In jobs that offer health insurance
- However, insurers are private/for-profit
- Beveridge (Veterans and VA system)
- NHI (Medicare and Medicaid)
9
Q
Primary Healthcare Services
A
- Primary
- Basic services
- e.g., routine doctor visits, prenatal care, family planning
- Clinics, offices
- e.g., routine doctor visits, prenatal care, family planning
- Basic services
10
Q
Secondary Healthcare Services
A
- Acute or specialized services
- e.g., advanced care, diagnostic imaging, specialist services
- Hospitals, clinics, offices
- e.g., advanced care, diagnostic imaging, specialist services
11
Q
Tertiary
A
- Extremely advanced or specialized services
- e.g., advanced care, highly specialized services
- e.g., major research hospitals and clinics
- e.g., advanced care, highly specialized services
