HEALTH CARE BUSINESS & PMS Flashcards
A type of health insurance plan that usually limits coverage to care from doctors
Health Maintenance Organization (HMO)
also called as the “Innovator drugs”
Branded drugs
first available in the market as new chemical entities
Innovator drugs
medication that has exactly the same active ingredient as the brand name drug and yields the same therapeutic effect
Generic drugs
medications that are safe and effective for use by the general public without seeking treatment by a health professional
OTC drugs
drug which is only available legally with a doctor’s prescription or consent
Ethical drugs
drug that has a trade name and is protected by a patent
Proprietary drugs
designed to provide everyone with easy access to high quality health care at affordable cost
health-care system
net of healthcare facilities, products and services, professionals, patients and other related groups of individuals
health-care system
Care provided to outpatients visiting a healthcare center
Ambulatory care
Nursing homes
Addiction treatment
Psychiatric treatment
Rehabilitation services
Long-term care
three main components
accessibility, high quality, and affordability
facilities and individuals directly involved in treating people in need
Primary providers
Ex. immunizations, regular check-ups, woman in delivery
Primary providers
organizations or individuals providing resources needed for integrated health care
Secondary providers
Ex. insurance companies
Secondary providers
trusted to provide the necessary long-term resource planning or the overseeing and controlling facilities, professional products, and services used in the process
Planning and regulatory bodies
consumer in general, are those at the receiving end of the health care continuum
Patients
have a powerful influence on the level of service or the resources allocated to health care
Media and the public
Abundant resources must be made available to the process involved, these includes
Financial
Human
Infra-structural
Technological process
an attempt to control the access, delivery, and financing of health care
Manage care
intermediary contractor between employers and hospitals and physicians
Preferred Provider Organization (PPO)