Health Care Delivery System

Question 1

Major categories of healthcare services.

Answer 1

1. ) health promotion and maintenance: future focus
2. ) illness prevention
3. ) diagnosis and treatment: traditional focus
4. ) rehabilitation and long term care

Question 2

Classification of health care agencies.

Answer 2

1. ) government agencies (public)
2. ) state agencies (public)
3. ) local agencies (public)
4. ) voluntary agencies (private)
5. ) for profit and not for profit agencies

Question 3

level of health care services provided

Answer 3

primary care services
secondary care services
tertiary care services
subacute care
disease management services

Question 4

maintaining quality in health care agencies.

Answer 4

1.) accreditation of health care agencies:
-the joint commission
health care facilities accreditation program (HFAP)
-continuous quality improvement/total quality management: high quality patient care

Question 5

what are some health care disparities (differences in quality of health care provided to different populations)

Answer 5

ethnic or racial disparities 
gender
age
income
educational level
disability
sexual orientation
place of residence

Question 6

Current methods of payment for health care.

Answer 6

Private insurance: Voluntary insurance; insurance premiums are paid either by insured individuals or their employers or are shared between individuals and employers
Medicare: A nationwide federal health insurance program established in 1965 for people ages 65 and over, regardless of income
Also covers certain groups of disabled people
Contain Parts A, B, C, D
Medicaid: Group of jointly funded federal-state programs for low-income, elderly, blind, and disabled individuals, established in 1965
People must meet eligibility requirements.

Question 7

Current methods of payment for health care

Answer 7

Personal payment: Out-of-pocket payment, which only the very wealthy can afford
Least frequently used method for financing health care
Workers’ Compensation: Covers workers who are injured on the job
Program varies from state to state
Covers treatment for injuries during time worker is absent from work for injury-related causes

Question 8

What are the benefits of the affordable care act

Answer 8

1. ) improved quality and lower health care costs
2. ) new consumer protections
3. ) access to healthcare
4. ) benefits for women
5. ) young adult coverage
6. ) strengthening medicare
7. ) holding insurance companies accountable