Health disparities Flashcards
what is health disparity
differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups in US.
systematic.
differentiated by social position.
what is first level of safety net organizations
won’t turn pts away
how are safety net organizations financed
federal/state funds
foundations/charities
private donors
sliding scale revenues
third party
what is federally qualified health center (FQHC)
organizations that receive federal funding from HRSA under PHS act section 330.
have to apply and be approved.
what is FQHC
- location - medically underserved area
- services - primary care/preventive care
- community board - mostly from community being served
- fees must be sliding scale/waived if unable to pay
- ongoing quality assurance program
- governing board of directors
how is medically underserved area defined
- decreased primary care providers
- increased infant mortality
- increased poverty
- increased elderly population
what income level pts are in public/disproportionate-share hospitals
a disproportionate number of pts served are low income/uninsured
how are public/disproportionate-share hospitals funded
states receive funds to cover the costs of DSHs
who sponsors patient assistance programs
commonly sponsored by manufacturers
what are patient assistance programs referred to as
PAPs or MAPs
what are available in patient assistance programs
both brand name and generic drugs.
discount cards/coupons are available.
examples of patient assistance programs
RxAssist
RxHope
NeedyMeds
Medicine assistance tool
what are med samples advantages
- opportunity to try new medication before filling full Rx
- no cost to clinic or pt
- can be used as a bridge (i.e. until insurance starts or PAP meds arrive)
what are med samples disadvantages
- may promote compliance but discourage use of more appropriate meds
- sustainability concerns
