healthcare access and utilization Flashcards

1
Q

the model of the medical care process starts with

A

recognition of need

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2
Q

after recognizing your need what is the next step?

A

deciding to seek care

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3
Q

what does the model of the medical care process end with

A

modification of the need/new health outcomes

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4
Q

five key functions of the medical home

A
  1. comprehensive care
  2. patient-centered care
  3. coordinated care
  4. accessible services
  5. quality and safety
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5
Q

comprehensive care

A

meets majority of patient’s physical and mental health care needs through a team-based approach

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6
Q

patient-centered care

A

oriented towards the whole person. can achieve by partnering with patients and families through understanding of culture, needs, preferences, and values

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7
Q

coordinated care

A

coordinates patient care across all elements (specialty care, hospitals, care transitions, etc.)

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8
Q

accessible services

A

makes primary care accessible by minimizing wait times, enhanced office hours, after-hours

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9
Q

quality and service

A

committed to providing safe and high-quality care through tools, evidence based care, decision-making, performance, and population health management

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10
Q

reasons for measuring need

A

estimate resource requirements, set priorities, evaluate

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11
Q

set priorities

A
  • by disease
  • by geographical area
  • by population subgroup
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12
Q

evaluate

A

impact of program and quality of care

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13
Q

how do we measure need/health status

A

utilization of services, demographics, mortality, morbidity, functioning, self-perceived health status, health

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14
Q

5 A’s of access

A

affordability, availability, accessibility, acceptability, accommodation

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15
Q

affordability

A

prices of services in relation to client’s ability to pay and perception of worth

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16
Q

availability

A

ratio of providers to population. adequacy of supply in relation to need

17
Q

accessibility

A

geographic relationship between client and resource

18
Q

acceptability

A

attitudes of providers and patients regarding characteristics of the other

19
Q

accommodation

A

organization of resources in relation to client’s preferences and constraints

20
Q

7 major barriers to care

A

uninsured, underinsured, underserved, underrepresented, uninspired, untrusting, uninformed

21
Q

access indicators - utilization focused

A
  • immunization rates
  • breast and cervical cancer screening
  • chronic disease follow up care
  • acute medical care
22
Q

underinsured

A
  • spending more than 10 percent of their income on out of pocket medical expenses
  • 5 percent if they are low income
  • more than 5 percent on deductibles