Healthcare Framework Flashcards
Triple Aim
Cost, access, quality
Lower cost
Aims of improvement
Health of the population
Primary Care Level of Care
Managed by three specialties:
Family medicine
General internal medicine
General pediatrics
With direct access, physical therapists are vying for the ability to provide for primary care in the U.S.
Primary Care
Platform for improving population health, not wealth
Primary care is the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community
First Contact Care
Longitudinally: sustaining the patient/caregiver relationship over time
Comprehensives: ability to manage a wide range of health care needs
Coordination: builds upon longitudinally, through referral and follow-up
Secondary Level of Care
When your primary care provider refers you to a specialist, you are then in secondary care
Secondary care simply means you will be taken care of by someone who has more specific expertise in what is ailing you.
Tertiary Level of Care
Tertiary care requires highly specialized equipment and expertise
It requires hospitalization.
Quaternary Level of Care
It’s considered to be an extension of tertiary care
It is even more specialized and highly unusual; because it is so specific, not every hospital or medical center offers quaternary care
Some may only offer quaternary care for particular medical conditions or systems of the body, i.e., cancer center.
Public Health
Prevention
Access and equality
“Changing an individual’s behavior has much greater impact on health and mortality than does medical care”
Health System
Full continuum between public health and
medical care
Public health: population based
Medical care: individual based
Many countries differ from the United States because public health and medical care services are embedded in a centralized health system and social and health care policies are more integrated than they are in the United States
Types of medical care
Acute
Chronic
Preventative
Primary Prevention
Intervening before health effects occur, through measures such as vaccinations, altering risky behaviors (poor eating habits, tobacco use), and banning substances known to be associated with a disease or health condition
Secondary Prevention
Screening to identify diseases in the earliest stages, before the onset of signs and symptoms
Tertiary Prevention
Managing disease post diagnosis to slow or stop disease progression through measures such as chemotherapy, rehabilitation, and screening for complications
Where most physicians and hospitals work
Regionalized Systems
Different types of personnel and facilities are assigned to distinct tiers in the primary, secondary, and tertiary levels, and flow of patients across levels occurs in an orderly, regulated fashion
Emphasizes the primary care base
UK
Free-Flowing Model
also known as a dispersed model
Emphasizes tertiary care
USA
