Healthcare in America

Question 1

The Medical Model

Answer 1

The “Sickness” is located in the patient, and the physician has the authority to cure it

Question 2

The Wellness Model

Answer 2

The authority and responsibility for health are in each individual and emphasizes prevention

Question 3

Effect of poverty on health

Answer 3

-Poverty has proven to be hazardous to mental and physical health
-on average, people in lower socio-economic groups have higher rates of heart disease, diabetes, arthritis, respirator infections, epilepsy, and some cancer
-2/3 of poor workers do not receive health insurance from employers
-

Question 4

Women of color

Answer 4

Have poorer health, use fewer health services and have higher premature death, disease, and disability rates compared to caucasian women

Question 5

First medical social worker was hired in

Answer 5

1905 at Massachusetts General Hospital

-ten years later the hospital employed 100 SW

Question 6

The Great depression changed health care by

Answer 6

• making many unable to afford it.

- by the 1950’s it was provided primarily as a part of employment

Question 7

The US healthcare system is currently financed through

Answer 7

Employment based voluntary health insurance

Question 8

Fee-for-service

Answer 8

health insurance allows a client to choose a doctor

-but there are higher out of pocket expenses

Question 9

Managed Care

Answer 9

requires clients to choose from within a network of doctors

Question 10

The US is ranked ____ in overall provision of healthcare service

Answer 10

37th

Question 11

The US spends _______ in relation ti any other country

Answer 11

50% more per capita. The higher health care costs are associated with pressure for new technology, aging population, high cost for drugs, and high price of malpractice

Question 12

Acute Care

and Dischange Planning

Answer 12

Hospitals and Inpatient services

Social workers have a critical role in discharge planning in acute care settings

Question 13

Ambulatory Care and Case Management

Answer 13

Outpatient services, education, concealing and outreach

-case management and crisis intervention are primary tasks of social workers in ambulatory care settings.

Question 14

Hospice

Answer 14

Provides services for people with terminal illnesses that are expected to die within six months

Question 15

Health Insurance Portability and Accountability Act of 1966 (HIPPA)

Answer 15

Increased many peoples ability to maintain continuous coverage when they changed jobs

Question 16

The Newborn and Mother’s Health Protection Act of 1996

Answer 16

An ammendment to HIPPA that disallows insurance companies from restricting benefits for a hospital stay in connection with childbirth

Question 17

Women’s Health and Cancer Rights Act of 1998

Answer 17

Amendment to HIPPA provided protection to patients who have reconstructive surgery in connection to a mastectomy

Question 18

Healthcare SW Values

Answer 18

• Health care is a right
• all people should be guaranteed access
• Consumers should be able to choose care
• Confidentiality should be guaranteed

Question 19

American’s with Disabilities Act

Answer 19

1990 president Bush, intended to make society more accessible to people with disabilities by requiring reasonable accommodations

Question 20

Disability

Answer 20

More than 49 million Americans have disabilities. 1 in 5.

-defines as a physical or mental impairment that substantially limits one or more life activities

Question 21

HIV/AIDS

Answer 21

Acquired Immune Deficiency Syndrome is a chronic disease that destroys the immune system

• there is global and local access to treatment
• ADA applies to HIV/AIDS

Question 22

Patient Protection and Affordable Care Act [PL 111-148]

Answer 22

Enacted in 2010, closes the “donut hole” a little each year until 2020. in 2010 people on Medicare who spent more than 2,830 on prescriptions began receiving refunds of 250 from the gov.

Question 23

ACA

Answer 23

First significant healthcare reform in 40 years, since the enactment of medicare and medicaid.

Question 24

Universal Health Care

Answer 24

Everyone would be covered by insurance, regardless of preexisting conditions and employment status.

Question 25

Single-player Plan

Answer 25

Health care would be financed by the federal government through payroll and personal taxes and administered by state governments. Elliminates economic distinctions.

Question 26

Mortality Rates

Answer 26

Death rates

-higher in lower socioeconomic groups

Question 27

Morbidity Rates

Answer 27

Illness Rates

-Higher in lower socioeconomic groups

Question 28

Healthy Maintenance Organizations (HMO)

Answer 28

-Managed Care Structure
requires patients to have primary care physician who is first contact and provides complete care.
-limits tests and requires referrals