healthcare system midterm Flashcards
-study of choices that people make to attain their goals, given scarce resources
economics
-3 goals of healthcare
decrease cost, improve quality and access to care
-increased access to care thorough increased access to insurance
-individual mandate
-young adults can stay on parent plan until 26
-healthcare exchanges
affordable care act
-free from disease or pain
traditional definiton of health
-health is a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity
world health organization definition
-the ability to adapt and self manage
huber et al definition
-care that deals with basic health problems/ailments and prevention
primary care
-care that requires more clinical expertise
secondary care
-care that deals with rare/complex disorders
tertiary care
only 1 seller
monopoly
only 1 buyer
monospony
-physician receives a lump sum for every diagnosis/patient
diagnosis related groups
-physician practices where physicians practice in general medicine or have more than 1 specialty
multi specialty group practice
focus on primary and preventative care and serve high need areas
community health centers
one group is ownership of all parts
vertically integrated hmos
connected through contracts
virtually integrated hmos
rather than group with other physicians, a physician might group with a hospital to negotiate with health plans
physician hospital organizations
gave patients more choices but required them to pay more for care provided out of network
preferred providers organizations
provider led organizations whose mission is to manage the full continuum of care and be accountable for the overall costs and quality of care for a defined population
accountable care organizations
clinical community partnerships that include the medical and social supports necessary for improving health
medical neighborhoods
reflect that item’s value/worth
equilibrium price
made it easier for internationally train physicians to practice in the us
immigration act of 1965
increased federal funding to medical schools
health professions education act of 1965
care that doesn’t require a hospital stay
ambulatory care