How is Health Car organized Flashcards
primary care
common health problems/ preventative measures (i.e sore throat, DM, depression, flu
80-90% of visits
secondary care
problems requiring more specialized clinical experience (hospital)
tertiary ccare
complex disease states
types of organization
- regionalized models
2. dispersed model
what is regionalized model.
example
highly structured
flor of pts is organized and rational
respons. for all care of pts in geographical area
assign personal to tiers of care
ex: british NHS
dispersed model
little structure
personnel involved in multiple tiers of care
free flowing movement of pts. across levels of care
ex: us (w. exceptions)
briitish system
the primary care provider is the gate keeper to secondary and tertiary care
primary care: -exclusively provided by general practioners
secondary: specialists like cardiologists, pets, internal medicine, OBGYN, etc.
tertiary- subspecialists (i.e cardiac surgeons)
usa systems
less structured self referrrl overlapping physician roles. hospitals not explicitly secondary or teritary don't need referral
pros of US system
pro: flexible
convenient
direct access
autonomy
cons of US system
disorganized wasteful increased cost poor outcomes for certain conditions poor 1o care.
key tasks of 1o care
first contact (initial evaluation and triage)
longitudinally, continuity
comprehensiveness
coordination
benefits of primary care
better pt experiences
better pt outcomes
lower cost
patient centered medical home
based on primary care
patient centered care
pa
cons of primary care in UA
POOR REIMBURSEMENT
No coordination for th ept
poor communication btw providers
medical structure
- solo practice and group (dominant in 200’s)
2. group is sold to hospitals (dominant today)
