intro Flashcards
A state of complete physical, mental, and social well-bring and not merely the absence of disease
health
Manufacture equipment, supplies, and medications used by providers to provide care for pts.
suppliers.
organizations/individuals providing care.
providers
supply funds for health care.
example?
purchasers
Business
gov
individual consumers
Receive money from purchaser and reimburse providers
insurers
examples of payers
Bluecross/shield
direct
employers
state
what is the role of government in health care?
public insurance financing
health policy and regulation
research funding
assuring right person gets right service at right time
health care organization goal
Primary care is for:
common health problems
(ex visit to physician)
usually OP
Secondary care is:
specialized care
short term
ex.: hospitaliziation surgery, seeing specialist
Tertiary care is:
most complex/rare
institution-based.
no overall planning, direction and coordination leads to
system fragmentation
What are the forces driving organization of HCS?
biomedical model
financial incentives
professionalism
What are goals of medical care services?
curative
restorative
preventative
palliative
services that do not require an overnight stay in a health care institution
OP services
OP also referred to as?
what is the foundation of OP care?
ambulatory care
Primary care
Provided in conjunction with an Overnight stay in facility?
inpatient.
institution of at least 6 beds whose primary function is to deliver patient services, Dx and therapeautic
hospital
2 types of hospitals?
ownership vs public access.
have 1 or more AMA graduate residency programs provide training on broader more complex scope of services
Teaching hospitals
teaching hospitals provide a lot of
charity care
Not all longterm services are _____
and not alll _____ are long term
post acute
levels of long term care
personal (CNAs)
Custodial: paras
Restorative: skilled care
example of longterm healthcare facility vs private long term
SNF
assisted living
hospitals that provide at least 3 hours of therapy per day
inpatient rehabilitation hospitals
subacute and long term care
provide nurses that cannot be provided in OP
skilled nursing facility
serve patients who have complex medical needs and may suffer from multiple chronic problems
long term care hospitals
provide skilled care to homebound patients consistent with physicians orders
home health
comprehensive services for terminally ill with life expectancy of >6 months
Hospice