Lec 3 Evolution of Health Care Delivery & Technology Flashcards
what is the pre 1850 time period called?
colonial period
1850~1900 refers to which time period?
insitutionalization period
the emergence of scientific method of health care was between what years?
roughly 1900 to 1945
the logistics and planning time period occurred when?
during/post WWII to the 1980s
when did the cost containment period start and when did it peak?
started in 70s, peaking 1990 to the new millenium
what is the miasma theory?
stated that diseases such as cholera and bubonic plague were caused by a noxious form of “bad air”
what are Galen’s four humors?
blood
phlegm
yellow bile
black bile
what was the first school of pharmacy and when was it formed? How many years did it take to get a degree?
PCP&S (Philadelphia College of Pharmacy and Science), formed in 1821, 2 year degree
in 1846, who introduced ether as an anesthetic?
William Morton (he was a dentist)
in 1847, who discovered the effects of chloroform?
Dr. James Young Simpson (from Scotland)
In 1847, who realized that there could be different levels of anesthetic used according to the procedure/anesthetic (ether/chloroform)?
Dr. John Snow
what did Ignaz Semmelweis do in 1847?
started keeping his surgical theater and tools clean, which led to less deaths at his Ob/Gyn clinic
In 1865, Lister discovered what?
the benefit of using carbolic acid to sterilize surgical equipment
when did Louis Pasteur develop pasteurization?
1865
what did Koch identify in the 1870s?
he identified causative agents for anthrax and septicemia
when was Purdue RX formed?
1884
in 1909, what did Paul Ehrlich discover?
discovered the anti-syphilitic activity of salvarsan (compound 606)
who invented penicillin?
Alexander Fleming (1928)
evolution of payment methods 1900-1945
development of the concept of health insurance
_____ insurance for health care is almost unique to the US
private
what was the key issue in evolution of US health care?
WWII
what is the Hill-Burton Act?
hospital construction is paid by federal funds
medicare and medicaid started in what decade?
1960s
