Midterm Flashcards

1
Q

The health care system consists of all personal medical care services which includes the

A

prevention, diagnosis,
treatment, and rehabilitation

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2
Q

prevention, diagnosis,
treatment, and rehabilitation services to restore _______ & __________

A

function and independence

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3
Q

The health care system may be viewed as a complex made up
of three interrelated components which are

A

health care consumers
health care providers
institutions/organizations of the health care system.

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4
Q

The people in need of health care services

A

health care consumers

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5
Q

people who deliver health care services—the professionals and practitioners

A

health care providers;

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6
Q

Examples of health care providers are

A

professionals and practitioners

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7
Q

the systematic arrangements for delivering health care—the public and private agencies that organize, plan, regulate, finance, and coordinate services—called

A

institutions or organizations of the health care system.

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8
Q

They include the hospitals, clinics, and home-health agencies, insurance companies and programs, managed-care plans, and entitlement programs

A

institutional component

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9
Q

the insurance companies and programs that pay for services like

A

Blue Cross/Blue Shield,

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10
Q

managed-care plans such as

A

health maintenance organizations & preferred provider organizations

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11
Q

entitlement programs or the federal and state government public assistance programs examples are

A

Medicare and Medicaid

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12
Q

HMO is also known as

A

health maintenance organizations

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13
Q

PPO is also known as

A

preferred provider organizations

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14
Q

There are 3 different levels of health care system which are

A

primary
secondary
tertiary

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15
Q

Primary Level of Care devolved to

A

Cities and municipalities

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16
Q

It is Usually the first contact between the community members and other levels of health facility. Examples are Center physicians, public health nurse, rural health midwives, Brgy. Health workers, traditional healers.

A

Primary Level of Care

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17
Q

Given by physicians with basic health training.It is Usually given in health facilities either private owned or government operated.

A

Secondary Level of Care

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18
Q

It is Rendered by specialists in health facilities. Examples of these health facilities are Infirmaries, municipal, district hospital, out-patient departments.

A

Secondary Level of Care

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19
Q

Referral system for the secondary care facilities. Examples of the health facilities that are used are Medical centers, regional and provincial hospitals and specialized hospitals.

A

Tertiary Level of Care

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20
Q

Tertiary level of care is provided in _____________ _____ & ___________ ____

A

complicated cases and intensive care.

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21
Q

Considered to be an extension of tertiary care. It is even more specialized and highly unusual.

A

Quaternary Care

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22
Q

Quaternary Care Offer only for particular ________ _________ or _________ of the _____

A

medical conditions or systems of the body.

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23
Q

types of care that might be considered to be quaternary would be

A

Experimental medicine
Specialized surgeries

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24
Q

Health professionals play a central and critical role in

A

Improving access &
quality health care for the population.

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25
Q

main responsibilities of the members of a healthcare team include:

A

Operate and monitor medical equipment;
Help perform diagnostic tests and analyze the results;
Educate patients and the public about health conditions;
Provide advice and emotional support to patients and their family members.

26
Q

They play an indispensable role in the healthcare system to prevent and manage common health conditions. They may guide patients to make healthy decisions and recommend treatment depending on the symptoms of diseases that present.

A

Primary healthcare providers

27
Q

providing data to inform

A

quality improvement efforts;

28
Q

inspecting and certifying that a facility or individual meets

A

previously established
standards;

29
Q

comparing groups for a variety of purposes, including selective contracting by

A

purchasers and choice of providers and practitioners by individuals;

30
Q

informing patients, families, and employees about the

A

health care decisions and
choices they face;

31
Q

performers—those whose
performance is so far below an acceptable level that immediate actions are needed;

A

identifying and possibly eliminating substandard performers

32
Q

____________, ____________, & ____________ best practices;

A

highlighting, rewarding, and disseminating

33
Q

__________ & ___________ Information about changes in quality over time;

A

monitoring and reporting

34
Q

addressing the _________ ______ of communities.

A

health needs

35
Q

provides a variety of services to support the healthcare needs of a
community or individuals.

A

healthcare industry

36
Q

classifies the different products it offers by sector.

A

healthcare industry

37
Q

are continually changing their service offerings, and responding to
various internal and external forces including reimbursement issues, advances in technology, and
shifts in the populations they serve.

A

Hospitals and healthcare systems

38
Q

Hospitals and healthcare systems are continually changing their service offerings, and responding to
various internal and external forces including

A

reimbursement issues
advances in technology
shifts in the populations they serve.

39
Q

key sectors of healthcare industry can be broadly classified into following four sub-segments:

A

➢Health care services and facilities
➢ Medical devices, equipment, and hospital supplies manufacturers
➢ Medical insurance, medical services and managed care
➢ Pharmaceuticals & related Segments

40
Q

consists of businesses that provide medical services, manufacture medical equipment or drugs, provide medical insurance, or otherwise facilitate the provision of healthcare to patients.

A

healthcare sector

41
Q

is the network of health facilities and
personnel which carries out the task of rendering health care to the people.

A

HEALTH CARE DELIVERY SYSTEM

42
Q

a complex set of organizations interacting to provide an array of
health services

A

PHILIPPINE HEALTH CARE SYSTEM

43
Q

According to ______, PHILIPPINE HEALTH CARE SYSTEM a complex set of organizations interacting to provide an array of
health services

A

Dizon, 1977

44
Q

According to ___________ -__________, _____, is the network of health facilities and personnel which carries out the task of rendering health care to the people.

A

(Williams-Tungpalan, 1981)

45
Q

is usually provided by the government through national healthcare systems.

A

Public health care

46
Q

can be provided through public and private providers.

A

Health care

47
Q

can be provided through “for profit” hospitals and self-employed practitioners, and “not for profit”
nongovernment providers, including faith-based organizations.

A

Private health care

48
Q

are funded by the government and therefore cannot turn away patients.

A

Government hospitals

49
Q

privately funded and make their
own rules. Because of this, they reject uninsured patients.

A

private hospitals

50
Q

Both private and public sectors are very

A

customer service oriented.

51
Q

The _________ for the private company is one that has agreed to pay for their services,

A

customer

52
Q

the customer for the public sector is its citizens as it relates to

A

Public service

53
Q

delivery in low- and middle-income countries is sometimes
argued to be more efficient, accountable, and sustainable than public sector delivery.

A

Private sector healthcare

54
Q

the public sector is often regarded as providing more

A

equitable and evidence-based
care.

55
Q

are significant contributors to clinical performance and associated
patient outcomes.

A

Interdisciplinary team factors

56
Q

initiatives identify human factors associated with team performance as a prime improvement area for clinical patient care.

A

Quality of care and patient safety

57
Q

a group of healthcare providers from different fields who work together or toward the same goal to provide the best care or best outcome for a patient or group of patients.

A

interdisciplinary team

58
Q

Some examples of specialties hat can make up an interdisciplinary team include:

A

pharmacist.
nurse.

59
Q

Beyond benefits to hospital staff, the advantages an ______________ _____ _____ provides to patients are significant.

A

interdisciplinary care plan

60
Q

Increased collaboration among healthcare providers, especially between physicians and nurses, helps patients who have interdisciplinary care plans by reducing

A

healthcare-related expenditures.

61
Q

5 characteristics underpinning effective interdisciplinary
team work were identified:

A

(AACCI)
appropriate resources and procedures;
appropriate skill mix;
clarity of vision;
communication strategies and structures;
individual characteristics that
support interdisciplinary team work;

62
Q

Another 5 characteristics underpinning effective interdisciplinary
team work were identified:

A

(PPQRS)
personal rewards, training and development;
positive leadership and management attributes;
quality and outcomes of care
respecting and understanding roles.
supportive team climate