org and man

Question 1

HC delivery system ?

Answer 1

an integration of a wide variety if interrelated health care service providers who work together to collectively produce a service or a product
must be greater than what individuals can produce on their own

Question 2

How needs for HC delivery systems are met?

Answer 2

who is eligible to receive care, who is going to pay for the care and what care will provided

Question 3

How does US differ from other?

Answer 3

all other nations believe that all their citizens should have a right to health care through some form of socialized medicine

Question 4

What type of healthcare system is....
Communism
Socialism
Comprehensive
Welfare
Entrepreneurial

Answer 4

Russia and Soviet Block
Germany, Sweden
England, Wales, Scotland and Northern Ireland
Canada 
USA

Question 5

Communism HC system

Answer 5

most government control, least private alternatives, government is paid either through federal or state taxes

Question 6

Socialism HC system

Answer 6

Germany and Sweden
government does not finance HC but provides near universal healthcare
mandate health insurance
require employees to maintain sickness funds
controlling drug prices
use standard form for billing and reimbursement to keep cost low
limits physician practice
individuals can purchase private insurance , little or no out of pocket expenses to end consumer, high satisfaction

Question 7

Comprehensive System

Answer 7

England, wales, scotland, considerable control by government but less than socialism , all HCP are salaried
services are free paid for through taxes and private insurance funds, out of pocket expenses are minimal
patients may need to wait several weeks to receive care
satisfactory

Question 8

Welfare System

Answer 8

canada, less government and more private action
medicare program for all ages
HC is a right
shared financial responsibility between federal, state and territorial governments
through taxes and private funds
long waiting list
canadian insurance will reimburse for care provided outside canada

Question 9

Entrepreneurial System

Answer 9

USA, there are 2 components private funding (major) and public or tax supports
private is fee 4 svc employers vs self pay vs pr bono
Tax is age restricted federal medicare program + need based state funded medicaid program
pt access choice depends on personal finances and health insurance plan selected
to many uninsured on the rise, rising cost of healthcare and fear of un-affordability

Question 10

Healthcare USA STATS

Answer 10

largest employer in the USA 
18 million HCP 
80% are females 
6146 US hospital and 924,107 bed 
3.31 trillion expenses incurred nationally in 2019

Question 11

Women HC and Pandemic

Answer 11

pandemic impacted women healthcare workforce more than men

fewer women have been able to return to work from Jan 2020 to March 2021

Question 12

HealthCare Policy goals in USA

Answer 12

1. improve access to healthcare
2. improve the quality of care provided
3. decrease the cost of care provided

Question 13

How is healthcare accessed in the USA?

Answer 13

Direct Health Care Entities

Indirect Health Care Entities

Question 14

What are direct health care entities?

Answer 14

Hospital, home care agencies, public health departments, MDs, RNs, PTs other AHPs

Question 15

what are indirect health care entities?

Answer 15

Pharmaceutical companies, manufactures, medical waste disposal companies, consultants, support personnel, medical researchers

Question 16

Patients have access to varied health care setting on healthcare continuum

Answer 16

physician office, hospital, inpatient rehab, out patient rehab, assisted living centers, patient center medical homes, home health, SNF

Question 17

position on continuum of care

Answer 17

preventative care
acute care
post acute care

Question 18

acute care consist of what

Answer 18

primary level of care
secondary level of care
tertiary level of care
quaternary level of care
speciality level of care

Question 19

Post Acute care consist of

Answer 19

ambulatory care, restorative care, continuing care

Question 20

preventative care is
examples
offered where

Answer 20

aimed at early detection and intervention with focus on reducing occurrence of disease, reduce secondary problems  
wellness fitness program
health screening 
health education
immunization 
industrial health 
VERY IMPORTANT 
community centers, internet sites, physician offices, schools, public health facilities

Question 21

Acute care is

Answer 21

short term medical treatment usually in a hospital for patients having acute illness, injury that usually last less than 30 days
medical centers, ambulatory centers, emergency services organ transplants/ trauma center

Question 22

Primary level of Acute Care

Answer 22

initial medical care point of contact , nonemergency care and sometimes referral to other providers
based in community
role has changed to expanded to include other HC providers and facilities
Pediatrician, OBGYN, geriatricians, physiatrist, social worker, speech pathologist, physical therapist , urgent care centers

Question 23

Secondary Care of Acute Care is

Answer 23

patient has been referred by a primary care provider for specific services
routine surgical medical care, geriatrics, oncology, pediatrics, inpatient rehab

Question 24

Tertiary Care of Acute Care is

Answer 24

specialized care delivered in health care center includes highly trained specialist and advanced technology
teaching hospital, medical research facility
emergency care, high risk neonatal, major trauma, advanced radiological imaging , burn care, cancer care plastic surgery

Question 25

Quaternary care of Acute Care is

Answer 25

extension of tertiary care , experimental medicine

Question 26

Speciality Care of Acute Care is

Answer 26

provides those services, equipment and facilities that are not available at primary care centers
diagnostic laboratory, sport medicine, surgical and rehabilitation services, outpatient rehab centers, substance abuse centers

Question 27

Ambulatory Care for Post Acute Care

Answer 27

medical care provided on an outpatient basis

individuals who can walk and come to the facility providing the care

Question 28

Restorative Care for Post Acute Care

Answer 28

consist of follow up care and rehab to an optimal functional level
return to health buy rebuilding, repairing, reforming and thereby restoring to prior health status

Question 29

Continuum Care for Post Acute care

Answer 29

long term facilities, SNF, HH
ongoing care of the physically handicap, mentally retarded, emotionally retarded and those suffering from chronic incapacitating illness