PRELIMS: Healthcare Delivery Models Flashcards
What is the Universal Declaration of Human Rights?
A declaration by the General Assembly of the United Nations on December 10, 1948, representing the first global expression of inherent human rights.
What is the primary goal of the old healthcare delivery paradigm? What is the primary goal of the old healthcare delivery paradigm?
To fill beds and focus on acute in-patient care.
What is the Beveridge Model of healthcare?
A system where healthcare is provided and financed by the government through tax payments, originating from Britain’s National Health Service
What is the main challenge associated with the Out-of-Pocket healthcare model?
Only the rich receive medical care, while the poor stay sick or die
What are the three types of care in the healthcare delivery system?
Preventive care, primary care, and specialty care.
Healthcare empowered within the community, often involving programs where providers immerse themselves into the community.
Community-Based Care
: Name two factors driving changes in the healthcare delivery system
Growth of new technology and aging of the population.
What are the four basic models of healthcare systems?
Beveridge Model, Bismarck Model, National Health Insurance Model, and Out-of-Pocket Model.
What is the main funding source for the Bismarck Model?
Premium-financed social insurance jointly funded by employers and employees.
What is the National Health Insurance Model?
A system that uses private-sector providers but payments come from a government-run insurance program funded by citizens.
What are the three models of rehabilitation service delivery?
Institution-based, outreach-based, and community-based rehabilitation (CBR) programs.
What are the key roles of PTs in community-based rehabilitation (CBR)?
Organizing programs, wellness promotion, health education, and integrating
What act established PhilHealth in the Philippines?
The National Health Insurance Act of 1995 (RA 7875).
The National Health Insurance Act of 1995 (RA 7875).
: To address medication inflation and promote competitive pricing among pharmaceutical companies.
What are the seven pillars of Universal Health Care (UHC) in the Philippines?
Universal health insurance, expanded infrastructure, organized health services, health financing, HR for health, cheaper medicines, and governance.
What is the significance of the Affordable Care Act (ACA) of 2010 in the USA?
: It reformed healthcare to ensure everyone could obtain insurance coverage and promoted cost efficiency.
What is a Health Maintenance Organization (HMO)?
An insurance plan that limits coverage to in-network doctors and offers fixed monthly fees regardless of usage.
What is the primary health coverage type in rural regions of Africa, India, and South America?
Out-of-Pocket Model.
Out-of-Pocket Model.
Grassroots health workers, intermediate-level professionals (e.g., nurses), and first-line hospital personnel (e.g., specialists).