PRELIMS: Healthcare Delivery Models Flashcards

1
Q

What is the Universal Declaration of Human Rights?

A

A declaration by the General Assembly of the United Nations on December 10, 1948, representing the first global expression of inherent human rights.

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2
Q

What is the primary goal of the old healthcare delivery paradigm? What is the primary goal of the old healthcare delivery paradigm?

A

To fill beds and focus on acute in-patient care.

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3
Q

What is the Beveridge Model of healthcare?

A

A system where healthcare is provided and financed by the government through tax payments, originating from Britain’s National Health Service

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4
Q

What is the main challenge associated with the Out-of-Pocket healthcare model?

A

Only the rich receive medical care, while the poor stay sick or die

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5
Q

What are the three types of care in the healthcare delivery system?

A

Preventive care, primary care, and specialty care.

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6
Q

Healthcare empowered within the community, often involving programs where providers immerse themselves into the community.

A

Community-Based Care

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7
Q

: Name two factors driving changes in the healthcare delivery system

A

Growth of new technology and aging of the population.

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8
Q

What are the four basic models of healthcare systems?

A

Beveridge Model, Bismarck Model, National Health Insurance Model, and Out-of-Pocket Model.

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9
Q

What is the main funding source for the Bismarck Model?

A

Premium-financed social insurance jointly funded by employers and employees.

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10
Q

What is the National Health Insurance Model?

A

A system that uses private-sector providers but payments come from a government-run insurance program funded by citizens.

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11
Q

What are the three models of rehabilitation service delivery?

A

Institution-based, outreach-based, and community-based rehabilitation (CBR) programs.

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12
Q

What are the key roles of PTs in community-based rehabilitation (CBR)?

A

Organizing programs, wellness promotion, health education, and integrating

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13
Q

What act established PhilHealth in the Philippines?

A

The National Health Insurance Act of 1995 (RA 7875).

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14
Q

The National Health Insurance Act of 1995 (RA 7875).

A

: To address medication inflation and promote competitive pricing among pharmaceutical companies.

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15
Q

What are the seven pillars of Universal Health Care (UHC) in the Philippines?

A

Universal health insurance, expanded infrastructure, organized health services, health financing, HR for health, cheaper medicines, and governance.

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16
Q

What is the significance of the Affordable Care Act (ACA) of 2010 in the USA?

A

: It reformed healthcare to ensure everyone could obtain insurance coverage and promoted cost efficiency.

17
Q

What is a Health Maintenance Organization (HMO)?

A

An insurance plan that limits coverage to in-network doctors and offers fixed monthly fees regardless of usage.

18
Q

What is the primary health coverage type in rural regions of Africa, India, and South America?

A

Out-of-Pocket Model.

19
Q

Out-of-Pocket Model.

A

Grassroots health workers, intermediate-level professionals (e.g., nurses), and first-line hospital personnel (e.g., specialists).