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Health Care Systems > Quiz 1 > Flashcards

Quiz 1 Flashcards

1
Q

What happened in 1735

A

First medical society in Boston

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2
Q

What happened in 1750

A

First general hospital in Philadelphia

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3
Q

What happened in 1765

A

First medical college

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4
Q

What happened in the 1800s

A

Soldiers died of disease in the Civil War

increased public consciousness

fee for service

US army medical department

Sickness protection offered for union members

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5
Q

When was the AMA founded

A

1863

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6
Q

What happened in 1900

A

Industrial revolution increased work injuries

minimal government involvement

AMA suggests insurance options

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7
Q

What happened in 1910

A

WWI– men go to war

benefits come into play to get women to work

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8
Q

What happened in 1929

A

group of teachers start the first insurance company at Baylor University

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9
Q

What happened in 1930

A

Great Depression

First public support of healh care– social security act

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10
Q

what happened in 1940

A

WWII– employer sponsered health insurance to incentivize employees

12 million were insured

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11
Q

what happened in 1950

A

Medical advances
rising cost of health care
only 15% of elderly have health insurance

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12
Q

What happened in 1960

A

healthcare 5% of GDP

700 private health insurance companies

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13
Q

When was medicare/medicaid made

A

1970

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14
Q

what happened in 1970

A

uninsured rose form 25 to 50 million

Social security amendment

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15
Q

What happened in 1980

A

health care 8.9% of GDP

142 million insured

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16
Q

what happened in 1990

A

12.1% of GDP
HIPAA
Medicaid expansion
push for primary care

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17
Q

what happened in 2000

A

13.3% GDP
2003 Medicare perscription drug coverage (Part D)

18
Q

what happened in 2010

A

17.4% GDP
Uninsured decreases
Optimal medical expansion covers 1 in 6 Americans

19
Q

what is the top reason for being uninsured

A

coverage is not affordable

20
Q

what are the costs of not being insured

A

delay necessary care

decreased preventative services

worse health outcomes

higher chronic disease and mortality rate

21
Q

healthcare spending is driven by what

A

utilization (the number of services used)
price (the amount charged per service)

22
Q

barriers to health care

A

lack of insurance
underinsured
lack of prompt access

23
Q

social determinants of health

A

education access and quality

health care access and quality

neighborhood environment

social and community context

economic stability

24
Q

What does the ACA do

A

expand access and protections for insurance coverage

improve health quality and system performance

emphasixe prevention and wellness

25
Q

what is the greatest predictor of how long you are expected to live?

A

where you live

26
Q

what is primary care

A

first point of contact– preventative care

general practitioners, doctors, dentists, etc.

27
Q

where are most primary care providers located?

A

clinics, walk in clinics, urgent care

28
Q

what is secondary care

A

care that involves specialized expertise

cardiologists, oncologist, general surgeons

access through referrals

29
Q

what is tertiary care

A

management of rare disorders

trauma and burn care
transplant surgeons

30
Q

what is quaternary care

A

extremely specialized care– experimental, rare genetic diseases

31
Q

what is a multispecialty group practice

A

clinic owned and administered by physicians n various specialties

promotes collaborative style of care

32
Q

what is an example of a multispecialty group practice

A

Mayo Clinic

33
Q

Advantages of multispecialty group practice

A

One-stop-shop for helath care needs

acess to medical technolgoy

multidisciplinary offerring

more choice and convenience

34
Q

disadvantage of multispecialty group practice

A

doctors may get rewarded for high patient numbers

35
Q

what is an example of a community health center

A

Neighborhood family clinic

36
Q

what are community helath centeres

A

comprehensive primary care for medically underserved communities

emphasize primary and preventative care

37
Q

health maintenance organization (HMO)

A

health insurance plan limiting care to doctors who work for or contract with the HMO

focused on prevention and wellness

38
Q

another name for vertical integration of helathcare

A

Kaiser-Permanente medical program

39
Q

what is vertical integration of healthcare

A

consolidating under one organizational roof

40
Q

disadvantages of virtual integration of healthcare

A

communication is disrupted

coordination of services is difficult
no price transparency
difficult to navigate
care silos occur

41
Q

what is a care silo

A

each discipline only discusses with each other not with other disciplines

42
Q

accountable care organizations (ACOs)

A

group of health care providers who voluntarily come together to provide care for medicare patients

Health Care Systems (3 decks)

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