Quiz 1 Flashcards
What happened in 1735
First medical society in Boston
What happened in 1750
First general hospital in Philadelphia
What happened in 1765
First medical college
What happened in the 1800s
Soldiers died of disease in the Civil War
increased public consciousness
fee for service
US army medical department
Sickness protection offered for union members
When was the AMA founded
1863
What happened in 1900
Industrial revolution increased work injuries
minimal government involvement
AMA suggests insurance options
What happened in 1910
WWI– men go to war
benefits come into play to get women to work
What happened in 1929
group of teachers start the first insurance company at Baylor University
What happened in 1930
Great Depression
First public support of healh care– social security act
what happened in 1940
WWII– employer sponsered health insurance to incentivize employees
12 million were insured
what happened in 1950
Medical advances
rising cost of health care
only 15% of elderly have health insurance
What happened in 1960
healthcare 5% of GDP
700 private health insurance companies
When was medicare/medicaid made
1970
what happened in 1970
uninsured rose form 25 to 50 million
Social security amendment
What happened in 1980
health care 8.9% of GDP
142 million insured
what happened in 1990
12.1% of GDP
HIPAA
Medicaid expansion
push for primary care
what happened in 2000
13.3% GDP
2003 Medicare perscription drug coverage (Part D)
what happened in 2010
17.4% GDP
Uninsured decreases
Optimal medical expansion covers 1 in 6 Americans
what is the top reason for being uninsured
coverage is not affordable
what are the costs of not being insured
delay necessary care
decreased preventative services
worse health outcomes
higher chronic disease and mortality rate
healthcare spending is driven by what
utilization (the number of services used)
price (the amount charged per service)
barriers to health care
lack of insurance
underinsured
lack of prompt access
social determinants of health
education access and quality
health care access and quality
neighborhood environment
social and community context
economic stability
What does the ACA do
expand access and protections for insurance coverage
improve health quality and system performance
emphasixe prevention and wellness
what is the greatest predictor of how long you are expected to live?
where you live
what is primary care
first point of contact– preventative care
general practitioners, doctors, dentists, etc.
where are most primary care providers located?
clinics, walk in clinics, urgent care
what is secondary care
care that involves specialized expertise
cardiologists, oncologist, general surgeons
access through referrals
what is tertiary care
management of rare disorders
trauma and burn care
transplant surgeons
what is quaternary care
extremely specialized care– experimental, rare genetic diseases
what is a multispecialty group practice
clinic owned and administered by physicians n various specialties
promotes collaborative style of care
what is an example of a multispecialty group practice
Mayo Clinic
Advantages of multispecialty group practice
One-stop-shop for helath care needs
acess to medical technolgoy
multidisciplinary offerring
more choice and convenience
disadvantage of multispecialty group practice
doctors may get rewarded for high patient numbers
what is an example of a community health center
Neighborhood family clinic
what are community helath centeres
comprehensive primary care for medically underserved communities
emphasize primary and preventative care
health maintenance organization (HMO)
health insurance plan limiting care to doctors who work for or contract with the HMO
focused on prevention and wellness
another name for vertical integration of helathcare
Kaiser-Permanente medical program
what is vertical integration of healthcare
consolidating under one organizational roof
disadvantages of virtual integration of healthcare
communication is disrupted
coordination of services is difficult
no price transparency
difficult to navigate
care silos occur
what is a care silo
each discipline only discusses with each other not with other disciplines
accountable care organizations (ACOs)
group of health care providers who voluntarily come together to provide care for medicare patients