sgydtr Flashcards

1
Q

primary prevention

A
  • preventing the occurrence of disease
  • ex. vaccine, exercise, nutrition, routine exams
  • education
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2
Q

secondary prevention

A
  • early detection of disease
  • if present -> treatment of the disease
  • ex. screening exams
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3
Q

tertiary prevention

A
  • interventional procedures to minimize a condition getting worse
  • prevents complications and further injury
  • rehabilitation and infection control practices
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4
Q

what makes a screening test good

A
  • low cost -> make it accessible
  • low burden to the person being screened
  • reliable (no false positives or false negative)
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5
Q

health services professionals

A
  • US health care industry is the largest and most powerful empolyer
  • 9.1% health care employment as a percent of total employment
  • healthcare spending will account for 19.7% of GDP by 2026
  • health care will continue to grow bc:
  • growth in population
  • aging of the population
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6
Q

issues in medical practice, training, and supply medical practice

A
  • medical training
  • geographic maldistribution
  • specialty maldistribution
  • international medical graduates (IMG)
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7
Q

medical training

A
  • training more specialists than primary care providers
  • health care delivery system is evolving towards primary care
  • maldistribution
  • primary care workforce is shrinking
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8
Q

maldistribution

A
  • either a surplus or a shortage of the type of physicians needd to maintain the health status of a given population at an optimum level
  • geographic maldistribution- better money in metropolitan areas -> more people/patients
  • specialty maldistribution
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9
Q

geographic maldistribution

A
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10
Q

specialty maldistribution

A
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11
Q

healthcare retirement wave has hit

A

-demand for healthcare workers is heightened by the retirement of baby boomer healthcare practitioners

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12
Q

the major distinction between skilled nursing and residential care facilities is that skilled nursing facilities

A
  • provide care primarily for people requiring intensive nursing, rehabilitation, or related services***
  • primarily provide domiciliary care
  • can accommodate both the severely medically disabled and relatively self sufficient residents
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13
Q

domiciliary care

A

care in the house

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14
Q

the hospice movement is concerned with care for terminally ill patients. Which of the following is/are major goals of hospice care

A
  • providing an alternative to the curative/intervention approach of hospital in the care of the terminally ill
  • providing state of the art pain relief interventions while supporting the patient and his/her family through the life death transition
  • the above ^^^
  • decreasing costs of care for the terminally ill by limiting the use of expensive, life prolonging technology -> X
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15
Q

what is the goal of long term care?

A

-long term care kicks in after the likelihood of independence is low

  • promote functional independence
  • reverse the decline in activities of daily living*
  • return a person to independence- assisted living community maybe
  • cope with multiple chronic conditions*
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16
Q

most nursing home care in the US is financed by

A

medicaid

17
Q

home health care in the US is financed by

A

-medicare

18
Q

greatest impact on increasing access to health care in the post-industrial era (early 1900s)

A
  • employer provided insurance **

- industrialization -> health benefits to employees to keep factories running

19
Q

government provided insurance

A

-not until 1965

20
Q

after which legislative action did the focus shift to the COST of healthcare

A
  • social security act of 1935- pension money
  • hill burton act of 1946- creation of hospitals -> creation of jobs -> money to access health care and more hospitals increase access
  • medicare/medicaid amendment- greatly increases access and greatly increased costs**
  • HMO act of 1973- tried to solve cost issues
  • ACA of 2010- increase access