Week 3

Question 1

The 3 Legged stool of HealthCare

Answer 1

Access, Quality and Cost

Question 2

What are the Factor of Access to healthcare (5 items)

Answer 2

Availability, Accessibility, Accommodations, Acceptability and Affordability

Question 3

Availability

Answer 3

Amount and type of services provided by workers and the amount and type needed by the population

Question 4

Accessibility

Answer 4

Geographic features, location of services and location and access to transportation.

Question 5

Accommodation

Answer 5

The manner that healthcare providers and services are organized.
The population’s ability to use these providers services and facilities.

Question 6

Acceptability

Answer 6

Attitudes between providers and population.

Cultural differences, language barrier, values, customs and beliefs.

Question 7

Affordability

Answer 7

Price and ability to pay. Predisposing Factors

Largest Barrier.

Question 8

The Uninsured

Answer 8

Most American under 65 received health insurance though employers and family employer.

Question 9

Characteristic of the Uninsured

Answer 9

People without insurance has steadily increased.
Adults more then children are uninsured
Minorities more likely to be uninsured than white Americans
Poor and near poor are at the greatest risk
Most uninsured work.

Question 10

Health Status of the Uninsured: Do not get timely needed care due to?

Answer 10

Lack of a regular place to receive it.
Lack of regular provider
Cost of the Care
Lack of prevention Care: mammograms, colon and cervical screenings.

Question 11

Why the increase in the uninsured?

Answer 11

Decline of employers bases insurance, rising premium cost.

Employees cover more and more of the premiums.

Question 12

Insurance shield consumers from?

Answer 12

The true cost of healthcare.

Question 13

Inflation, marker structure and health insurance?

Answer 13

Prevent the competition from working to restrain the growth of costs.

Question 14

Payment Mechanisms. What are they? 4 items

Answer 14

Fee for services
Case Based
Capitation
Global Budgeting

Question 15

Fee for Services

Answer 15

After WWII
Pay for each service or procedure.
Incentive to add care or days or care, unneeded tests
Payers hold all risk

Question 16

Case Based

Answer 16

Medicare 1983
PPS and DRG
Avoid unnecessary procedures
Places budged on provider

Question 17

Capitation

Answer 17

Flat fee, per patient, per month.
Managed care 
Monthly fee for each patient 
Keep patient well to lower the costs
Financial risk to the provider is high

Question 18

Global budgeting

Answer 18

Hospitals in Canada

Providers provide a predetermined amount to hospitals to cover operational expenses.

Question 19

Concept of Value-Based Reimbursement

Answer 19

Shift from volume-based reimbursement to value-based
Emphasis on evidence based and patient-centered care.
Documents and evidence practice.
Triple Aim

Question 20

Triple Aim

Answer 20

Improve health outcomes
Enhance consumers satisfaction
Reduced health care costs