Questions and answers Updated RATED
A+ 100% PASS
Ambulatory Care - Correct Answers Medical care not requiring overnights hospitalization (23.5 hours or
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less in a hospital setting)
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Examples: Doctor's offices, clinics, surgery centers, diagnostic centers, some "in-hospital" services,
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emergency room visits
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II! Trends/Shifts in Ambulatory Care - Correct Answers There is a continuing volume and revenue shift from
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II! hospitals (More advanced technology allows more things to be done outside of hospital setting, most
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II! things are cheaper outside of hospitals, and consumers/doctors are changing their preferences to move
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II! away from hospitals)
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Managed care also has influences II! II! II! II!
There is now more physician and corporation ownership of facilities like same-day surgery centers and
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diagnostic imaging centers
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II! Physician Group Practice - Correct Answers Doctor's office with 2 or more physicians
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II! History of group practices - Correct Answers Until 1930s, solo practices were predominant
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1932 - Committee of Costs of Medical Care deemed group practices were efficient
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Mayo Clinic was group practice model/trendsetter
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1932 - The AMA deemed group practices "unethical" and fought it until the 1950s since it impeded in
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doctor/patient relationship
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, NOW - 50% of all practices have 3 or more doctors
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II! Why did doctors shift to group practices? - Correct Answers Coverage - they can divide up their time
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Expertise - they can bring in Drs. with different knowledge; can get 2nd opinion on tough cases
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Cost - saves money on liability insurance, hiring staff, and paying for building
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II! More growth factors of group practices - Correct Answers knowledge
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specialization
Medicare (1965) II!
insurance complexities (needed more Drs. as more people got insurance)
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technology costs II!
vacation coverage II!
could house Drs. with single or multiple specialties
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II! Ambulatory Primary Care Group Practices Other That Medical Doctors - Correct Answers dentists
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psychologists
PTs
social workers II!
podiatrists
optomatrists
II! History of hospital ambulatory care - Correct Answers 19th century - clinics were not good, served
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II! mainly poor through charity mission, did not have skilled doctors
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Now: they still serve the poor as a safety net, they are teaching sites, they are well-equipped and staffed
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