4 factors that affect access - Answers ability to pay, availability of services, payment, enablement
barriers
subsystems of US healthcare system - Answers managed care, military, vulnerable populations,
integrated delivery, long term care, public health
managed care - Answers seeks to achieve efficiency by integrating the basic functions of health care
delivery; employs mechanisms to control (manage) utilization of medical services
military care - Answers Tri Care (free for active duty personnel of US Army, Navy, Air Force, Coast Gaurd)
and VA Healthcare (available for retired vets)
vulnerable populations - Answers the poor, uninsured, minorities and immigrants living in disadvantaged
communities and receive care from "safety net" providers
safety nets - Answers are not secure; includes public health insurance programs, free clinics and hospital
emergency services, medicaid
integrated systems - Answers network of healthcare providers and organizations that provides or
arranges to provide a coordinated continuum of services to a defined population and is willing to be
held clinically and fiscally accountable for the clinical outcomes and health status of served populations;
emphasis on primary care and encourages physician- hospital integration
long term care - Answers consists of medical and non medical care that are provided to individuals who
are chronically ill or who have a disability
public health system - Answers mission is to improve and protect community health
characteristics of the US healthcare system - Answers no central governing agency and little integration
and coordination, technology driven with focus on acute care, high in costs, unequal in access, average
in outcome, imperfect market conditions, gov't as subsidiary to the private sector, fusion of market
justice and social justice, multiple payers and balance of power, quest for integration and accountability,
access to healthcare services based on insurance, legal risks influence practice behavior
major players in healthcare - Answers physicians, administrators, insurance companies, employers, and
government
defensive medicine - Answers form of protection against lawsuits; most providers engage in to take
extra precautions such as prescribing additional diagnostic tests, scheduling checkups, and maintaining
abundant documentation; many are inefficient and drive up costs
health (medical model) - Answers the absence of illness or disease; emphasizes clinical diagnosis and
medical intervention to treat disease or its symptoms
, health (WHO definition) - Answers complete state of physical, mental, and social well being, and not
merely the absence of disease (biopsychosocial)
health care system - Answers all activities aimed at promoting, restoring, or maintaining health
holistic medicine - Answers seeks to treat the individual as a whole person; mental, physical, social and
spiritual
illness - Answers person's perception and evaluation of how he/she is feeling
disease - Answers based on a professional evaluation; requires therapeutic intervention
acute - Answers relatively severe, episodic, and often treatable; treatment provided in a hospital (ex:
heart attack)
subacute - Answers in between acute and chronic; post acute treatment after hospital discharge (head
trauma, ventilator)
chronic - Answers less severe but of long and continuous and duration
quality of health - Answers used in a denotative sense to capture the essence of overall satisfaction with
life during and after a person's encounter with the HC delivery system
morbidity - Answers disease or disability
mortality - Answers death rate
utilization - Answers consumption of health services or the extent to which health care services are used
types of health interventions - Answers social and medical care policy, community based intervention,
health care intervention, individual level intervention
almshouse - Answers preindustrial era; poorhouse, forerunner of today's hospitals and nursing homes
asylum - Answers preindustrial era; forerunner of today's inpatient psychiatric facilities. built by state for
patients with untreatable and chronic mental illnesses
pesthouse - Answers local gov set up to isolate people with contagious disease
dispensaries - Answers established as outpatient clinics to provide free care to those who could not
afford to pay
Flexner report - Answers found widespread inconsistencies in medical education
Hill- Burton Act - Answers 1946,goal was to increase the US hospital capacity to 4.5 beds per 1000
population
financing - Answers any mechanism that gives people the ability to pay for health care services