UF HSA 3111 FINAL REVIEW QUESTIONS AND
ANSWERS
◉ public sector. Answer: - safety-net coverage
- population health monitoring
- healthcare regulation
- research funding
◉ private sector. Answer: - care delivery
- insurance admin
- innovation and technology
- medical education
◉ federal agencies. Answer: - CMS: Medicare/Medicaid Admin
- FDA: drug/device approval
- CDC: disease control and prevention
- HRSA: health resources and access
- AHRQ: quality improvement research
◉ state functions. Answer: - professional licensure
- certificate of need laws
,- medicaid admin
- insurance marketplace regulation
- public health depts
◉ private regulators. Answer: - joint commission: accreditation
- NCQA: quality metrics
- professional boards
- industry self regulation
◉ blueprint for healthcare 4 constituents. Answer: - government
- insurers
- patients
- providers
◉ factors to consider in healthcare system. Answer: - # of sources of
coverage
- sources of coverage
- source of funding
- sector that delivers care
◉ nationalization. Answer: - public
- government regulated and gov employs hospitals
, - ex: Beveridge
◉ privatization. Answer: - private for innovation and autonomy
- ex: Bismark
◉ physicians. Answer: - control 60-70% of all healthcare spending
- perform functions of other licensed healthcare workers but reverse
is not true
- licensed by state
- most are specialists
- tend to locate urban/suburban nor rural/inner-city (specialists
here for $)
- urban areas = better equipment, high-tech, latest procedures ->
wealthiest states have most physicians and poorest have sickest pop.
◉ M.D. physicians. Answer: - allopathic medicine: focused on
treating disease with the theory that successful therapy depends on
creating a condition antagonistic to or incompatible with the
condition to be treated
◉ D.O. physicians. Answer: - osteopathic medicine: theory that the
body can make its own remedies, given normal structural
relationships, environmental conditions, and nutrition
ANSWERS
◉ public sector. Answer: - safety-net coverage
- population health monitoring
- healthcare regulation
- research funding
◉ private sector. Answer: - care delivery
- insurance admin
- innovation and technology
- medical education
◉ federal agencies. Answer: - CMS: Medicare/Medicaid Admin
- FDA: drug/device approval
- CDC: disease control and prevention
- HRSA: health resources and access
- AHRQ: quality improvement research
◉ state functions. Answer: - professional licensure
- certificate of need laws
,- medicaid admin
- insurance marketplace regulation
- public health depts
◉ private regulators. Answer: - joint commission: accreditation
- NCQA: quality metrics
- professional boards
- industry self regulation
◉ blueprint for healthcare 4 constituents. Answer: - government
- insurers
- patients
- providers
◉ factors to consider in healthcare system. Answer: - # of sources of
coverage
- sources of coverage
- source of funding
- sector that delivers care
◉ nationalization. Answer: - public
- government regulated and gov employs hospitals
, - ex: Beveridge
◉ privatization. Answer: - private for innovation and autonomy
- ex: Bismark
◉ physicians. Answer: - control 60-70% of all healthcare spending
- perform functions of other licensed healthcare workers but reverse
is not true
- licensed by state
- most are specialists
- tend to locate urban/suburban nor rural/inner-city (specialists
here for $)
- urban areas = better equipment, high-tech, latest procedures ->
wealthiest states have most physicians and poorest have sickest pop.
◉ M.D. physicians. Answer: - allopathic medicine: focused on
treating disease with the theory that successful therapy depends on
creating a condition antagonistic to or incompatible with the
condition to be treated
◉ D.O. physicians. Answer: - osteopathic medicine: theory that the
body can make its own remedies, given normal structural
relationships, environmental conditions, and nutrition
