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HSA 452 Exam 1 Study Guide With Complete Solutions

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HSA 452 Exam 1 Study Guide With Complete Solutions...

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HSA 452 Exam 1 Study Guide With
Complete Solutions

when and why did hospitals develop into medicalized institutions rather than
religious spaces? - ANSWER in the 1700s cities established institutions for
people with contagious diseases (a pesthouse for a disease, an almshouse for
one who could not take care of themselves)
-these had terrible conditions, but these early hospitals reflected American
concepts of charity and public responsibility by providing for society's most
vulnerable populations

when, where, and why did large hospitals come into play? - ANSWER in the
1800s
physicians founded hospitals to protect the well from the sick and "insane" and
to provide a centrally located "practice" / teaching sites

what was the role of hospitals in the mid 1700s? - ANSWER cities established
institutions (isolation hospitals) for people with contagious disease

where was the first US hospital to treat medical conditions rather than serve as
an almshouse? who founded it? - ANSWER philadelphia pennsylvania:
Pennsylvania Hospital, founded in 1751

who was the Pennsylvania Hospital, founded in 1751, founded by? - ANSWER
Benjamin Franklin was an instrumental person.

in the 19th century, who did hospitals serve? and why? - ANSWER -only the
socially marginal, poor, or isolated received medical care in institutions in the
US because there was a greater social responsibility to take care of the poor

what did the rich do when they fell ill? - ANSWER they would receive care at
home and be taken care of by family or have at home visits

what three things happened late in the nineteenth century that resulted in a
gradual shift toward the professionalization of healthcare practices that
eventually included development of a full and competitive market for medical
services that increasingly took place at hospitals? - ANSWER -as society
became increasingly industrialized and mobile and as medical practices grew in

, their sophistication and complexity, the notion that responsible families and
caring communities took care of their own become more difficult to apply

in the early 1900s, what four groups primarily ran hospitals? which did it for
profits? - ANSWER -privately supported voluntary hospitals, managed by lay
trustees, funded by public subscriptions, bequests, philanthropic donations
-catholic sisters, brothers were the owner, nurses and administrators of catholic
institution

what are the four major characteristics of the 1980s? - ANSWER 1) growth of
for-profit hospital networks
2) for-profit and no-for-profit institutions began forming larger hospital systems
3) system was a corporate entity that owned and operated more hospitals
4) DRGs --> Diagnosis Related Groups

when did hospitals transform into expensive, modern hospitals of science and
technology serving increasing numbers of paying middle-class patients;
therefore, increasing financial pressures and competition? - ANSWER - there
were significant economic disparities in the south and west; less capital was
available for private philanthropy which hindered the creation of voluntary
hospitals and they mainly relied on religious hospital institutions
- there was a census performed to assess hospital care and it showed that most
of the funding was allocated to the northeast and suggested and heightened the
need for public support of hospital care

what was the defining characteristic of hospitals from 1865 to 1925? - ANSWER
the way the power of science increasingly affected hospital decisions

what happened to demand after WWII? - ANSWER -there was a huge surge of
demand
-this resulted in the hill burton act in 1947

what did the hill-burton act do? when? - ANSWER 1947-1975
it provided federal financial assistance for the planning, construction, and
improvement of healthcare facilities. facilities receiving funding were required
to provide a reasonable volume of free care each year for those residents of the
affected area who required care but were unable to pay

when did medicare and medicaid begin providing money for the care of the aged
and the poor? - ANSWER medicare (65+) and medicaid (poor) were established
in 1965 and provide money for the care of the aged and the poor

during the 1970s what was the critical utilization shift? - ANSWER -the number of
beds in federal, psychiatric, tuberculosis, other long-term care facilities and
community hospitals increased their bed capacity by 32.7%

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