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List the primary objectives of the US healthcare system. - answer- 1. enable all citizens
to obtain needed healthcare
2. Ensure services are cost effective and meet standards of quality
Quad-function model of the US healthcare system - answer- 1. Financing
2. Insurance
3. Payment
4. Delivery
National Health Insurance - answer- Government finances care through taxes, but care
is through private practice
EX: Canada
National Health System - answer- Care is supported through taxes but the government
is also responsible for delivery and infrastructure
EX: UK
Socialized Health Insurance - answer- Financed through government mandated
contributions by employers and delivered by providers
EX: Germany
Public Health: - answer- A wide variety of activities undertaken by state and local
governments to promote optimal health for society as a whole
Private Practice - answer-
Organize medicine: - answer- concerted activities of physicians, mainly to protect their
own interests, through associations such as the American Medical Association
Defensive Medicine: - answer- excessive medical tests and procedures performed as
protection against malpractice law suits, otherwise regarded as unnecessary
, Two Types of Physicians: - answer- MD: Doctor of Medicine
DO: Doctor of Osteopathic Medicine
MD - answer- allopathic medicine: medicine is an active intervention
specialists: non-primary care
DO - answer- Emphasizes musculoskeletal system, correction of joints and tissues,
holistic health
generalists: primary care
Allied health professionals - answer- -techs, assistants, therapists, technologists
-certificate or degree in science related to health field
Nurses (RN, LPN, APN) - answer- -largest group of HCP
many different types/sub groups
Registered Nurse (RN): - answer- Associates or BA in nursing
Licensed Practical Nurse (LPN): - answer- State-approved program and national written
exam
Advanced Practice Nurse (APN): - answer- Nurses who have classifications beyond
those of an RN
ex: CNS, CRNA, NP, CNM
non-physician practitioner (NPP): - answer- -Can provide a large portion of care
-PAs
-NPs
National Practitioner Data Bank - answer- tracks physicians malpractice and peer
review records
What are third-party payers - answer- Insurance companies, Managed care
organizations, Government
Prospective Payment - answer- A bundled payment decided upon before the services
are delivered