HCM 2110 Final Exam questions with correct answers

HCM 2110 Final Exam questions with correct
answers

medicare and medicaid - answer-medicare: v v v v


-one of the largest sources of PH insurance in the US
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-servicing the elderly the disabled, and those with end-stage renal disease.
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-offers coverage for hospital care, post discharge nursing care, hospice, outpatient
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vservices, and prescription drugs v v v


medicaid
-the third largest source of health insurance in the US insuring approximately 19% of the
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vUS population and providing coverage for low-incoming adults, children, the elderly, and
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vthe disabled
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-significantly expanded under the ACA v v v v




social and market justices - answer-social
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-emphasizes the well-being the community over that of the individual v v v v v v v v v


-a distribution principle according to which health care is most equitably distributed by a
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vgovernment-run national health care program v v v v


market
-places the responsibility for the fair distribution of health care on the market forces in a
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vfree economy
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-a distributional principle according to which health care is most equitably distributed
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vthrough the market forces of supply and demand rather than government interventions
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social justice vs market justice - answer--social: health care is a social good, the
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vdistribution of healthcare is society's responsibility, requires active government
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vinvolvement in health service delivery, medical resource allocation is determined by
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vcentral planning, access to medical service is a basic right, collective responsibility for
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vhealth.
-market: health care is an economic good, governed by free market forces, individual
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vresponsibility for health. v v v


-just: fair distribution of health care to the market forces in a free economy, medical care
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vdistribution is based on people's ability to pay, access to medical service is an economic
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vreward. v


-unjust: gov. involvement in the distribution of health care, medical care allocation is
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vdetermined by central planning v v v




physical view, social view - answer--physical: define health as the absence of illness or
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disease. the perspective emphasize diagnosis and intervention to treat disease or
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symptoms. optimal health exists when a person is free of symptoms and does not
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require treatment. delivery of health care that places its primary emphasis on the
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, vtreatment of disease and relief of symptoms instead of prevention of disease and
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vpromotion of optimal health v v v


-social: medical sociologists define health as the state of optimal capacity of an
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vindividual to perform expected social roles and tasks
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organized medicine - answer-control over medical training, powerful political interest
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group, support of licensing laws, opposition to national health insurance proposals, and
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support of private entrepreneurship in medical practice.
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corporatization - answer-the ways in which health care delivery in the US has become
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the domain of large organizations. MCO is a middle man between providers and
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patients. Since the 1990s, more Americans are part of MCOs, and MCOs are using
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purchasing controls on the rising cost of health care, therefore, provider groups have
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developed integrated delivery systems to counteract the imbalance.
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osteopathic medicine - answer-a medical philosophy based on the holistic approach to
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treatment that also emphasizes correction of the position of the joints or tissues and diet
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and environment as factors that might destroy natural resistance.
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specialty care vs primary care - answer-specialty
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-if needed, requires referral, episodic, disease or organ specific, training in hospitals
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vusing advanced technologies, focused, intense, curative treatment
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primary
-first contact, gatekeeper, longitudinal, person as a whole, training in ambulatory care
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vsettings for various conditions, preventative services
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clinical information systems - answer-IT applications that support patient care delivery,
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collects and stores medical, nursing clinical areas, and therapy department information
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related to patient care.
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technological imperative - answer-the desire to have state-of-the-art technology
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vavailable and to use it despite its cost
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HIPAA - answer--Health Insurance Portability and Accountability Act
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-addresses access to and transfer of personal medical information
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-legitimate use of info for care delivery, operations, reimbursement. patients have a right
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vto inspect, obtain copies, request corrections, or restrict use of their info.
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The government's (FDA) role in technology diffusion - answer--federal legislation has
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vbeen aimed mainly at addressing concerns related to safety, benefits, and risks
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vassociated with medical technology v v v


-the Gov. also plays a role in funding research and development.
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-the FDA is responsible for ensuring that drugs and medical devices are safe and
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veffective for their intended use v v v v


-the FDA regulates drugs, devices, and biologics.
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