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Delivering healthcare in America_ Chapter 7.

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Delivering healthcare in America_ Chapter 7.

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1. Ambulatory Care con- - diagnostic and therapeutic services and treatments
stitutes ing" (ambulatory) patient
- the term can be used synonymously with "communi
- the geographic location of ambulatory services is in
purpose of serving the surrounding community, provid
and easy accessibility

2. Outpatient Care - outpatient and ambulatory care used interchangeab
- outpatient is more comprehensive
- outpatient services do not require overnight inpatien

3. Ambulatory Care - care rendered to patients who come to the: physicia
outpatient surgery
- mobile diagnostics units and home health take serv

- volume of outpatient services
There has been ex-
- emergence of new types of settings
traordinary growth in
- type and ownership of non-hospital based facilities o
the.
care


decline

Hospital inpatient ser-
vices continues to... an essential, no longer a supplemental, service line


executives see ambu-
latory care as...

4. Reasons for growth of - changes in reimbursement
ambulatory care - development of new technology
- utilization controls



, - social factors


- financial incentives to reimburse for outpatient care
Changes in reimburse-
- patients favoring outpatient services
ment
- less invasive procedures
- surgical procedures less traumatic
Development of New - shorter-acting anesthetics
Technology - faster recovery time

- inpatient hospital stay has been strongly discourage
- prior authorization (pre-certification) required, -minim

Utilization controls

5. Emergent Care (5%)
A condition requiring immediate medical attention wh
would be potentially threatening to life or function

6. Most common diagno- Chronic (Hypertension, Joint problems, and diabetes)
sis groups seen by am-
bulatory care

7. Most common catego- Diseases of the respiratory system.
ry of diseases seen by -Renal dialysis
ambulatory care: -Chemotherapy

8. Most common type of 60% are primary care visits
office visits

9. Primary care is known The foundation for ambulatory health services.
as: But, not all ambulatory care is primary care.

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