IHOP Exam 1 | Complete Exam Questions and
CORRECT Answers| (2025 update) Assured
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Terms in this set (249)
Characteristics of a Structures, Processes, Connections, Inputs & Outputs
System
To Enable all citizens to receive health care services
Objectives of a Healthcare
and to deliver services that are cost-effective and
System
meet established standards of quality
Education/research, suppliers, insurers, health care
Structures in a Healthcare
administrators, providers (individuals, facilities),
System
payers, government, patients
Spreading of risk, health insurance in America
Insurance
provides access to care
Processes in Health care & Financing -> Insurance -> Payment -> Delivery
connections
the trend of health care in someone's life, i.e..
Continuum of care
preventative care - specialty care
We must choose one of two goods with the exclusion
of the other. This is an ethical dilemma in health care,
Harrison JAMA Paper 1974
trade off of expensive care for few, or inexpensive
care for many.
, No central agency governs the system, imperfect
Unique Aspects of market and non-universal access, third party insurers
American Health Care and multiple payers, balance of power among many
System stake holders, practice of defensive medicine, love of
technology
determine reimbursement rates to providers who
US Government role in render Medicare or Medicaid, major financer,
health care regulates through licensing personnel and health care
establishments
Americans Coverage Type 14% uninsured, 32% public insurance, 54% private
2013 insurance
Private Coverage Type Employer is 91%, Self 9%
Public Coverage Type 6% other, 48% Medicaid, 46% Medicare
They cannot afford to pay out of pocket, unemployed,
Why are people uninsured not required to buy insurance, employers do not offer
insurance
have health insurance via employer, covered by
government, can afford own insurance, can pay at
Access to care in US is
time of service. Many providers do not accept
Limited to those
Medicaid, issues with getting care due to
transportation etc.
Developed nations ensure care for all citizens
Otto von bismark invented it in the 19th century,
financed by sickness funds (non profit), provided by
Bismark model
private doctors, can opt out, but funds must cover
everyone, tight government regulations
The Out-Of-Pocket Model The norm in most poor nations
National Health Insurance Government Insurance that everyone pays into like in
Model Canada
Named after William Beveridge, system provided and
Beveridge Model
financed by government like in Great Britain
CORRECT Answers| (2025 update) Assured
success| grade A+
Save
Terms in this set (249)
Characteristics of a Structures, Processes, Connections, Inputs & Outputs
System
To Enable all citizens to receive health care services
Objectives of a Healthcare
and to deliver services that are cost-effective and
System
meet established standards of quality
Education/research, suppliers, insurers, health care
Structures in a Healthcare
administrators, providers (individuals, facilities),
System
payers, government, patients
Spreading of risk, health insurance in America
Insurance
provides access to care
Processes in Health care & Financing -> Insurance -> Payment -> Delivery
connections
the trend of health care in someone's life, i.e..
Continuum of care
preventative care - specialty care
We must choose one of two goods with the exclusion
of the other. This is an ethical dilemma in health care,
Harrison JAMA Paper 1974
trade off of expensive care for few, or inexpensive
care for many.
, No central agency governs the system, imperfect
Unique Aspects of market and non-universal access, third party insurers
American Health Care and multiple payers, balance of power among many
System stake holders, practice of defensive medicine, love of
technology
determine reimbursement rates to providers who
US Government role in render Medicare or Medicaid, major financer,
health care regulates through licensing personnel and health care
establishments
Americans Coverage Type 14% uninsured, 32% public insurance, 54% private
2013 insurance
Private Coverage Type Employer is 91%, Self 9%
Public Coverage Type 6% other, 48% Medicaid, 46% Medicare
They cannot afford to pay out of pocket, unemployed,
Why are people uninsured not required to buy insurance, employers do not offer
insurance
have health insurance via employer, covered by
government, can afford own insurance, can pay at
Access to care in US is
time of service. Many providers do not accept
Limited to those
Medicaid, issues with getting care due to
transportation etc.
Developed nations ensure care for all citizens
Otto von bismark invented it in the 19th century,
financed by sickness funds (non profit), provided by
Bismark model
private doctors, can opt out, but funds must cover
everyone, tight government regulations
The Out-Of-Pocket Model The norm in most poor nations
National Health Insurance Government Insurance that everyone pays into like in
Model Canada
Named after William Beveridge, system provided and
Beveridge Model
financed by government like in Great Britain
