What is concierge medicine? - CORRECT ANSWER✅✅Concierge medicine is a relationship between a
patient and a primary care physician in which the patient pays an annual fee or retainer. In exchange,
the physician provides enhanced care.
Alternative terms:
Direct care
Boutique medicine
Retainer-based medicine
Innovative medical practice design
Started in 1990's on West Coast (with a desire to reestahblish the relationship of patient to family
doctors)
What type of conditions do urgent care clinics treat? Who are the providers? Who do they serve? What
are the operational challenges? - CORRECT ANSWER✅✅-Conditions
*injuries
*musculoskeletal
*respiratory
*Ill-defined (dysuria)
*nervous system (migraine/eye pain)
*skin (cellulitis/abscess/poison ivy)
*genitourinary system (UTIs/hematuria)
*Inf/parasitic diseases (cholitis/strep throat)
*digestive (constipation/gastritis/ulcer)
*circulatory (bleeding/DVT/hypertension)
-Providers
*staffed primarily with physicians trained in family practice, emergency medicine or occupational
medicine
-Operational Challenges
, *Resistance of PCPS
*Concerns over poor financial performance
*staffing issue
*perceived "newness" of business model
What are retail clinics? - CORRECT ANSWER✅✅Retail clinics are limited scope healthcare delivery sites
located in retail setting and staffed by mid-level providers.
-Has registered nurse practitioners or physical assistants (no physician)
-Offer convenient and fast care
Long-term continuum - CORRECT ANSWER✅✅
Who uses long-term services? - CORRECT ANSWER✅✅Older adults (60-65%) Children and adolescents
Those needing high-tech care/specialized care
Physical and mental limitations
What challenges does long-term support and services present? - CORRECT ANSWER✅✅
How does patient acuity level impact placement within the continuum? - CORRECT ANSWER✅✅Acuity
and complexity INCREASE from one end of the contiuum to the other.
What are the other factors that impact patient's placement within the long term care continuum? (4
total) - CORRECT ANSWER✅✅Placement is determiend by availability of services, extent of disability,
ability to pay, and patient preferences.
Who are informal caregivers? - CORRECT ANSWER✅✅Not organized, most of the care is unpaid. Not
financed by insurance or public programs. Delivered by family, friends, etc. Mostly basic care. Enables
people to live INDEPENDENTLY. Community based services can fill in.
What is community based care? - CORRECT ANSWER✅✅Services are obtained from various health care
agencies.