NUR 4837 Healthcare Policy and Finance FINAL Exam Solution Guide

NUR 4837 Healthcare Policy and Finance FINAL Exam Solution Guide Including general internists and general pediatricians, what does the total supply of generalist amount to in the United States? How does this number compare with the UK? the total supply of generalists (including internists and pediatricians) amounts to 1/3 (33%) of all physicians in the US. In the UK it is about 50%. What is one action taken to fill the primary care gap in the United States? - Some physicians at the secondary and tertiary care levels have also acted as PCPs for their patients. Who is more likely to work in primary care settings than physicians? - Nurse practitioners and physicians assistants Who is the Care Coordinator and "Gatekeeper"? - The primary care provider is the gatekeeper Example: Polly sees a nurse practitioner who discovers that the reason she is vomiting is due to the medication she is taking. The NP consults with the oncologist to change her medication/prescription Stories such as Polly's demonstrate the importance of having a generalist care coordinator who can advocate on behalf of his or her patients and work in partnership with patients to integrate an array of services involving multiple providers to avoid duplication of services, enhance patient safety, and care for the whole person. What are the forces driving healthcare in the U.S.? Biomedical model among medical educators - Financial incentive for physician specialization and hospital expansion - Professionalism- acting in patient's best interest Who benefits from Medicare? Medicare is for the elderly Part A of Medicare Hospital insurance plan for the elderly financed largely through social security taxes from employers and employees Part B of Medicare Insures the elderly for physician services and is paid for by federal taxes and monthly premiums from the beneficiaries