Chapter 1 Health Care Systems Mod 1

Front 1

Ambulatory Care

Back 1

Medical care that is provided on an outpatient basis

Front 2

Capitation

Back 2

A set payment provided by manage care insurance per pt per month regardless of the amount of service the patient receives

Front 3

Empirically

Back 3

Learned from observation or experiment

Front 4

Fee-for-service

Back 4

A means of payment for health care in which each service provided is reimbursed in full or in part

Front 5

Formulary

Back 5

A list of prescription drugs covered or preferred by a managed care insurance company

Front 6

Health Insurance

Back 6

Purchase of protection for covered services related to health care

Front 7

Holistic

Back 7

Considering the whole; in medicine, considering the entire person when providing health care

Front 8

Managed Care

Back 8

A system that manages the delivery of health care with the intention of controlling costs

Front 9

Palliative

Back 9

Therapy that reduces the effects of disease or condition but does not remove the disease itself

Front 10

Residency

Back 10

A program to provide training in a medical specialty to a physician who has finished medical school

Front 11

Symptomatic Treatment

Back 11

Therapy for symptoms of a disease or condition that does not remove the disease itself

Front 12

Utilization Review

Back 12

Assessing medical services to determine wheater they are appropriate, necessary, and of high quality

Front 13

The shift from hospital-based to community-based health care

Back 13

1. reduce costs of health care
2. outpatient care reduces hospitalization costs
3. people feel better if they can avoid hospitalization
4. modern hospitals primarily provide acute care & diagnostic services