Concepts And Trends In Healthcare

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Holism

Back 1

viewing a person's health as a balance of body, mind, and spirit

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Health

Back 2

a state of complete physical, mental and social well being and not merely the absence of disease and infirmity

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Wellness

Back 3

A state of being-good physical self care,prevention of illness and injury, and achieving one's potential

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disease

Back 4

pathological condition of the body that presents with clinical signs and symptoms and change in labs values

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etiology

Back 5

cause of disease

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incidence

Back 6

frequency of a particular disease in a specific population during a specific period

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morbidity

Back 7

number of sick persons with a particular disease in a specific population

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mortality

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death rate or the ratio of th number of deaths for a specific population

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pathophysiology

Back 9

study of how disease alters normal physiologic processes

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prevalence

Back 10

the number of cases of a disease in a specific population during a specific period

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Primary prevention

Back 11

prevention of the development of disease in a susceptible population, includes health promotion and immunization

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Secondary prevention

Back 12

Early diagnosis and treatment to shorten duration and severity of an illness, reduce contagion and limit complications

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sign

Back 13

objective manifestation of a disease, can be seen, heard, measured or felt

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symptom

Back 14

subjective manifestation of a disease or illness,what the client relates is happening

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tertiary prevention

Back 15

healthcare to limit the degree of disability or promote rehabilitation in chronic, irreversible diseases

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illness prevention

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identifying risk factors such as a family history of HTN or diabetes and assisting clients to reduce the effects of risk factors

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primary care

Back 17

first resource person or agency that clients contact aabout a health need

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secondary care

Back 18

referrals to facilities for additinal testing such as cardiac catheterization,consultation and diagnosis

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tertiary care

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provided in hospitals where specilaists and complex technology are available

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Medicare part A

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covers acute hospital care, rehabiliative care,hospice and home care service,requires participants to pay a deductible of $840 for hospitalization

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medicare part B

Back 21

Covers physician services, outpatient hospital care, laboratory tests,durable medical equipment,and other selected services requires an annual $100 deductible and monthly payment of $58.70

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prospective payment system(PPS)

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financial incentives to decrease total carges by reimbursing on a fixed rate basis.

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diagnosis related group(DRG)

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Medicare reimburses predetermined amounts to hospitals based on the drg in which the client's condition falls

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Managed care organization(MCO)

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insurers who carefully plan and closely supervise the distribution of healthcare services

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HMO and PPO

Back 25

two most common typers of manged care systems

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Health Maintenance Organization(HMO)

Back 26

group insurance plans in which each participant pays a preset, fixed fee in exhange of preventive health care services

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capitation

Back 27

financial stability of hmo is based on their ability to keep their members healthy thru periodic screening

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Preferred Provider Organization(PPO)

Back 28

a community network of providers who are willing to discount their fees for service in exchange for a steady supply of referred customers