Hcm Vocab Ch.1-3

Front 1

Mangaed care

Back 1

a system of health care delivery that: seeks to achieve efficiency by integrating the basic functions of h.c. delievery, employs mechanisms to control, and determines the price at which the services are purchased and how much to pay providers

Front 2

HMO

Back 2

Health maintenance organization

Front 3

PPO

Back 3

Preferred provider organization

Front 4

Enrollee

Back 4

person who obtains health insurances; subscribers or beneficiaries

Front 5

TRICARE

Back 5

financed by the military, and covers families, dependents or retired mil

Front 6

Quasi-market

Back 6

or imperfect market; system that does not meet the basic tests of free market. EX US health care

Front 7

Item-based pricing

Back 7

the cost of ancillary services that often accompany major procedures such as surgery

Front 8

Market justice

Back 8

places the responsiblity for the fair distribution of H.C. on the market forces in a free economy

Front 9

Social justice

Back 9

emphasizes the well-being of the community over the individual

Front 10

System

Back 10

consists of a set of interrelated and interdependent components designed to achieve some common goals

Front 11

System stucture

Back 11

health care structure that entails outcome, resources, and processes

Front 12

System processes

Back 12

how patients are rendered care

Front 13

system outcomes

Back 13

the critical issues and concerns surrounding what the health services system has been able to accomplish, or not accomplish, in relation to the objective

Front 14

system outlooks

Back 14

a dynamic health care system must look foward and antcipate social, cultural, and economic changes

Front 15

medical model

Back 15

presupposes the esistence of illness or disease; emphasizes the clinical diagnosis nad medical intervention

Front 16

Health care delivery

Back 16

the delivery of medical care or illness care

Front 17

WHO

Back 17

the World Health Organization

Front 18

Health

Back 18

the absence of illness or disease

Front 19

Holistic medicine

Back 19

treats the whole person and incorporates alternative therapies

Front 20

holistic health

Back 20

incorporates physical, mental, social and spiritual aspects

Front 21

Acute conditions

Back 21

relatively sever, episodic and often treatable

Front 22

subactue conditions

Back 22

some acute featrues, postacute treatment after discharge

Front 23

chronic conditions

Back 23

less severe, but long and continuous. can be controlled, but can lead to serious complications

Front 24

Quality of life

Back 24

overall satisfaction with life during and following a person's encounter with the health care delivery system

Front 25

planned rationing

Back 25

government limits the supply of health care services, particulary those beyond the basic level of care

Front 26

Almshouse

Back 26

or poorhouse, the predecessor of today's hospitals, existed in almost all cities of moderate size and were run by the local government

Front 27

John Hopkins

Back 27

leader in medical education reform, pioneer in many areas by having a graduate training program

Front 28

Flexner REport

Back 28

widely acclaimed report published by Abraham Flexner; based on an inspection of medical schools

Front 29

AMA

Back 29

American Medical Association, help galvanized the profession and protected the interest of physicians

Front 30

Blue Cross plans

Back 30

non-profit, no shareholders. plans sponsored by groups of hospitals

Front 31

Blue shield plans

Back 31

designed to pay physicain fees. Medical profession protected its own financial interests

Front 32

Medicare Part A

Back 32

designed to use Social Securtiy funds to finace hospital bills

Front 33

Medicare Part B

Back 33

designed to cover physicians' bills, through government-subsidized insurance

Front 34

Medicaid

Back 34

intened to cover the eligible poor