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34 Cards in this Set

  • Front
  • Back
Mangaed care
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
Health maintenance organization
Preferred provider organization
person who obtains health insurances; subscribers or beneficiaries
financed by the military, and covers families, dependents or retired mil
or imperfect market; system that does not meet the basic tests of free market. EX US health care
Item-based pricing
the cost of ancillary services that often accompany major procedures such as surgery
Market justice
places the responsiblity for the fair distribution of H.C. on the market forces in a free economy
Social justice
emphasizes the well-being of the community over the individual
consists of a set of interrelated and interdependent components designed to achieve some common goals
System stucture
health care structure that entails outcome, resources, and processes
System processes
how patients are rendered care
system outcomes
the critical issues and concerns surrounding what the health services system has been able to accomplish, or not accomplish, in relation to the objective
system outlooks
a dynamic health care system must look foward and antcipate social, cultural, and economic changes
medical model
presupposes the esistence of illness or disease; emphasizes the clinical diagnosis nad medical intervention
Health care delivery
the delivery of medical care or illness care
the World Health Organization
the absence of illness or disease
Holistic medicine
treats the whole person and incorporates alternative therapies
holistic health
incorporates physical, mental, social and spiritual aspects
Acute conditions
relatively sever, episodic and often treatable
subactue conditions
some acute featrues, postacute treatment after discharge
chronic conditions
less severe, but long and continuous. can be controlled, but can lead to serious complications
Quality of life
overall satisfaction with life during and following a person's encounter with the health care delivery system
planned rationing
government limits the supply of health care services, particulary those beyond the basic level of care
or poorhouse, the predecessor of today's hospitals, existed in almost all cities of moderate size and were run by the local government
John Hopkins
leader in medical education reform, pioneer in many areas by having a graduate training program
Flexner REport
widely acclaimed report published by Abraham Flexner; based on an inspection of medical schools
American Medical Association, help galvanized the profession and protected the interest of physicians
Blue Cross plans
non-profit, no shareholders. plans sponsored by groups of hospitals
Blue shield plans
designed to pay physicain fees. Medical profession protected its own financial interests
Medicare Part A
designed to use Social Securtiy funds to finace hospital bills
Medicare Part B
designed to cover physicians' bills, through government-subsidized insurance
intened to cover the eligible poor