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49 Cards in this Set
- Front
- Back
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What are the 3 major issues in health care
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Cost, Acess, and Quality
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What are barriers to acess of health care
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Financial, nonfinancial, such as location, gender and race
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What is quality of health care
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perspective dependent
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What are the elements that measure quality
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sturcture, process and outcomes
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Are cost, acess and quality all releated in HC, and call we have all 3
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depends on perspective
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What are 3 levels of care
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Primary, seocndary and tertiary care
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What is primary care
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involves common health problems and preventive care
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What are examples of primary care provides
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general practice, internal medicine, family and COMMUNITY pharmacists
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What is secondary care
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specialzied care that requires specific clinical expertise and technology
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What are examples of seoncdary care providers
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medical specialist and clincial pharmacy services
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What is teritary care
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involes the management of rare and complex disorders
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What are examples of teriary care
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trasplantation centers, drug info centers
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What are ambulatory care providesrs
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outpatient services (come in and then leave)
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What ways are increasing the use of ambulatory care services reducing health care cost
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focusing on perventive methods,
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What are 3 dominat mdoels of ambulatry care providers
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1. Private physicans
2. Hospital Based 3. Organized setting |
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Why are private physcian almost non-existant
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b/c of managed care
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Solo office practices, is an example of private physican, there are also group practices which are defined as
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private practices, which 3 or more providers
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Are group practices typically all primary care or horizontal
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YES
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What are examples of hospital base
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community health centers and hospitals and clincis, and ER services
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What type of care do community health care centers typically provide
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primary care
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What is an example of an organzied setting
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abuluatory care clinics and , same day surgery centers
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What are chain pharmacises
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4 or more pharmacies under the same management
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What is one of the fasters ambulatory pharamcy services
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mail order pharmacies
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What tpye of pharmacy servies are cost leaders
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grocery-chain parmacies
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What is benfit of mangaed care pharmacies
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Kaiser---effective method for controlling Rx drug expenses b/c direct relationship between doc's and pharmacists
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Hospitals (the biggest in health care) focus have been on acute care, developed primarily as
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regligious and charitable organizations
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Types of hospitals are based on what classification schemes
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Length of stay
Predominat type of service provided, Ownsership |
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What is length of stay determine
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<30 (short-term)
>30 long term |
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What are examples of predominat type of service
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genral hospital, children's and maternity
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What are types of ownership for hospital
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goverment or public, private for profit, and private non-profit
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What is ownership of Public hospitcals
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governement (federal, state or local)
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What are federal hospitals for
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speical beneficaries
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What are state shopitals for
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limited to operation of mental and TB hospitals
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Do smaller city or county owned hospitals have medical staff consists of private physicans, and who do they serve
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both paying and indigent patients
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What do larger urban public hospitals (Denver health) serve
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medically indigent and inner city residersts
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Do larger ubran public hospitals play an important role in medical education
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YES
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Who owns a NOT for profit hospital
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community or regligous organization
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Who owns private hosptials for profit
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investor owned
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Can Academic medicaial centers be both teritary care center, and a primary care center
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YES
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What is horizontal integration
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coordination of services that are the same stae of patient patient
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What is an example of horizontal integration
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merger of several hospitals
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What is vertical integration
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organizing the "production" of patient care --coordinates primary, secondary, and teritary
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What are 2 major approaches for payment of hospital services
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Retorspecitve payment
Prospective Payment |
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What is retrospective payment
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paymetns are set after services are provided--the hospital determines charges
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What is most importatn revolution in hospital payment
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prospective payment services
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Why did prospective payment services begin
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result of teh Tax equity and Fiscal Responsbility act of 1982
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What are payments base on
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Diganosis related group
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What is largest coodinate sysyem of health and LTC services
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VA
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What is pharmacist role in LTC
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mamdated due to 1974 federal requirements of Drug reigimen review, at least every month
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