Shaping Health Care (Test 3)

Front 1

NAME
this is the largest and most powerful employer in the USA--emplpying 3% of the total labor in the USA

Back 1

US health care industry

Front 2

Why will the health care sector in the USA cont to grow? (2)

Back 2

(1)growth in pop (2)aging of pop

Front 3

NAME
the growth of the population and the aging pop--has caused this

Back 3

the health care industry to grow

Front 4

NAME
this includes therpaists, labatory and radiologly techinicians, social workers and health educators

Back 4

allided health proffesionasl

Front 5

What are allied health proffesionals? (4)

Back 5

(1)therpaists (2)lab and radioology technicians (3)socail workers (4)health educators

Front 6

The majority of health proffesional are employed by (1)

Back 6

hosptials

Front 7

Pop growth and the aging of the pop enhance the demand for (1)

Back 7

health services

Front 8

NAME
this is characterized by a imbalance btwn primary and speciality care services

Back 8

US health care system

Front 9

How is the US health care system imbalanced?

Back 9

by we have more speciality care serivces than primary care services

Front 10

NAME
thier role are evulating a patient's health condition, diagonosing abnormatilies, and prescribing treatment

Back 10

physicians

Front 11

All states require doctors to be(1)

Back 11

licensed

Front 12

What does a MD stand for?

Back 12

doctor of medicine

Front 13

What are two kinds of graduate degrees can doctors have?

Back 13

DO and MD

Front 14

NAME
they can either be awarded a MD or OD from acredited school

Back 14

doctors

Front 15

What does Do stand for?

Back 15

doctor of osteopathic medicine

Front 16

NAME
this is a graduate medical education in a speciality that takes the form of paid on job training, usally in a hosptial

Back 16

residency

Front 17

How do MDs and DOs differ?

Back 17

(1)DOs stress preventive medicine such as diet and the environment as factors that might infleunce natural resistance and practice ostepathic medicine which emphazes muscuoskeletal system of the body(2)MDs are trained in allopathic medicine, which views medical treatment as active intervention to produce a coutneracting reaction in a attempt to neturalize the effects of a disease

Front 18

NAME
they stress preventive medicine such as diet and the environment as factors that might influence natural resistance and practice ostepathic medicine which emphazes muscuoskeletal system of the body

Back 18

DOs

Front 19

NAME
they are trained in allopathic medicine, which views medical treatment as active intervention to produce a coutneracting reaction in attempt to neturalize the affects of a disease

Back 19

MDs

Front 20

How are MDs and DOs similar?

Back 20

by both of them might pratice preventive medicine

Front 21

About one third of MDs and half of DOs are (1)

Back 21

generalists

Front 22

Most DOs are (1)

Back 22

generalists

Front 23

Most (1)are generalists

Back 23

DOs

Front 24

Most MDs are (1)

Back 24

specialists

Front 25

Most (1) are specialists

Back 25

MDs

Front 26

NAME
this refers to physicans in nonprimary care speciliates

Back 26

specialists

Front 27

What are specialists?

Back 27

refers to doctors in nonprimary care specialits

Front 28

What are the (5) main differ btwn primary and speciliaty care?

Back 28

(1)primary care - is the first contact care where as speciality care generally follow primary care (2)primary care doctors serve as gatekeepers and specility care requires a referal from primary care (3)primary care is longitudinal (meaning includes various differ activites and speciliaty care is epiisodic and thus more focused and intense (4)primary care focses on the person as a whole and speciliaty care centers on focuses on a the specifc diseases and organ systems involded (5)primary care doctor's spend a lot of time in ambulatory care settings and are exposed to a variety of problems and conditions and speciality care doctor's spend a lot of time in inpatient hopstials w the state of the art medical techonology

Front 29

NAME
this is regarded as the portal of the health care system

Back 29

primary care

Front 30

Generally (1)follows (2)care

Back 30

(1)speciality care (2)primary

Front 31

NAME
this type of care is longtiudinal meaning --there are a variety of activies such as intial digoniss, treatment, referal, consulution, monitoring, and follow up

Back 31

primary care

Front 32

NAME
this type of care serves as the gate keeper, playing a important role in controlling costs, utilizations, and the rational allocation of resources

Back 32

primary care

Front 33

NAME
this requires a referal from a primary care doctor

Back 33

specialty care

Front 34

What is comorbidity?

Back 34

refers to when patients have multiple problems

Front 35

NAME
this refers to when patients ahve multiple problems

Back 35

comorbidity

Front 36

NAME
this type of care focuses on the whole patient

Back 36

primary

Front 37

NAME
this type of care tends to be limted to epsiodes of the illness, specific organ systems or the disease process invovled

Back 37

speciality care

Front 38

NAME
This type of care is episodic and thus is mroe focused and intesne

Back 38

speciality care

Front 39

NAME
people trained in this type of care, spend a lot of time in ambulatory settings and exposed to a varity of conditions and problems

Back 39

primary care

Front 40

NAME
people train in this type of care, spend a lot of time in inpatient hosptials where they are exposed to the state of the art techonology

Back 40

speciliaty care

Front 41

Most doctors are (1)based practioners

Back 41

office

Front 42

In the US, there is a increase in the number of (1)

Back 42

doctors

Front 43

What is bad about a surplus of doctors?

Back 43

leads to uneccesary increases in health care expenditures

Front 44

NAME
a surplus of this can cause a increase in health care expenditures

Back 44

docotors

Front 45

T or F
there is still a shortage of docotors in some areas

Back 45

true

Front 46

NAME
this refers to either a surplus or shortage of the tyoe of doctors needed to maintian the health status of a give pop at a optimum level

Back 46

maldistricbution

Front 47

Where are doctors most likely to work/concentrated?

Back 47

metroplatian and suburban areas bc the living standards are better

Front 48

The health care in the US is moving toward the (1) model

Back 48

managed care

Front 49

What is managed care model?

Back 49

which reduces the demand for dr. services particular specilists

Front 50

NAME
this refers to a reduced demand for doctors services particular specilists

Back 50

managed care model

Front 51

What is the most major force behind the increased # of doctors?

Back 51

medical techonology

Front 52

What are students attracted to becoming speacilists instead of generalists? (3)

Back 52

bc specialists (1)get paid more (2)enjoy a higher prestiage amoung the collegures and the public (3)enjoy more predictable work hours

Front 53

NAME
this has contributed to the high vol of intensive, expensive, and invasive medical services

Back 53

to many specialists

Front 54

To many specialists have contributed to the (1)

Back 54

the high vol of intensive, epensive, and invasive medical services

Front 55

Having higher numbers of (1) is associated w lower ovarall mortality and lower death rates resulting from cancer and heart disease

Back 55

primary care proffesionasl

Front 56

Having higer numbers of primary care proffesionals is associated w (1)

Back 56

lower overall mortaility and lower death rates resulting from cancer and heart disease

Front 57

T o F
all dentist do not have to be lisciend to pratice

Back 57

false

Front 58

What is DDS stand for?

Back 58

doctor of dental surgery

Front 59

What does DMD stand for?

Back 59

doctor of dental medicine

Front 60

What kind of degrees can dentists get from dental school?

Back 60

(1)DDS (2)DMD

Front 61

How many speciality areas are recognized by the AMerican dental assocation?

Back 61

8

Front 62

The demand for (1) will cont increase w the increase in pop having high dental needs such as the edlerly, handicaped, homebound and HIV patients, and a greater public awareness of the importance of dental care, the fairly widespread of cosmetic and aesthietic dentistrym and the incision of dental care as part of many public funded programs

Back 62

dentist

Front 63

Why will the demand for dentists cont to grow? (4)

Back 63

(1)increase in pop having high dental needs such as handicaps, edlerly, homebound and HIV patients (2)greater public awareness of the importance of dental care to general health status (3)the fairly widespread appeal of cosmetic and aesthetic dentistry (4)the inclusion to of dental care as part of many public funded programs

Front 64

How has the role of the pharmacist expanded?

Back 64

going from the preparation and sipensing of prescirptions to include drug product education and serving as experts on specific drugs, drug interaction, and generic drug subsitiution

Front 65

NAME
this refers to the educating and counseling role of pharamcists

Back 65

pharmaceutical care

Front 66

What does OD stand for?

Back 66

doctor of optometry

Front 67

What does PhD stand foR?

Back 67

doctor of psychology

Front 68

What does DPM stand for?

Back 68

doctor of podiatric medicine

Front 69

What does DC stand for?

Back 69

doctor of chiropratic

Front 70

T or F
chiropractors prescribe medicine

Back 70

false

Front 71

NAME
this is based on the beleive that the body is a self-healing organism

Back 71

chiropratic care

Front 72

NAME
they constitue the largest group of the health care proffesionals

Back 72

nurses

Front 73

Nurses constitue the (1)group of healht care proffesionals

Back 73

largest

Front 74

NAME
they are the major caregivers of the sick and injured patient adddressingthe physical, mental, and emotional needs

Back 74

nurses

Front 75

What does RNs stand for?

Back 75

registered nurse

Front 76

What must RNs complete?

Back 76

have an associate's degree or bachelor degree of science in nursing

Front 77

What does LPNs stand for?

Back 77

Licensed practical nurses

Front 78

LPNs in some states are also called (1)

Back 78

LVNs

Front 79

In some states, LPNs are somtimes called (1)

Back 79

LVNS

Front 80

What does LVNs stand for?

Back 80

licensed vocational nurses

Front 81

How are nurses classfied?

Back 81

based on where they work

Front 82

T or F
there is a current short fall of nurses

Back 82

true

Front 83

What does APN stand for?

Back 83

advanced pratice nurses

Front 84

NAME
this is a general name for nurses who have education and clinical experience beyond that required of an RN

Back 84

APN

Front 85

What are (4) areas of APNs?

Back 85

(1)CNSs (2)CRNAs (3)NPs (4)CNMs

Front 86

What does CNSs stand for?

Back 86

clinical nurse specialists

Front 87

What does CRNAs stand for?

Back 87

certifed registered nurse anesthetists

Front 88

What does NPs stand for?

Back 88

nurse practitoners

Front 89

What does CNMs?

Back 89

certified nurse mid wives

Front 90

What is the main differ btwn CNS and NPs?

Back 90

(1)CNSs work in hosptials and NPs work primary care settings

Front 91

NAMe
this type of nurses tend to workin hospitals

Back 91

CNSs

Front 92

NAME
these type of nurses tend to work in mainly primary care settings

Back 92

NPs

Front 93

Where do CNS tend to work?

Back 93

in hosptials

Front 94

Where do NPs tend to work?

Back 94

primary care settings

Front 95

What does NPP stand for?

Back 95

nonphyscician practioners

Front 96

NAME
refers to clinical professionals who pratice in many areas in which doctors practice but who do not have a MD or DO degree

Back 96

NPP

Front 97

NPPS typically include (1),(2) and (3)

Back 97

(1)PAs (2)NPs (3)CNMS

Front 98

NAME
they typically include PAs, NPs, and CNMs

Back 98

NPPs

Front 99

What des PAs stand for?

Back 99

physcian assistants

Front 100

T or F
PA's are licensed to peform medical procedures only under the supervision of a doctor

Back 100

true

Front 101

NAME
consituite the largest group of NPPs and have undergrown the most growth

Back 101

NPs

Front 102

NAME
thier primary function is to promote wellness and good health through patient education

Back 102

NPs

Front 103

NAME
are RNs w/ additonal training from a nurse-midewifery program in areas such as maternal and fetal procedures

Back 103

CNMs

Front 104

Many studies have demonstarted that (1)can provide both high-quality and cost effective medical care

Back 104

NPPs

Front 105

Many studies have demonstrated taht NNPs can (1)

Back 105

provide both high quality and cost effective medical care

Front 106

Why can NPPs provide both high quality and cost effective medical care? (2)

Back 106

bc they show a greater personal interest in patients and cost signigicatnly less (2) have been noted to have better communication and interviewing skills than doctors

Front 107

What is one thing NPPs can face?

Back 107

reimbursement barriers and many people do not actively seek the adivce of NPPs

Front 108

Why has specialists increased health care costs?

Back 108

for ex bc of technology and specialized interventions, places a greater need to train other proffesionals serve as adjuncts

Front 109

NAME
they constiutie about 60% of the US health care work force

Back 109

allied health care proffesionals

Front 110

Allied health care proffesionals constiute about (1)of the US health care work force

Back 110

60%

Front 111

What are (2) broad catergories of allied health care proffesionals?

Back 111

(1)techinicans and/or assistants (2)therapists and/or techinologists

Front 112

NAME
have two broad catergories:techinicains and/or assistants, and therapists and/ortechinilogists

Back 112

allied health care proffesionals

Front 113

NAME
they receive less than 2 yrs of post secoundary education and are trained to perform procedures

Back 113

techinicans and assistants

Front 114

NAME
thier role is to provide care for patients w movement dysfunction

Back 114

PTs

Front 115

NAME
help people of all ages to improve the ability to perform tasks in thier daily living and working environments and work w individuals who have conidtions that are mentally, physcially, developmentally, and emotionally disabling

Back 115

OTs

Front 116

Health service administrators are empolyed at the (1),(2),and(3) levels of various organizations

Back 116

top, middle, and entry level

Front 117

NAME
they are responisble for operational, clinical, and financial outcomes of an entire organization, often have direct responisiblity for implementing changes, creating effciences, and developing new procedures w respect to changes in the health care delvery system

Back 117

health service administrators