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20 Cards in this Set

  • Front
  • Back
Case Management
Provides coordination and referal among a variety of health care services
Teriary Care
Constitutes the most complex, specialized and highly technical level of care
Categorical Programs
Public health programs focused specific diseases or groups
Secondary Care
Includes routine hospitalization,surgery and specialized outpatient care
Urgent Conditions
Condition requires medical attention within a few hours
Cluster of comprehensive services for the dying
Nonurgent Conditions
Does not require an emergency room, disorder is minor in nature
Community based freestanding clinic open 24 hours
Telephone triage
Provides phone access to get expert opinion and advice especially when and MD is not available
Adult day care
Professional day services provided for a dependant adult in a facility
Pain & symptom management in hospice care
Alternative Medicine
Refers non traditional approaches to treating patients
Outpatient Services
Health care services provided without an overnight stay with charges
Freestanding ambulatory surgery centers
Emergent Condidtions
Requires immediate attention
Iatrogenic (Injury)
Caused by the process of health care (treatment)itself
Describe how some of the changes in the health service delivery system have led to a decline in hospital inpatient days and growth in ambulatory services
The growth in ambulatory services is mainly because of people wanting convience. Patients would rather go to different facilities like MRI centers, and woman health clinics because of preference.THe increase in ambulatory services has led to a decrease in hospital inpatient days for example if a pt. can have access toa service outside of a hospital they will use it. Pt's do not want to stay ina hosp. if they don't need to.
What implications has the decline in hospital occupancy rates had for hospital management?
Discuss the gatekeeping role of primary care?
Gatekeeping implies the patiens do not visit specialists and are not admitted to a hospital without being referred by their primary care physician. The interpostition of primary care protects patients from unneccassry procedures and over-treatment, because specialists use medical tests and procedures to a much greater extent than primary care givers. Such interventions carry a definite risk of iatrogenic compilcations
Why is the hospital emergency department sometyimes used for non urgent conditions?What are the consequences?
For many the uninsured lacking access to routine primary care, the ED has become the family physician, especially at night and on weekends. Reasons for ED use for non-urgent care include erroneous self-assessment of severity of ailment or injury , the 24 hour open door policy, convience, and unavailability of primary care providers.