Health Care Systems Chapter 2

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is long-term care primarily focused on?

Providing emergency services

Performing diagnostic tests

Providing assistance and care mainly for elderly patients (correct)

Offering rehabilitation therapies

What does emergency care provide?

Special care for accidents or sudden illness

What does mental health deal with?

Mental disorders and diseases

What are industrial health care centers?

Health centers located in large companies or industries Signup and view all the answers

What is a dental office?

Offices owned by one or more dentists Signup and view all the answers

What do laboratories perform?

Special diagnostic tests Signup and view all the answers

What does home health care provide?

Care in a patient's home Signup and view all the answers

What is rehabilitation in health care?

Providing physical, occupational, and other therapies Signup and view all the answers

What is genetic counseling?

Checking for genetic abnormalities and birth defects Signup and view all the answers

The 4 main types of hospitals are _, _, _, and _.

religious, non-profit, government, private Signup and view all the answers

What are residential care facilities?

Nursing homes that provide geriatric care for people who can't care for themselves Signup and view all the answers

What do extended care facilities provide?

Skilled nursing and rehabilitation to prepare patients for return home Signup and view all the answers

What are independent living facilities?

Facilities allowing individuals to rent or purchase an apartment while self-caring Signup and view all the answers

3 services offered by medical clinics are _, _, and ___ .

diagnosis, treatment, examination Signup and view all the answers

What are different types of clinics?

Health department Signup and view all the answers

What services are provided by home health care agencies?

Nursing care, personal care, therapy, homemaking Signup and view all the answers

What is palliative care?

Care that provides support and comfort, allowing the person to die with dignity Signup and view all the answers

What is the main goal of rehabilitation facilities?

Help patients with physical or mental disabilities obtain maximum self-care and function Signup and view all the answers

What services are offered by school health services?

Screenings, emergency tests, health education, health condition checks, sanitation maintenance Signup and view all the answers

What does WHO stand for?

World Health Organization Signup and view all the answers

What does USDHHS stand for?

U.S. Department of Health and Human Services Signup and view all the answers

What does NIH stand for?

National Institutes of Health Signup and view all the answers

What does OSHA stand for?

Occupational Safety and Health Administration Signup and view all the answers

What does AHCPR stand for?

Agency for Health Care Policy and Research Signup and view all the answers

What services are offered by state and local health departments?

Immunization, inspections for environmental health, communicable disease control Signup and view all the answers

How do nonprofit agencies receive funding?

Donations, membership fees, fundraisers, and federal/state grants Signup and view all the answers

What services are provided by nonprofit organizations?

Special services to victims of disease, purchase medical equipment, provide treatment centers Signup and view all the answers

What is a premium in health insurance?

Fee the individual pays for insurance coverage Signup and view all the answers

What is a deductible?

Amount that must be paid by the patient for medical services before the policy begins to pay Signup and view all the answers

What is 75/25 co-insurance?

Company pays 75% and patient pays 25% of the remaining costs Signup and view all the answers

What does HMO stand for?

Health Maintenance Organization Signup and view all the answers

What does PPO stand for?

Preferred Provider Organization Signup and view all the answers

What is an advantage of an HMO?

Ready access to health exams and treatment, fees remain the same Signup and view all the answers

What is a disadvantage of an HMO?

Requires using HMO care providers for health care Signup and view all the answers

What is Medicare?

Health care for the elderly Signup and view all the answers

What is Medicaid?

Care for individuals with low incomes Signup and view all the answers

What are State Children's Health Care Programs?

Programs for uninsured children whose families earn too much for Medicaid but too little for private insurance Signup and view all the answers

What is worker's compensation?

Insurance for workers injured on the job Signup and view all the answers

What is Tricare?

Health care for all military personnel Signup and view all the answers

What act protects insurance coverage?

HIPAA law Signup and view all the answers

What is the purpose of the organizational structure in a health care facility?

Emcompasses a line of authority or chain of command Signup and view all the answers

Study Notes

Types of Care

Long-term Care: Assists mainly elderly patients requiring ongoing care.
Emergency Care: Focused on immediate treatment for accidents or sudden illnesses.
Mental Health Care: Addresses various mental disorders and diseases.
Industrial Health Care: Health services located within large companies or industries.
Home Health Care: Delivers medical services in the patient's home environment.
Rehabilitation Services: Provides physical, occupational, and therapeutic support.

Facilities and Services

Dental Offices: Operated by one or more dentists offering dental care.
Laboratories: Conduct specialized diagnostic tests for health assessments.
Residential Care Facilities: Include nursing homes that provide geriatric care for self-sufficient individuals.
Extended Care Facilities: Offer skilled nursing and rehabilitation to aid patient recovery and preparation for home return.
Independent Living Facilities: Support individuals who can self-care with rental or purchase options for living spaces.
Medical Clinics: Provide various services such as diagnosis, treatment, minor surgery, and basic lab testing.

Healthcare Agencies and Organizations

WHO (World Health Organization): An international agency associated with the United Nations addressing global health issues.
USDHHS (U.S. Department of Health and Human Services): National agency focused on health problems in the United States.
NIH (National Institutes of Health): Research organization dedicated to studying diseases.
OSHA (Occupational Safety and Health Administration): Enforces safety standards to protect workers from job-related hazards.
AHCPR (Agency for Health Care Policy and Research): Researches health care delivery quality and identifies treatment standards.

Public Health Services

State and Local Health Departments: Offer services like immunizations, health inspections, disease control, and health statistics collection.
Nonprofit Agencies: Rely on donations, membership fees, and grants for funding to provide support services like treatment centers and medical supplies.

Insurance and Payment Models

Premium: Insurance fee paid by an individual for coverage.
Deductible: Out-of-pocket amount required from the patient before insurance coverage kicks in.
Co-insurance (75/25): Insurance company covers 75% of costs, leaving the patient responsible for 25%.
HMO (Health Maintenance Organization): Offers managed health care services; lower fees with in-network providers.
PPO (Preferred Provider Organization): Provides reduced rates for healthcare from contracted providers.

Government Assistance Programs

Medicare: Federal health insurance for the elderly.
Medicaid: Provides care for individuals with low incomes.
State Children's Health Care Programs: Offers coverage to uninsured children whose families earn too much for Medicaid but not enough for private insurance.
Worker's Compensation: Supports workers injured on the job.
Tricare: Health care for military personnel.

Legal and Structural Aspects

HIPAA (Health Insurance Portability and Accountability Act): Protects privacy and insurance coverage for individuals.
Organizational Structure in Healthcare: Defines lines of authority and chain of command essential for effective operation within health facilities.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge of health care systems with this quiz focused on key terms and definitions. Learn about different types of care including long-term care, emergency care, and mental health services. Perfect for students studying health care concepts at any level.