Podcast
Questions and Answers
Which level of care is the most costly?
Which level of care is the most costly?
- Primary
- Secondary
- Tertiary (correct)
- All levels of care have the same cost
Which model of regionalized care relies on resources coordinated in a geographic region?
Which model of regionalized care relies on resources coordinated in a geographic region?
- Fluid Model
- HMO Model
- Dawson Model (correct)
- Dispersed Model
Which level of care deals with problems that require more specialized clinical expertise?
Which level of care deals with problems that require more specialized clinical expertise?
- Primary
- Tertiary
- All levels of care deal with specialized clinical expertise
- Secondary (correct)
Which model of regionalized care allows patients to go where they wish and emphasizes tertiary expertise?
Which model of regionalized care allows patients to go where they wish and emphasizes tertiary expertise?
Which one of the following is true about Skilled Nursing Facilities (SNF)?
Which one of the following is true about Skilled Nursing Facilities (SNF)?
According to the text, why has the supply of U.S. generalist physicians been decreasing?
According to the text, why has the supply of U.S. generalist physicians been decreasing?
Which one of the following is true about custodial care?
Which one of the following is true about custodial care?
According to the text, what is the main advantage of the Integrated Medical Group (IMG) Model?
According to the text, what is the main advantage of the Integrated Medical Group (IMG) Model?
Which one of the following is true about hospice care?
Which one of the following is true about hospice care?
According to the text, what is the main problem with gatekeepers in HMOs?
According to the text, what is the main problem with gatekeepers in HMOs?
Which one of the following is true about home health care?
Which one of the following is true about home health care?
According to the text, what is the main challenge to controlling the quantity of healthcare costs?
According to the text, what is the main challenge to controlling the quantity of healthcare costs?
Which of the following is a method used for cost control in healthcare financing?
Which of the following is a method used for cost control in healthcare financing?
What is one of the primary reasons why quality of healthcare is lacking in the United States?
What is one of the primary reasons why quality of healthcare is lacking in the United States?
Which of the following is a characteristic of long-term care?
Which of the following is a characteristic of long-term care?
What is one of the methods used to achieve malpractice reform in healthcare?
What is one of the methods used to achieve malpractice reform in healthcare?
Which component of the ACA requires companies with more than 50 employees to provide health coverage or pay a penalty?
Which component of the ACA requires companies with more than 50 employees to provide health coverage or pay a penalty?
What is the main purpose of an advanced directive?
What is the main purpose of an advanced directive?
What is the equivalent of withholding treatment in terms of healthcare ethics?
What is the equivalent of withholding treatment in terms of healthcare ethics?
What is the key coverage measure that eliminates provisions allowing health insurers to deny coverage based on pre-existing conditions?
What is the key coverage measure that eliminates provisions allowing health insurers to deny coverage based on pre-existing conditions?
Which country has a Single Payer system funded by taxes?
Which country has a Single Payer system funded by taxes?
Who has access to the NHS system in the United Kingdom?
Who has access to the NHS system in the United Kingdom?
How does the cost of care in the NHS system compare to the United States?
How does the cost of care in the NHS system compare to the United States?
What is a weakness of the NHS system in the United Kingdom?
What is a weakness of the NHS system in the United Kingdom?
On average, what percentage of income do Swiss citizens spend on health insurance premiums?
On average, what percentage of income do Swiss citizens spend on health insurance premiums?
Are co-payments higher or lower in Switzerland compared to the United States?
Are co-payments higher or lower in Switzerland compared to the United States?
Which program provides comprehensive care to those over 55 who qualify for nursing home care?
Which program provides comprehensive care to those over 55 who qualify for nursing home care?
What are the four principles of medical ethics?
What are the four principles of medical ethics?
What is the purpose of the Money Follows the Person program?
What is the purpose of the Money Follows the Person program?
What does distributive justice require in terms of access to medical services?
What does distributive justice require in terms of access to medical services?
Which level of care deals with rare and complex problems?
Which level of care deals with rare and complex problems?
What is the main advantage of the Dawson Model of Regionalized Care?
What is the main advantage of the Dawson Model of Regionalized Care?
Which model of regionalized care has grown in the U.S.?
Which model of regionalized care has grown in the U.S.?
What is the primary reason why the Dispersed Model of regionalized care has grown in the U.S.?
What is the primary reason why the Dispersed Model of regionalized care has grown in the U.S.?
Which of the following is a primary method used for cost control in healthcare financing?
Which of the following is a primary method used for cost control in healthcare financing?
What is one of the main reasons why quality of healthcare is lacking in the United States?
What is one of the main reasons why quality of healthcare is lacking in the United States?
Which level of care deals with problems that require more specialized clinical expertise?
Which level of care deals with problems that require more specialized clinical expertise?
What is one of the main characteristics of long-term care?
What is one of the main characteristics of long-term care?
According to the text, what was the emphasis of the reformed medical training under the Biomedical Model?
According to the text, what was the emphasis of the reformed medical training under the Biomedical Model?
According to the text, what is one of the arguments against a dispersed model of healthcare?
According to the text, what is one of the arguments against a dispersed model of healthcare?
According to the text, why is the supply of U.S. generalist physicians a problem?
According to the text, why is the supply of U.S. generalist physicians a problem?
According to the text, what is the main advantage of the Integrated Medical Group (IMG) Model?
According to the text, what is the main advantage of the Integrated Medical Group (IMG) Model?
Which statement accurately describes the coverage provided by Medicare and insurance for skilled care?
Which statement accurately describes the coverage provided by Medicare and insurance for skilled care?
What is the main difference between Skilled Nursing Facilities (SNF) and Nursing Homes?
What is the main difference between Skilled Nursing Facilities (SNF) and Nursing Homes?
Under what conditions does Medicare cover hospice care?
Under what conditions does Medicare cover hospice care?
What is the main reason why many patients need 24-hour care but only receive intermittent care under Medicare coverage?
What is the main reason why many patients need 24-hour care but only receive intermittent care under Medicare coverage?
Which country has a Single Payer system funded by taxes?
Which country has a Single Payer system funded by taxes?
What is the average percentage of income spent on health insurance in Switzerland?
What is the average percentage of income spent on health insurance in Switzerland?
What is the main weakness of the NHS system in the United Kingdom?
What is the main weakness of the NHS system in the United Kingdom?
Are co-payments higher or lower in Switzerland compared to the United States?
Are co-payments higher or lower in Switzerland compared to the United States?
What is the main purpose of the Health Insurance Marketplace Exchanges in the United States?
What is the main purpose of the Health Insurance Marketplace Exchanges in the United States?
Who is required to have health insurance in Australia?
Who is required to have health insurance in Australia?
Which program provides comprehensive care to those over 55 who qualify for nursing home care?
Which program provides comprehensive care to those over 55 who qualify for nursing home care?
What are the four principles of medical ethics?
What are the four principles of medical ethics?
What is the main purpose of an advanced directive?
What is the main purpose of an advanced directive?
Which model of regionalized care allows patients to go where they wish and emphasizes tertiary expertise?
Which model of regionalized care allows patients to go where they wish and emphasizes tertiary expertise?
Which of the following is a key component of the National Health Reform under the ACA?
Which of the following is a key component of the National Health Reform under the ACA?
What is the penalty for employers with more than 50 employees if they don't offer an employer-sponsored plan to at least 95% of full-time employees?
What is the penalty for employers with more than 50 employees if they don't offer an employer-sponsored plan to at least 95% of full-time employees?
What is the main purpose of the Individual Mandate under the ACA?
What is the main purpose of the Individual Mandate under the ACA?
What is the main purpose of the Employer Mandate under the ACA?
What is the main purpose of the Employer Mandate under the ACA?
Which model of regionalized care consolidates all levels of care, staff, and facilities under one organizational ownership?
Which model of regionalized care consolidates all levels of care, staff, and facilities under one organizational ownership?
What is the main advantage of the Independent Practice Associations (IPAs) Model?
What is the main advantage of the Independent Practice Associations (IPAs) Model?
What is the main reason why the supply of U.S. generalist physicians is a problem?
What is the main reason why the supply of U.S. generalist physicians is a problem?
What is one of the main arguments against a dispersed model of healthcare?
What is one of the main arguments against a dispersed model of healthcare?
Which level of care deals with problems that require more specialized clinical expertise?
Which level of care deals with problems that require more specialized clinical expertise?
What is the main difference between Skilled Nursing Facilities (SNF) and Nursing Homes?
What is the main difference between Skilled Nursing Facilities (SNF) and Nursing Homes?
What is the main advantage of the Integrated Medical Group (IMG) Model?
What is the main advantage of the Integrated Medical Group (IMG) Model?
What is the main reason why many patients need 24-hour care but only receive intermittent care under Medicare coverage?
What is the main reason why many patients need 24-hour care but only receive intermittent care under Medicare coverage?
Which of the following is true about Medicare coverage for custodial care?
Which of the following is true about Medicare coverage for custodial care?
Which one of the following is true about Medicaid coverage for nursing homes?
Which one of the following is true about Medicaid coverage for nursing homes?
What type of care does Medicare cover for terminally ill patients?
What type of care does Medicare cover for terminally ill patients?
What is the main reason why people with chronic illnesses are often rejected for private long-term care insurance?
What is the main reason why people with chronic illnesses are often rejected for private long-term care insurance?
Which of the following is a primary method used for cost control in healthcare financing?
Which of the following is a primary method used for cost control in healthcare financing?
What is one of the main reasons why quality of healthcare is lacking in the United States?
What is one of the main reasons why quality of healthcare is lacking in the United States?
What is the main difference between Skilled Nursing Facilities (SNF) and Nursing Homes?
What is the main difference between Skilled Nursing Facilities (SNF) and Nursing Homes?
According to the text, what is the main challenge to controlling the quantity of healthcare costs?
According to the text, what is the main challenge to controlling the quantity of healthcare costs?
Which one of the following is true about the Advanced Directive?
Which one of the following is true about the Advanced Directive?
What is the main purpose of the Best Interest Standard?
What is the main purpose of the Best Interest Standard?
What is the main purpose of Informed Consent?
What is the main purpose of Informed Consent?
Which one of the following is true about Refusal of Treatment?
Which one of the following is true about Refusal of Treatment?
According to the text, what is the main source of funding for the NHS system in the United Kingdom?
According to the text, what is the main source of funding for the NHS system in the United Kingdom?
What is the main advantage of the NHS system in the United Kingdom compared to the healthcare system in the United States?
What is the main advantage of the NHS system in the United Kingdom compared to the healthcare system in the United States?
Which country has a healthcare system where health insurance is separate from employment?
Which country has a healthcare system where health insurance is separate from employment?
What is the main weakness of the healthcare system in Switzerland?
What is the main weakness of the healthcare system in Switzerland?
According to the text, what is one of the efforts made by the United Kingdom to improve prevention efforts?
According to the text, what is one of the efforts made by the United Kingdom to improve prevention efforts?
On average, what percentage of income do Swiss citizens spend on health insurance premiums?
On average, what percentage of income do Swiss citizens spend on health insurance premiums?
Which program provides comprehensive cost-effective care to people 55+ who qualify for nursing home care?
Which program provides comprehensive cost-effective care to people 55+ who qualify for nursing home care?
What are the four principles of medical ethics?
What are the four principles of medical ethics?
What does the Patient Self-Determination Act require healthcare facilities to do?
What does the Patient Self-Determination Act require healthcare facilities to do?
What is the key coverage measure that eliminates provisions allowing health insurers to deny coverage based on pre-existing conditions?
What is the key coverage measure that eliminates provisions allowing health insurers to deny coverage based on pre-existing conditions?
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Study Notes
Long-Term Care and Medical Ethics
- Social insurance principles include making small payments when well and earning money against sickness, unemployment, and retirement.
- The Pepper Commission in 1990 recommended expanding Medicare.
- Funding is a significant issue in long-term care.
- The On Lok program, now known as Program of All-Inclusive Care for the Elderly (PACE), provides comprehensive care to those over 55 who qualify for nursing home care.
- Smaran Ramidi's ACA reforms for LTC include the Community First Choice Option and the Balancing Incentive Program.
- Money Follows the Person is a program that assists states in transitioning institutionalized individuals back to the community.
- Medical Homes aim to manage chronic care and incentivize keeping older adults at home.
- The four principles of medical ethics are beneficence, nonmaleficence, autonomy, and justice.
- Rationing and cost control in healthcare are not the same; rationing may be necessary for painful cost control.
- The Four-Box model of clinical decision making includes considerations of medical indications, patient preferences, quality of life, and contextual features.
- Distributive justice requires equal access to medical services based on medical need, regardless of ability to pay.
- The Patient Self-Determination Act requires healthcare facilities to inquire about patients' advance directives and provide education on their rights.
- Competence is assumed in adults unless proven otherwise, while decision-making capacity is assessed clinically and task-specific.
Long-Term Care and Medical Ethics
- Social insurance principles include making small payments when well and earning money against sickness, unemployment, and retirement.
- The Pepper Commission in 1990 recommended expanding Medicare.
- Funding is a significant issue in long-term care.
- The On Lok program, now known as Program of All-Inclusive Care for the Elderly (PACE), provides comprehensive care to those over 55 who qualify for nursing home care.
- Smaran Ramidi's ACA reforms for LTC include the Community First Choice Option and the Balancing Incentive Program.
- Money Follows the Person is a program that assists states in transitioning institutionalized individuals back to the community.
- Medical Homes aim to manage chronic care and incentivize keeping older adults at home.
- The four principles of medical ethics are beneficence, nonmaleficence, autonomy, and justice.
- Rationing and cost control in healthcare are not the same; rationing may be necessary for painful cost control.
- The Four-Box model of clinical decision making includes considerations of medical indications, patient preferences, quality of life, and contextual features.
- Distributive justice requires equal access to medical services based on medical need, regardless of ability to pay.
- The Patient Self-Determination Act requires healthcare facilities to inquire about patients' advance directives and provide education on their rights.
- Competence is assumed in adults unless proven otherwise, while decision-making capacity is assessed clinically and task-specific.
Long-Term Care and Medical Ethics
- Social insurance is a principle of making small payments against sickness, unemployment, and retirement, recommended by the Pepper Commission in 1990.
- The On Lok program, now called Program of All-Inclusive Care for the Elderly (PACE), provides comprehensive cost-effective care to people 55+ who qualify for nursing home care.
- ACA reforms for long-term care include the Community First Choice Option and the Balancing Incentive Program.
- The Money Follows the Person program assists states in transitioning institutionalized individuals back to the community.
- Medical Homes are designed to manage chronic care and keep older adults at home through access to multiple doctors.
- The four principles of medical ethics are beneficence, nonmaleficence, autonomy, and justice.
- Rationing and cost control in healthcare do not always involve limiting beneficial medical care.
- The Four-Box model of clinical decision making emphasizes the importance of medical indications and effectiveness.
- Distributive justice requires equal access to medical services based on medical need, regardless of ability to pay.
- The Patient Self-Determination Act requires healthcare facilities to ask patients about their advance directives.
- Decision-making capacity refers to a patient's ability to make authentic, self-determining decisions, while competence is a global description assumed in adults.
- Advance directives, such as living wills and durable power of attorney for health care, allow individuals to state their wishes for future medical decisions.
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