MA Chapter 1: The Healthcare System Flashcards
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Questions and Answers

What is ambulatory care?

  • Emergency care
  • Medical care provided in a hospital
  • Medical care provided on an outpatient basis (correct)
  • Long-term care

    • What is capitation?

    A set payment provided by managed care insurance per patient per month, regardless of the amount of service that the patient receives.

    What is curative treatment?

    Treatment that cures disease.

    What does empirical mean?

    <p>Learned from observation or experiment.</p> Signup and view all the answers

    What is a formulary?

    <p>A list of prescription drugs covered or preferred by a managed care insurance company.</p> Signup and view all the answers

    What does holistic mean in medicine?

    <p>Considering the whole person when providing health care.</p> Signup and view all the answers

    What is managed care?

    <p>A system that manages the delivery of health care with the intention of controlling costs.</p> Signup and view all the answers

    What does palliative mean?

    <p>Bringing relief; mitigation.</p> Signup and view all the answers

    What is residency in medical training?

    <p>A program during which doctors train after finishing medical school.</p> Signup and view all the answers

    What is symptomatic treatment?

    <p>Therapy for symptoms of a disease that does not remove the disease itself.</p> Signup and view all the answers

    What is utilization review?

    <p>Assessing medical services to determine whether they are appropriate, necessary, and high quality.</p> Signup and view all the answers

    What school of medicine emphasizes the interrelationship of the muscles and bones?

    <p>Osteopathy.</p> Signup and view all the answers

    What type of personnel is a paramedic?

    <p>Emergency service personnel.</p> Signup and view all the answers

    What does CMA stand for?

    <p>Certified Medical Assistant.</p> Signup and view all the answers

    What branch of medicine deals with female diseases and health maintenance?

    <p>Gynecology.</p> Signup and view all the answers

    What is podiatry?

    <p>Branch of medicine that treats foot diseases and disorders.</p> Signup and view all the answers

    What is chiropractic?

    <p>Therapeutic treatment of disease through the manipulation of the spinal cord.</p> Signup and view all the answers

    What is acupuncture?

    <p>Chinese method of treating illnesses by applying small needles to specific points on the body.</p> Signup and view all the answers

    What is a patient referred to as if they have not been admitted to a healthcare facility?

    <p>Outpatient.</p> Signup and view all the answers

    What is the World Health Organization's definition of health?

    <p>Absence of illness or disease, enabling individuals to carry out daily functions without difficulties and pain.</p> Signup and view all the answers

    What three trends in modern medicine have increased the importance of ambulatory care?

    <p>Desire of those who pay the bills for cost control, encouragement of public responsibility for health, increased understanding through empirical evidence.</p> Signup and view all the answers

    What is Fee-for-Service Insurance?

    <p>Insurance paid for hospitalization only; patients paid for each service provided.</p> Signup and view all the answers

    List three government insurance plans that started in the 1960s.

    <p>Medicaid, Medicare, CHAMPUS.</p> Signup and view all the answers

    What is the purpose of HMO (Health Maintenance Organization)?

    <p>To reduce costs of medical care with an emphasis on routine and preventative care.</p> Signup and view all the answers

    How do managed care plans reduce the cost of prescription medications?

    <p>By encouraging the use of less expensive generic medications.</p> Signup and view all the answers

    What type of health care encourages regular checkups and immunizations?

    <p>Routine care.</p> Signup and view all the answers

    What is utilization review?

    <p>A process to determine whether health care is medically necessary.</p> Signup and view all the answers

    What are the six steps of an ordinary patient visit to a medical office?

    <p>Check-in, physician consultation, diagnostic tests, diagnosis/treatment/referral, scheduling follow-up, follow-up instructions.</p> Signup and view all the answers

    Identify six health professionals besides physicians and Medical Assistants (MA) who may work in a medical office.

    <p>CMA, RMA, MT, MLT, NP, RN.</p> Signup and view all the answers

    How are physicians educated?

    <p>By completing four years of medical university followed by an intensive postgraduate training period called residency.</p> Signup and view all the answers

    What examination must a physician pass to obtain a state license?

    <p>Parts I, II, and III of the U.S. Medical Licensing Examination (USMLE).</p> Signup and view all the answers

    How does a physician become board certified?

    <p>By passing an examination administered by the certification board of the specialty.</p> Signup and view all the answers

    Describe the education and training of a Physician Assistant (PA) and Nurse Practitioner (NP).

    <p>PAs require 2 years of college plus 2 years in PA school and must pass a national certification examination.</p> Signup and view all the answers

    What is an important part of effective teamwork for medical assistants?

    <p>Communicating well with all staff in the medical office.</p> Signup and view all the answers

    Identify the major areas of a typical medical office and their function.

    <p>Internal medicine, pediatrics, family medicine, OB/GYN.</p> Signup and view all the answers

    What is the focus of podiatry?

    <p>Treatment of the foot and ankle.</p> Signup and view all the answers

    What does chiropractic focus on?

    <p>Spinal manipulation to treat musculoskeletal disorders.</p> Signup and view all the answers

    What is osteopathy?

    <p>A practice that manipulates bones and muscles to balance the body.</p> Signup and view all the answers

    Study Notes

    Key Terms in Healthcare

    • Ambulatory Care: Outpatient medical care where patients attend the facility and return home the same day.
    • Capitation: Fixed monthly payment from managed care insurance for each patient, regardless of services provided.
    • Curative Treatment: Treatments designed to cure or eliminate diseases.
    • Empirical: Knowledge gained through observation or experiments, essential for scientific validation.
    • Formulary: An approved list of prescription medications covered by a managed care insurance provider.
    • Holistic: An approach in medicine that considers the whole person, including multiple aspects of a patient's health.
    • Managed Care: A healthcare delivery system aimed at controlling costs while providing care.
    • Palliative Care: Treatment aimed at alleviating symptoms and providing relief rather than curing the underlying condition.
    • Residency: A period of training for doctors that follows medical school and provides hands-on experience in a medical setting.
    • Symptomatic Treatment: Therapy focused on relieving symptoms without addressing the underlying condition.
    • Utilization Review: Evaluation of medical services to determine their necessity, appropriateness, and quality.
    • Osteopathy: A medical discipline emphasizing the relationships among bones, muscles, and overall health, often involving manipulative treatment.
    • Paramedic: Emergency medical service personnel trained to provide critical care in emergencies.
    • CMA (Certified Medical Assistant): Professionals performing both administrative and clinical tasks in ambulatory care settings.
    • Gynecology: Medical field focused on the health and diseases of females.
    • Podiatry: Medical specialty concerning the diagnosis and treatment of foot and ankle issues.
    • Chiropractic: A practice focusing on the diagnosis and treatment of musculoskeletal disorders through spinal adjustments.

    Healthcare Systems and Insurance

    • Medicaid: Government insurance initiated for low-income children, now expanded to cover low-income individuals generally.
    • Medicare: Insurance for the elderly, disabled, and those with end-stage renal disease.
    • CHAMPUS: Health coverage for families of military personnel, including some outpatient services.
    • HMO (Health Maintenance Organization): Aimed at reducing medical costs, emphasizes preventative care and requires justification for hospital stays.

    Healthcare Practices and Education

    • Routine Care: Encourages regular health checkups, immunizations, and child healthcare visits to promote preventive health.
    • U.S. Medical Licensing Examination (USMLE): Physicians must pass this examination in three parts to obtain a state medical license.
    • Board Certification: Additional examination required for physicians to achieve certification in a medical specialty.
    • Physician Assistant (PA) and Nurse Practitioner (NP) Education: PAs require 2 years of college and 2 years of PA study, followed by a national certification exam.
    • Effective Teamwork: Vital for medical assistants to maintain clear communication with all medical office staff.

    Patient Care Process

    • Typical Patient Visit Steps: Checking in at the front desk, consultation with the physician, diagnostic testing, diagnosis or treatment plan, scheduling follow-ups, and providing follow-up instructions.

    Specialties in Healthcare

    • Internal Medicine: Focused on adult health issues.
    • Pediatrics: Addresses health concerns for infants, children, and adolescents.
    • Family Medicine: Offers comprehensive health care for all ages.
    • Obstetrics/Gynecology (OB/GYN): Specialized in female health care, including pregnancy and childbirth.
    • Spinal Manipulation: A chiropractic technique targeting musculoskeletal disorders.

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    Description

    Test your knowledge of key terms in the healthcare system with these flashcards from MA Chapter 1. This quiz covers essential concepts such as ambulatory care, capitation, and curative treatment. Ideal for students and professionals looking to reinforce their understanding of medical care terminology.

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