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Nursing Chapter 2: Health Care Delivery System

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20 Questions

What is a key component of patient-centered care?

Respect for patient’s values, preferences, and expressed needs

Which issue in health care delivery is related to economic stability?

Health care disparities

What is predicted to increase in the future of health care?

Use of telehealth and digital care

What is a benefit of patient-centered care?

Improved physical comfort

What is an aspect of the Magnet recognition program?

Nursing-sensitive outcomes

What is a factor that contributes to health care disparities?

Education

What is a predicted change in the future of health care?

Office visits will increase

What is a key aspect of patient-centered care?

Involvement of family and friends

What is a challenge in health care delivery?

Nursing shortage

What is an expected role of artificial intelligence in the future of health care?

Assisting in early detection and better understanding of disease progression

What is the primary focus of primary health care?

Improving health outcomes for an entire population

Which level of health care is primarily concerned with reducing the incidence of disease?

Preventative

What is the main goal of health promotion programs?

Reducing the incidence of disease

What is a major challenge facing the nursing profession?

Aging baby boomer generation

What type of care is focused on reducing and controlling risk factors for disease?

Preventive care

Which level of health care involves hospitals and intensive care?

Secondary

What is the primary goal of discharge planning?

Facilitating a smooth transition from hospital to home

What type of care is provided in extended care facilities?

Restorative care

What is a key component of integrated health care delivery?

Collaboration among health professionals

What is a type of care provided in nursing centers or facilities?

Continuing care

Study Notes

Health Care Delivery System

  • Four challenges facing nursing: aging baby boomer generation, shortage and uneven distribution of physicians, rate of nurses’ retirements, and uncertainty of health care reform.

Levels of Health Care

  • Traditional levels of health care: preventative, primary, secondary, tertiary, restorative, and continuing health care.

Integrated Health Care Delivery

  • Primary and preventive health care services: primary health care focuses on improved health outcomes for an entire population, requires collaboration among health professionals, health care leaders, and community members; health promotion programs designed to reduce the incidence of disease; and preventive care focused on reducing and controlling risk factors for disease.
  • Secondary and tertiary care: hospitals, intensive care, mental health facilities, rural hospitals, and discharge planning.
  • Restorative care: home care, rehabilitation, and extended care facilities.
  • Continuing care: nursing centers or facilities, assisted living, respite care, adult day care centers, and palliative and hospice care.

Issues in Health Care Delivery for Nurses

  • Health care costs and quality: patient satisfaction, nursing shortage, and competency.
  • Patient-centered care: respect for patient’s values, preferences, and expressed needs; coordination and integration of care; information and education; physical comfort; emotional support and alleviation of fear and anxiety; involvement of family and friends; and continuity and transition.
  • Magnet recognition program: nursing-sensitive outcomes.
  • Technology in health care: robotics, telemedicine, and electronic health records.
  • Health care disparities: economic stability, education, health and health care, neighborhood and built environment, and social and community context.

The Future of Health Care

  • The current system is in a constant state of change.
  • Predictions for the future health care system: consumer-centered, increased use of telehealth and digital care, decreased office visits, and increased use of artificial intelligence for early detection and better understanding of disease progression.

This quiz covers the fundamentals of nursing, specifically the health care delivery system and its challenges, including the aging baby boomer generation and physician shortage.

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