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Exam (elaborations)

HEALTHCARE ISSUES QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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HEALTHCARE ISSUES QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • August 10, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Health Care
  • Health Care
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HEALTHCARE ISSUES QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
health services delivery system(broad definition) - ANSWER major COMPONENTS of the system &
PROCESSES that enable ppl to receive health care



health services delivery system(restricted definition) - ANSWER act of providing health care to patient



ushc characteristics - ANSWER political climate

economic development

technological progress

social and cultural values

physical environment

demographics/health trends

global influences



10 characteristics of ushc - ANSWER no central agency

access is selective

imperfect market

3rd party insurers

multiple payers

balance of power

legal risk

new technology

new service settings

quality is achievable



copay - ANSWER paid each visit; limits access



deductible - ANSWER yearly payment for medical costs

,premium - ANSWER monthly payment, employees portion



quasi-market - ANSWER health care is partially managed by free markets



item pricing - ANSWER fees charged for a service



package pricing - ANSWER bundled fee for a group of related services



capitation - ANSWER all health care service include one set fee per person

fee for service



never-events - ANSWER readmitted before 30 days hospital does not get paid



phantom providers - ANSWER bill for services separately



multi-payer system - ANSWER multiple insurances, employer paid/employee paid



single-payer system - ANSWER national health care system/ gov't paid



curative services - ANSWER cure illness



restorative services - ANSWER restore function/rehab



preventative services - ANSWER public health



quad-function model - ANSWER finance->insurance->delivery->payment



National Health Insurance(NHI) - ANSWER GOVT CONTROLS FUNDING

, govt finances healthcare through taxes; care provided by private providers

i.e Canada



National Health System (NHS) - ANSWER GOVT CONTROLS ALL

financing a tax supported NHI; govt manages infrastructure for delivery; govt operated hospitals

i.e GB



Socialized Health Insurance(SHI) - ANSWER financed through govt mandated contribution by
employer/employees; health delivered by private providers; insurance and payment closely integrated;
govt has overall control

i.e Germany



universal access - ANSWER managed by govt; provides defined set of services to all citizens



health - ANSWER absence of illness and disease



biopsychosocial model of health - ANSWER to promote, restore and maintain health



illness - ANSWER a persons perception & evaluation of how he/she is feeling



disease - ANSWER based on professional evaluation



host - ANSWER human; for host to be ill agent must be present



risk factors - ANSWER attributes that increase the likelihood of developing a disease or negative health
condition



acute condition - ANSWER relatively severe, short, treatable



subacute condition - ANSWER some acute features, post acute treatment after disharge

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