HADM 339 Concepts Test Questions with
Correct Solutions
Describe primary care - ANSWER Primary care is the first level of care received by
individuals and is an integral part of healthcare as it helps organize and respond to
initial healthcare issues and ensure they are addressed appropriately by diagnosing,
treating or referring outward for more appropriate care
3 areas of reform for primary care that are needed - ANSWER 1. Delivery:
This means abolish the traditional method which is currently in place where we only see
one professional. We need to involve numerous healthcare professionals in this process
and ensure everyone working together at the highest scope of practice is achieved.
Currently we see higher levels of chronic issues and this way is a great way to ensure
we are giving the best possible care of the complicated and numerous issues
involved in chronic illness
2. Renumeration:
Currently primary care is generally fee for service, which pays the physician per patients
who visit. They should instead move to a model which allows the physician to stay
longer with patients, actually have tiem to properly diagnose and counsel them instead
of just rewarding seeing more and more people. Shifting to a pay for performance or
salary model which gives them reason to have longer stays, make better patient
relationships may help battle chronic issues
,3. Integration:
Currently the primary care system is quite segmented as they operate as soel
practioners in an environment by themselves. This can result in communication issues
and waste in time and resources by having duplicate testing and discussions done. By
havign co locations with other professionals such as home healthcare, diagnostic
services, acute care, specialsits who are able to have relationships and relay
information this way they could create better outcomes and more efficient health care
services. Currently physicians are relied for a large scope and may not be equipped for
all conditions therefore doing this allows them to see more patients and have more
complicated cases seen faster by the right professional.
Describe academic health centres - ANSWER Academic health centres are a
partnership between health centres and universities designed to create basic
advances in science, make clinical advances and innovate technology.
They generally work in three ways
1. They create basic science advances and how this can be related to healthcare
2. This advance is then look at effectiveness wise and see if it can be used to benefit
anyone
3. Finally it is used to advance and improve academic outcomes
Benefits and challenges of academic healthcare - ANSWER Benefits:
- They create innovation in the field, allowing for new advances to occur and are able to
mix the strengths and weaknesses
, - They shape professionals in the working field and give them some hands on
experience
Challenges:
-The goals of these two parties may not align completely. Funders for the delivery of
research may be more inclined to force policies and development in certain ways which
may not align with the goals of the university which is not commercially driven
- University tend to focus on the curriculum and this means that they need to learn
from mistakes which does not benefit the delivery as this can create inefficient care -
Researchers may be inclined to help create basic innovaiton advances however are
less inclined to want to be involved in the long process of adapting advances and
creating new procedures
Consequences of no national approach for seniors? - ANSWER 1. Alternate levels of
care seats are at an all time high. These seats are given to seniors in acute care who
are unable to leave their seats because they have nowehre to go and therefore are
unable to leave. If there was a program where they had seats to go elsewhere they
wouldn't have to worry about ALC seats however because of this lots of money and
waste if done on these individuals.
2. Another issue is the disjointed nature between hospitals and healthcare with the
institutions which take seniors such as long term care homes. Because of the
disjointed nature between the institutions there may be disjointed care and information
being exchanged which results in confusion and possible re admissions
3. Another is the standards are difficult to uphold due to the lack of standardization
across provinces. There is no standard for price, admission criteria, classification
which results in difficulty to compare care and ensure proper care is being given to the
seniors. Without this assurance there can be problems with lack of appropriate
treatments, possible scandals due to abuse and many others
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