Exam (elaborations)
IHS - CHAPTER 1. QUESTIONS AND ANSWERS GRADED A+
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Exam of 5 pages for the course IHS at IHS (IHS - CHAPTER 1.)
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IHS - CHAPTER 1QUALITY - answer Measurement of the quality of health care provided to individuals or
groups of patients, against a previously defined standard
ACCESS - answer An individual's ability to to obtain medical services on a timely and
financially accessible basis. Factors determining ease of access also include availability
of health care facilities and transportation to them and reasonable hours of operation
HEALTH CARE DELIVERY - answer The provision of preventive, treatment, or
rehabilitative health services, from short-term to long-term, to individuals as well as
groups of people, by individual practitioners, institutions, or public health agencies.
HEALTH CARE SYSTEM - answer A system as a situation, environment and an
enterprise that separates what is "health" from what is "non-health." It is the
organization of people, institutions, and resources to deliver health care services to
meet the health needs of a target population.
situation, environment and enterprise - answerThe Health Care System can be defined
as?
HEALTH CARE ENTERPRISE - answerThe line between activities directed at keeping
people healthy and those directed at restrain health once a disease or injury occurs
PUBLIC HEALTH - answerKeeping people healthy through activities associated with
behavioral health, and actions associated with our social system. This includes activities
to protect the environment, making sure water supplies, restaurants and food supplies
are safe, and providing preventive health services such as vaccinations
BEHAVIORAL HEALTH - answerHelps people make better choices to improve or
protect their own health. This includes not smoking, eating well, exercising, and
reducing stress
HEALTH CARE - answerThe maintenance and improvement of physical and mental
health, especially through the provision of medical services
(1) Importance of institutions
(2) role of professionals
(3) medical technology
(4) tensions between the "free market" and "government control"
(5)dysfunctional financing and payment system - answerFEATURES OF THE U.S.
HEALTH CARE SYSTEM
, PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 - answerThe health
reform act, which will extend health insurance coverage to more than 32 million
Americans and prevents insurance companies from denying coverage due to pre-
existing medical conditions. As a Federal law, it will require nearly all Americans to have
some sort of health insurance (or pay a penalty through the tax code). Private insurance
companies will need to comply with a host of nee federal rules & regulations, and large
employers who do not provide adequate insurance coverage for their employees will be
penalized
MEDICARE - answerProvides health insurance to segments of the population not
generally covered by the mainstream employer-sponsored health insurance system. It is
a social insurance program that provides insurance to the elderly and disabled
population regardless of income levels. It is administered by federal officials and the
private insurers they hire to perform particular tasks, and it is funded primarily by the
federal government, but has relatively limited benefit packages that exclude much
preventive care, and long-term
MEDICAID - answerA collection of 50 state-administered programs, each providing
health insurance to low-income state residents, but with differing eligibility rules, benefits
and payment schedules. It is a welfare initiative that offers coverage only to those with
limited income, and it is administered by the states following federal guidance, and it is
funded by the federal government and the states
MEDICARE PART A - answerCovers inpatient hospital care, and it is financed by a 2.9
% tax
MEDICARE PART B - answerA voluntary program that provides coverage for outpatient
care and must pay a minimum of $110
MEDICARE PART C - answerOffers beneficiaries the option of enrolling in the private
"Medicare Advantage" Plan, and it is typically structured as a health maintenance
organization. It offers the physician and hospital benefits of part A and B and additional
benefits, but are limited in the choice of physicians and hospital.
MEDICARE PART D - answerBeneficiaries can receive outpatient coverage through
managed care plan or a private prescription drug plan. The average monthly premium is
$32 and a $310 deductible, after which the plan pays up to 75% of the drug costs. It is
designed to revive the effort to encourage beneficiaries to enroll in managed care
Children's Health Insurance Program (CHIP) - answerProvides health coverage to near
8 million children in families with incomes too high to qualify for medicaid, but can't
afford private coverage
Employee Retirement Income Security Act (ERISA) - answerA 1974 Federal law that
set the standards of disclosure for employee benefit plans to ensure workers the right to
at least part of their pension. The law governs most private pensions and other
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