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Health Adminstration
Sahl
| Question | Answer |
|---|---|
| Describe our health care system | Fragmented, piecemeal and uncordinated |
| The population of the US | 321 M |
| The population of the world | 7 B |
| What is the US rank in GDP | Number 1 |
| US Healthcare spent how much on health care system | 2.9 T |
| How many hospitals and physicians are in the US | There are 5,700 hospitals and 850,000 physicians |
| Reliance is upon which model | The medical model |
| What are stakeholders intrests | A mix of market and social justice foundation of US healthcare |
| What is health defined as under the medical model | Absence of illnesses and diseases |
| What does SAEM define health as | A state of physical and mental well being that facilitates the achievement of individual and societal goals |
| What does WHO define health as | A complete state of physical, mental and social well being and not merely the absence of disease |
| What are the determinants of health | Environment, Behavior and Lifestyle, Hereditary, and Medical Care |
| Market Justice | Medical Care and its benefits are distributed on the basis of peoples willingness and ability to pay |
| Social Justice | Regards health care as a social good, that should be collectively financed and available to all citizens regardless of individuals receipts ability to pay for that care |
| What are the overarching goals of Healthy People 2020 | Attaining high quality, longer lives of free of preventable disease injury and premature death, elminating disparities , and improving the health of all groups, creating social and and physical environments that promote good health for all |
| Health Care in Pre-Industrialized America | A trade rather than a profession, medical training was learned through an apprenticeship rather than a university |
| Almshouse | Dirty shelter for crazy, old, young, poor people with minimal health care |
| Asylum | Built by government for patients with untreated chronic illnesses used techniques such as bleeding, vomiting, or hot/cold baths |
| Pesthouse | Isolated people who contracted a contagious disease; main function to contain the spread |
| Dispenaries | Outpatient clinics to provide free care to those who cant afford it; the basic health care |
| Health Care in Post-Industrialized America | Anesthesia, surgery, diagnostic techniques making medical practice legit. AMA referred to organized medicine. Extended academic year from months to years. |
| History of health insurance | The first broad coverage of health insurance emerged int he form of workers compensation, then private health insurance began in the form of disability coverage. Then first hospital plan, first physician plan then employer based ins. Then Medicaid/Care |
| Historical changes influenced by | Cultural/beliefs/values, social changes, technology advances, economic constraints, political opportunism |
| Pre Industrial healthcare tranchanged into Post Industrial health care by | Medical education/training, medical institutions, and medical pratcice |
| Changes in health care were in influenced by | Urbanization, health care insure, medical science breakthroughs, organized medicine, The Great Depression and WWII |
| How did we get Corporization | Corpirization of health care arrived with the info revolution and globilziation |
| Public health is | Anything that informs the community about health and wellness |
| Who is John Snow | The father of epidemiology. He sourced the cholera infection to the main water source of London |
| Population Health is | Focuses on interrelated conditions and factors that influence the health of populations over the life course. |
| Population Pyramid | Every health system develops programs that meet the specific health needs of its respective population -- not only by disease patterns, but also by size, age, and gender. |
| Major public health victories | Seat belts, control over infectious diseases, WIC, recognization of tobacco use as a health hazard, decline in deaths |
| What are some ethical issues when it comes to protecting the public's health? | Different religions have different beliefs about what's healthy and whats not |
| What are the indicators of population health? | Morality rates, morbidity rates, |
| Philadelphia examples of early gaps in public health~ | Yellow Fever Epidemic of 1793 Flu Epidemic of 1918 |
| Understand the term "health disparities" | Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations. |
| Acute condition | Severe, and episodic (heart attack) |
| Subactute condition | Chronic extremes with acute features. Sometimes post acute requiring further treatment after brief stay in the hospital |
| Chronic condition | is less severe but long and continuous, the patient may not fully recover (diabetes, asthma, hypertension,) |
| What year was CHIP made and what is it for? | In 1997 CHIP was created to provide insuarance to children of uninsured families |
| Medicare | Is one of the largest sources of public health insurance |
| Medicaid | Is the third largest source of Health insurance in country serving about 16% |
| Special populations (vulnerable populations) | Refer to those with health needs but inadequate resources to address those needs |
| Mananged care is | a system of health care delivery that seeks to achieve efficiency by integrating basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which services are purchased |
| Quality of life | refers to how satisfied a person is with his experiences receiving health care and how satisfied a person is with life after a medical intervention. |
| Which is the dominate health care system in the US | Managed care |
| In a free market | Patients should be able to choose their provider based on price and quality of services |
| In Canada | The government finances health care through general taxes, but the acute care is delivered by private providers |
| Tricare | Covers families and dependents of active duty or retired vets and treats them at the hospitals or dispensaries. Financed by the US Department of Defense |
| Who is WHO | World Health Organization |
| Who is SAEM | Society for Academic Emergency Medicine |
| Subsystems of Health Care Delivery | Private employer programs, poor and uninsured, federal programs, and federal and state joint programs |
| Medicare applies to | Seniors 65+, disabled and those with end stage renal disease |
| What are the federal programs of Health Care Delivery | Medicare, Veterans administration system, Active duty military system, Indian health service |
| Federal and State joint programs are | Medicaid, S-CHIP, Workers Compensation, Public Health |
| What is the primary objective of any health care system | Is to provide cost efficient health services that meet certain established standards of quality |
| The mission of public health is to | improve and protect community health |
| Long term care | consists of medical and non medical care that is provided to individuals who are chronically ill or who have a disability |
Created by:
ImaniMilll
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