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Healthcare Test 1
| Question | Answer |
|---|---|
| What is Financing? | Necessary to OBTAIN health insurance or to PAY for health care services |
| What is insurance? | PROTECTS insured against catastrophic risks when needing expensive health care services. Also, determines the package of health services that insures is ENTITLED to receive. |
| What is Delivery? | the TERMS of healthcare services and the ACCEPTANCE of insurance payments directly for those services |
| What is Payment? | REIMBURSEMENT to providers for services delivered. |
| Explain National Health System (Great Britain) | *Taxes are the source of $$ *Government pays the bills *Government operates the institutions *Providers are government employees or contract employees |
| Explain National Health Insurance (CANADA) | *Taxes fund most of the services *Government administers the insurance, sets the rate of provider reimbursement and pays the bills *Most services are delivered through private providers-caregivers |
| Explain Socialized Health Insurance (GERMANY) | *Government is the source of funding with mandates $$ from employers and employees *Insurance companies are private, not for profit. They collect $ and pay providers *Services are delivered through private providers *Government sets policy for services |
| 3 examples of health objectives obtained in Healthy People 2010 | 1.)Access to quality health services 2.)Diabetes 3.)Cancer 4.)Arthritis, osteoporosis |
| Benefits of outpatient services | *lower cost of services *Technology expanded and improved *potential for more procedures in a shorter time led to shorter hospital stays *Greater access to prevention and early tx for the uninsured and underinsured *Pt and family satisfaction |
| How many US Citizens are insured? | 46+ Million (16%) of US pop. |
| Responsibilities of professional nurses in seeking improvements in the system. | 1.Advocate – lobby, join NSNA/professional orgs 2.Teach – follow up with Pt, explain preventative health care 3.Provide expert care – stay up-to-date on research, best practices, policies; offer provider referrals, screenings |
| Factors that influence our personal state of health | Environment, lifestyle, heredity, medical care |
| Explain Social Justice | equitable distribution of services and belief that health care is good for society and economy |
| Explain Capitalism | emphasizes INDIVIDUAL over society and is based on individual ability to pay. |
| Name 3 bills and their standings | 1.) Safe Patient Handling: passed in the senate but died in the house when failed to make agenda 2.) Impaired practitioner: Passed in both chambers- presenting to Governor 3.) Consumer Access To Healthcare: passed in both Chambers- presenting to Governo |
| 2 most common reasons people are admitted to nursing homes for care | immobility (80%) and Incontinence (66%) |
| The sources of funds for medical expenditures for uncompensated (no payment for services received) care | Medicaid, federal grants to nonprofit hospitals, charitable organizations |
| Identify at least 8 barriers to health care for racial and ethnic minorities. | Language, Education, Tradition, Transportation, location, Money, care values, accessibility to HCP |
Created by:
lpreuss311
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