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Stack #760662
CCC [Fundamentals] Health Care Delivery (Ch 4)
Question | Answer |
---|---|
Health promotion and illness prevention | primary level of care |
Diagnosis and treatment | secondary level of care |
Rehabilitation | tertiary level of care |
Members are limited to providers within the system, fee is preset and prepaid, provide services to a group of enrolled persons | HMO |
Focus on care is on cost-effective treatment measures with quality outcomes, fees are prepaid and preset, networks or providers that give discounts to sponsoring organization | PPO |
Care must be delivered by the plan in order for clients to receive reimbursement, plan pays no benefit if member is treated outside the network, usually regulated by state insurance laws | EPO |
Agencies financed with tax monies, examples like FDA, CDC, and voluntary agencies like ANA, ACS, and AHA | public sector |
All for profit hospitals and agencies | private sector |
Factors affecting health care | cost, access, quality, nursing supply and deman |
A major barrier to access to services | the cosst of health care |
(T/F) The US spends more per person on health care than any other country | True |
factors that contribute to the escalation of health care costs | aging popluation, technological advances, surplus of hospital beds, and increased number of people with chronic illnesses |
(T/F) In addition to the issue of cost, access to health care services do not have a Access to health care services does not have a serious impact on the functioning of the health care system | False |
The Nursing Agenda for Health Care Reform's conerstone is | the delivery of health care services in environments that are easily accessible, familiar, and consumer-friendly. |