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Flashcards in Ch 3 Deck (51)
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resolution supporting primary health care for all people by 2000

declaration of alma-ata


an integrated system for providing health care services in which consumers must abide by certain rules designed to achieve cost savings

managed care


a commissioned corps of health personnel who provides care in designated underserved areas

National Health Service corps


the providing of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community

primary care


a combination of primary care and public health care made universally accessible to individuals and families in a community, with their full participation, and provided at a cost that the community and country can afford

primary health care (PHC)


a technique for identifying prevention of error strategies and developing a culture of safety

root cause analysis


the federal agency most heavily involved in health and welfare

US dept of health and human services


activities whose goal is to protect people from becoming ill due to actual or potential health threats

disease prevention


racial or ethnic differences in the quality of health care, not based on access or clinical needs, preferences, or appropriateness of an intervention



a trend toward an increased flow of goods, services, money, and disease across national borders



a part of the National Academy of Sciences and an organization whose purpose is to provide national advice on issues relating to biomedical science, medicine, and health

Institute of Health


people 65 yrs or older
under 65 if disabled

Fed pays


low-income families with children who meet eligibility requirements
disabled who meet eligibility requirements
poor elderly

Fed and State pay


created by the balanced budget act of 1997
builds on medicaid to provide insurance coverage to low-income, uninsured children who are not eligible for Medicaid
family of four income must be below $42,406

State administered with federal allocations


difference between primary care and primary health care

primary care is the first level of primary health care and is delivered in a variety of community settings, such as physcian's office, urgent care centers, in-store clinics, community health centers, and community nursing centers.


mandated through laws that are developed at the national, state, or local level. Instituted to protect the health of the community such as a law mandating immunizations for all children entering kindergarten and a law requiring constant monitoring of the water supply

public health


Health Resources and Services Administration (HRSA)

USDHHS agency with primary responsibility for improving health care of special populations, including people who are uninsured, isolated, or medically vulnerable


Bureau of Health Professions

a component of HRSA, provide competencies and and expertise for education legislation for each of the health professions


National Institute of Health (NIH)

world's premier medical research organization


Agency for Healthcare Research and Quality (AHCRQ)

supports research on healthcare systems, health care quality and cost issues, access to healthcare, and effectiveness of medical treatments; provide EBP


Food and Drug Administration

ensures the safety of foods and cosmetics and the safety and efficacy of pharmaceuticals, biological products, and medical devices. Also tracks foodborne illnesses


Centers for Disease Control (CDC)

main job is protect lives and improve health. Two primary goals are to prepare for terrorist health threats and protect the health and quality of life across the US. Provides a system of health surveillance to monitor and prevent disease outbreaks, implement disease prevention strategies, and maintain national health stats. Also provides for immunization services, workplace safety, and environmental disease prevention


those with insurance; employers prob provide insurance; viewed as being superior

private insurance


depend on public funds; less adequate healthcare

public insurance


the working poor

uninsured; typically young adults ages 25-34 are most likely to lack coverage


food and nutrition service; WIC

dept of agriculture


health services to federal prisoners

dept of justice


provides health information and support the control of urban air quality

Dept of commerce


develop safety and health standards and ensure compliance

Dept of Labor: OSHA and Mine Safety and Health Administration


WHO, declaration of Alma-Ata, movement that came from this meeting and US answered with healthy people 2020; focus is on PREVENTION; encourages self care and self management of health; community participates and helps define problems; workforce is made up of a multidisciplinary team

primary health care