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Flashcards in Health Care Delivery System Deck (8)
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Major categories of healthcare services.

1.) health promotion and maintenance: future focus
2.) illness prevention
3.) diagnosis and treatment: traditional focus
4.) rehabilitation and long term care


Classification of health care agencies.

1.) government agencies (public)
2.) state agencies (public)
3.) local agencies (public)
4.) voluntary agencies (private)
5.) for profit and not for profit agencies


level of health care services provided

primary care services
secondary care services
tertiary care services
subacute care
disease management services


maintaining quality in health care agencies.

1.) accreditation of health care agencies:
-the joint commission
health care facilities accreditation program (HFAP)
-continuous quality improvement/total quality management: high quality patient care


what are some health care disparities (differences in quality of health care provided to different populations)

ethnic or racial disparities
educational level
sexual orientation
place of residence


Current methods of payment for health care.

Private insurance: Voluntary insurance; insurance premiums are paid either by insured individuals or their employers or are shared between individuals and employers
Medicare: A nationwide federal health insurance program established in 1965 for people ages 65 and over, regardless of income
Also covers certain groups of disabled people
Contain Parts A, B, C, D
Medicaid: Group of jointly funded federal-state programs for low-income, elderly, blind, and disabled individuals, established in 1965
People must meet eligibility requirements.


Current methods of payment for health care

Personal payment: Out-of-pocket payment, which only the very wealthy can afford
Least frequently used method for financing health care
Workers’ Compensation: Covers workers who are injured on the job
Program varies from state to state
Covers treatment for injuries during time worker is absent from work for injury-related causes


What are the benefits of the affordable care act

1.) improved quality and lower health care costs
2.) new consumer protections
3.) access to healthcare
4.) benefits for women
5.) young adult coverage
6.) strengthening medicare
7.) holding insurance companies accountable