Chapter 3 Berman Health Care Delivery Systems
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Created by:
pclark21 on October 7, 2011
Subjects:
introduction to practical nursing
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24 terms
Terms | Definitions |
|---|---|
 Caregiver role strain | Physical, emotional, social, and financial burdens that can seriously jeopardize the caregiver's own health and well-being. |
| Case management | A method for delivering nursing care in which the nurse is responsible for a caseload of clients across the health care continuum. |
| Coinsurance | An insurance plan in which the client pays a percentage of the payment and some other group (e.g., employer, government) pays the remaining percentage. |
| Collaboration | A collegial working relationship with another health care provider in the provision of client care. |
| Community | A collection of people who share some attribute of their lives. |
| Community-based health care (CBHC) | A system that provides health-related services within the context of people's daily lives; that is, in places where people spend their time in the community. |
| Continuity of care | The coordination of health care services by health care providers for clients moving from one health care setting to another and between and among health care professionals. |
| Critical pathways | Multidisciplinary guidelines for client care based on specific medical diagnoses designed to achieve predetermined outcomes. |
| Discharge planning | The process of anticipating and planning for client needs after discharge. |
| Durable medical equipment (DME) | Used for health care by the client at home that is multi-use and not disposable after one use. |
| Health care system | The totality of services offered by all health disciplines. |
| Health maintenance organization (HMO) | A group health care agency that provides basic and supplemental health maintenance and treatment services to voluntary enrollees. |
| Home health nursing | Services and products provided to clients in their homes that are needed to maintain, restore, or promote their physical, psychologic, and social well-being. |
| Hospice nursing | Care frequently given to terminally ill clients in their home; often considered a subspecialty of public health nursing. |
| Managed care | A method of organizing care delivery that emphasizes communication and coordination of care among all health care team members. |
| Medicaid | A U.S. federal public assistance program paid out of general taxes and administered through the individual states to provide health care for those who require financial assistance. |
| Medicare | A national and state health insurance program for U.S. residents older than 65 years of age. |
| Patient-focused care | Delivery model that brings all services and care providers to the client. |
| Preferred provider organization (PPO) | A group of physicians or a hospital that provides companies with health services at a discounted rate. |
| Primary care | The point of entry into the health care system at which initial health care is given. |
| Primary health care | Essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination. |
| Primary nursing | A method of delivering client care that emphasizes continuity of care by assigning one nurse to be responsible for a client's care 24 hours a day 7 days a week. |
| Supplemental Security Income (SSI) | Special payments for people with disabilities, those who are blind, and people who are not eligible for Social Security; these payments are not restricted to health care costs. |
| Team nursing | The delivery of individualized nursing care to clients by a team led by a professional nurse. |
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