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Dr. Logan's Nonsense (Part 1)
Terms in this set (37)
What is the general definition of medical care?
Care provided by physician, focusing on pathology and social problems, contains element of
What are the three general types of health care?
1) Personal = services that deal with individual health
2) Community = services directed towards populations
3) Combined = both
What was healthcare like before 1850?
Almost non-existent organized health measures and loose collection of health services without relation to one another
What were asthma cigarettes?
Atropine-containing puffers, didn't contain tobacco
Horse-drawn ambulances made it's debut at which hospital?
Bellevue in NYC
Where and when was the scientific method incorporated into medicine?
When John Hopkins medical school opened around 1900
When did social and organizational structure of health start developing?
In 1940s with Blue Cross and Blue Shield
What did the Hill Burton Act do?
constructed hospitals and other health facilities by providing
What does the NIH do? When did it start doing this?
Provides large research budgets and sponsors clinical trials
In the 1940s
What were the problems regarding healthcare in the 1980s?
Supposed major surplus of physicians; many pressures to reduce size, use less, and reduce expenditures in healthcare
What were the predominate health problems in 1850-1900?
Epidemics of acute infectious, related to food, water, sewage, and poor urban housing
Cholera, typhoid, dysentery
How is Cholera spread?
Cholera = water
Typhoid = food or water contaminated with feces
Dysentery = same as above or contact with contaminated objects or hands
What were the predominate health problems in the early 1900s?
Acute events on the individual level (infectious or traumatic)
When did the medical sciences turn their attention to better surgical techniques and diagnostic tests?
What were the predominate health problems in the 1950s?
Long term chronic diseases (heart disease, cancer, stroke)
In 2002, what were the top two causes of death in the United States?
Heart disease and cancer (still true up to now)
According to one shocking study, medical malpractice was ranked which leading cause of death in the United States?
What are some of the leading causes of morbidity and leading function beginning in the 1950s?
Arthritis, blindness, arteriosclerosis, and other chronic diseases
What is the United States leading cause of disability?
During which period in history did the concept of chronic illness related to genetic makeup, personal life style, and environmental hazards become important?
1980s - future
What is the difference between an epidemic, pandemic, and endemic?
Epidemic = condition from common cause affecting large number of people (community-wide)
Pandemic = over considerable areas (nationwide)
Endemic = within a geographical area
Who discovered Penicillin?
How invented the manufacturing process that allowed Penicillin to be sold as a drug?
Were these discoveries during or after World Word II era?
Why is advancing technology potentially a problem in today's healthcare?
New technology is adopted without proper evaluation of efficacy or cost improvement; essentially, we are caught up in the flash of new technology
Students view excellence as being reached thru technical advancements
large portions of society do not benefit like they should from these advancements due to limits on funding
During which period in time was "people should care for themselves and be self-sufficient" and "be grateful for the various charities established" a common ideal?
True or false: the healthcare services offered to military servicemen and women as a result of the New Deal in the 1940s was a form of charity.
FALSE; provided as a right
True or false: medicare covers routine dental, hearing, and vision care.
FALSE; does not cover
What entity is the large single provider of health services in the United States?
How is it funded?
The VA Health Care System
What is TRICARE?
health benefit program for military personnel and retirees, includes dependents
True or false: the United States health care system can be seen as "single-payer."
What is the difference between illness and disease?
Illness = individuals reaction to biologic alteration; not precise
Disease = professional construct; precise; vehicle for informing patient of the presence of pathology; essential in planning organization of healthcare system
Which stimulates care-seeking behavior: illness or disease?
True or false: the use of medical services is the result of a unique interaction involving the pathologic processes themselves, the physician's and the patient's perception of them and the availability of services to deal with them.
What is primary prevention?
Maintenance or custodial care?
Primary = health maintenance without symptoms
Secondary = treatment of illness
Tertiary = maintenance in long term health problem
Maintenance or custodial care = medically fragile or dependent adults/children
What do analytic models of health services deal with?
Classifies how healthcare behavior is influenced by social, psychological, etc. factors
What does the Suchmann model state?
episode of illness; explanation for seeking medical care is social or sociological
symptom > sick role > medical care contact > patient role > recovery
What does the Kosa and Robertson model state?
Episode of illness; psychological focus (seeks medical care due to anxiety of symptoms)
What is perceived need and evaluated need?
Perceived = people in poorer health are more likely to use services
Evaluated = as physician-evaluated severity of a condition increases, use of services increases
Sets found in the same folder
Dr. Logan's Nonsense (Part 2)
Dr. Logan's Nonsense (Part 3)
Clinical Epidemiology II
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