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DLA 8: Health Systems- US Organization and Delivery

Terms in this set (28)

What are the 3 Models of Organizing care?
1- Primary Care

2- Secondary Care

3- Tertiary Care
Primary care deals with ...................., .................. and ..................

It can be taken care of by ................. or ................

It accounts for .............. of health care visits
Common health problems

Minor interventions

Preventive measures

General practitioner or another caregiver

80-90%
Secondary care deals with problems that require ..................., ................

Usually involve ............... for care and ............... such as .................
More specialized care, clinical expertise

Hospital setting

Specific specialties

General surgery
Tertiary care deals with .......... and often ............., requiring ................. and .................

It involves ................ such as ............, ............. and ............
More complex

Rare disorders

Extensive clinical expertise

Hospital care

Subspecialties

Cardiac surgeons, immunologists and hematologists
The US Health care model is a ............... model with multiple access points (patient choice or doctor referral), more fluid roles for ..............., it has less distinction in ................ care and places a high value on .............. care
Dispersed

Providers (e.g., broadens role of internists and pediatricians)

Hospital

Tertiary
What are 3 positive impacts of health care dispersion?
1. Flexibility and convenience

2. Direct access to specialists/tertiary care

3. Autonomy in selecting services
What are 5 negative impacts of health care dispersion?
1. Higher costs involved

2. Tendencies toward fragmentation

3. Lack of organizational coherence

4. Difficulty of integrating care and maintaining continuity

5. Unnecessary procedures/risks of medical error
The primary care provider acts as a ................ and ................

The concept of a ....................... was established to revitalize primary care in the US
Gatekeeper

Coordinator

Patient-centered "Medical Home"
Traditional Medical Care vs New Medical Care Structures
Traditional structure of medical care
Multi-specialty group practice formally ........................ to encourage ......................
Integrated specialists into a single clinic structure

Collaborative care

Example: Mayo clinic
Community health centers emphasize ................. and .............., often ............ and ........... health
Preventive care

General health

Maternal

Child

In 2018, nearly 1300 community health centers serving over 28 million people in the US
New Medical Structures
Health maintenance organization

You receive most or all of your health care from a .......................

You choose a ..................... responsible for .............. and .............. care

Specialist care diagnostic services require ...........................
Network provider

Primary care physician
-Internist, family doctor, pediatrician

Managing and coordinating

An approved referral
An independent practice association (IPA) is a ............ collection of ................. who work in ......................

IPA contracts with .............. on behalf of the .................
Loose

Private doctors

Their own practices

HMO

Doctors
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