Chapter 3 and 4 Notes

7 Factors in Professional Sovereignty Growth

• urbanization

• Science and tech

• Institutionalization

• Dependency

• Autonomy and organization

• Licensing

• Educational reform

4 reasons why the National Health Care Initiative Failed in U.S in 1900

1. Political Inexpediency

2. Institutional Dissimilarities

3. Ideological Differences

4. Tax Aversion

Baylor Plan

In 1929 this plan introduced the concept of hospital insurance, a prepaid plan based on capitation

Health Maintenance Organization 

In 1973 this helped established a “gate keeping model” to help reign in the rising cost of health insurance and overall health care costs by stimulating competitions among health plans and enhancing efficiency in healthcare 

Medical Tourism

term used to describe traveling abroad to receive elective, nonemergency medical care

The Affordable Care Act

This was signed into law in march 2010 and was partially successful in reducing the number of Americans without insurance, but has its flaws

How much does Medicare pays for most doctor visits

80%

Medicaid 

Medical insurance coverage for low income individuals that managed by the State and Federal government 

Lyndon B Johnson

Signed the Medicare Act into law 1965

Medicare

Health care system for individuals over the age of 65 and those with certain diagnoses, run by the federal government

Executive Branch

Arm of Government that houses DHHA and manages Medicare and Medicaid

CMS

Also called Center for Medicaid and Medicare services

Medicare Part A

Free insurance coverage to those 65 and older that includes hospital coverage for Medicare pt’s

Medicare Part D

Covers prescriptions drug costs for home use for Medicare pt’s

Comorbidity

Refers to the conditions when a pt have multiple health problems

Allopathic Medicine

Views medical treatments as active interventions to produce a counteracting reaction in an attempt to neutralize the effects of the diseases

Hospitalist

Physicians who specialize in the care of hospital patients

Psychologist

An Nonphysician who are trained to provide mental health care using counseling and psychotherapy. They must be licensed or certified to practice

Primary Care

1st contact care or the portal to the health care system. This type of care focuses on the person as a whole. It seeks to balance multiple requirements for which a pt’s condition may call and refer pt’s to appropriate specialty care when needed. It should incorporate continuity, comprehensiveness and coordination with other levels of care 

Generalist

Physicians trained in family medicine / general practice, general pediatrics in the US. They are considered primary care providers 

Osteopathic Medicine 

Emphasizes the MSK of the body, such as correction of the joints or tissues and stresses diet and the environment as factors that might influence natural resistance 

Podiatrist

Treat pt’s with diseases or deformities of the feet, including preforming surgical operations, prescribing medications and corrective devices

Maldistribution

Refers to either a surplus or a shortage of the type of healthcare providers (typically physicians) needed to maintain the health status of a given population at an optimum level 

Residency

Gradate medical education un a specialty that takes the form of paid on the job training usually in a hospital 

Omnibus Budget Reconciliation Act of 1990

this legislation requires pharmacists to give consumers information about drugs and potential misuses