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what profession has the highest median no-show rate compared to other specialties
physical therapy
what is the median no-show rate for PTs
57.3%
delayed care is associated with:
worse outcomes and increased socioeconomic cost
no-shows cost the health care system how much per year?
$150 billion
which country spends the most money with the worst health system performancee
the US
which country spends the least money with the best health system performance
Australia
United States per capita healthcare spending is nearly __ the average of other wealthy countries
2x
which health outcomes is the US the worst at?
life expectancy at birth, infant mortality, unmanaged diabetes, safety during childbirth
true or false: money spent equates to quality of outcomes
false
what are 3 reasons the US has such high cost with such low outcomes?
has the most barriers to accessing and affording health care, has not invested in primary care, is inadequately addressing social policies and influences outside of health care
most Americans receive health coverage through:
their employer
what is the most common reason for Americans to skip needed care?
cost
what is the ratio of primary care physicians (PCPs) to people in the US
0.3 PCPs/1,000 people
what is the ratio of PCPs to people globally on average?
1.1 PCPs/1,000 people
what 2 countries don’t have universal healthcare coverage
US and Mexico
what are some public health concepts that the US does not address
gun violence, drug usage, food insecurity, homelessness, poverty, SDOH
what in health care is the US ranked #2 for?
care process
what about the US care process is good
high-quality with focus on patient safety
what is the top of the care iceberg
care provided to the individual patient
what are the parts making up the iceberg of care under the surface?
teamwork, clinical informatics/health system technology, SDOH, health care policy, leadership, health system integration, person-centered care, health care value, population health, health system improvement
what are the 3 pillars of health care education
basic science, clinical science, health systems science
what is health systems science?
the study of how health care is delivered, how HCPs work together to deliver care, and how the health system can improve patient care and health care delivery
the integration of the 3 pillars of of health care education does what
provides the context necessary to achieve the quadruple aim
what is at the center of patient care in the wheel model?
patient, family, and community
what makes up the outside of the wheel in the patient care wheel model
systems thinking
what does systems thinking add to the quadruple aim
integrates the 4 aims to benefit the center