HCD 303 midterm study guide
Study online at https://quizlet.com/_fsusp0
a set of connected things or parts forming a complex
whole.
a set of principles or procedures according to which
something is done; an organized scheme or method.
System
A health system (described by WHO) is the sum total of
all the organizations, institutions, and resources whose
primary purpose is to improve health. The effectiveness
and overall functioning of a healthcare system is measured
by monitoring access, quality, and cost.
-patient safety
-patient outcomes
-patient satisfaction
Quality
*to improve overall health, need to focus upon incentives
that influence personal behaviors
*huge variability
(n) approach or admittance to places, persons, things; an
increase; (v) to get at, obtain
-US has less access to insurance
Access
-US has less access to primary care
-US has much more access to latest expensive tech.
-huge variance in technology use across US
health expenditures
-US spends significantly more per capita
Cost
-significant variability in the cost of care across the US
-high spending does not translate into better outcomes
Universal health coverage is defined as ensuring that all
people have access to needed health services (includ-
Universal coverage
ing prevention, promotion, treatment, rehabilitation and
palliation) of sufficient quality to be effective while also
,HCD 303 midterm study guide
Study online at https://quizlet.com/_fsusp0
ensuring that the use of these services does not expose
the user the financial hardship.
the belief that government is obliged to provide a wide
range of social benefits to all citizens including medical
care, old age pensions, unemployment insurance, disabil-
ity payments, maternity benefits, and other forms of social
Social Solidarity
welfare
this does not mean the government will PROVIDE health-
care
Subsidiarity is an organizing principle that matters ought
to be handled by the smallest, lowest or least centralized
Subsidiarity
competent authority. Political decisions should be taken at
a local level if possible, rather than by a central authority
General reciprocity giving with no expectation of return
Authority and regulation is held at the central level of
Centralized
government
Decentralized Authority and regulation is held at the local/ state level
Federal and state government health programs (e.g.,
Public Health Services/Insurance Medicare, Medicaid, SCHIP, TRICARE) available to eligible
individuals.
Private Health Services/Insurance private companies provide and own
Copayment a fixed fee paid by the patient at the time of an office visit
the sharing of expenses by the policyholder and the insur-
Coinsurance
ance company
Amount you must pay before you begin receiving any
Deductible
benefits from your insurance company
Sickness funds
, HCD 303 midterm study guide
Study online at https://quizlet.com/_fsusp0
German insurance programs offered by nonprofit groups
to serve a given occupation, geographic location, or em-
ployer. Otherwise known as social insurance; a form of
health insurance; sum of money used to cover medical
costs
government programs that protect people experiencing
unfavorable economic conditions.
Safety net children under 18 are exempt from cost sharing; annual
cap=2% household income, 1% if chronically ill; unem-
ployed do not lose health insurance, government steps in.
Provision of a healthcare insurance policy that requires
Cost-sharing policyholders to pay for a portion of their healthcare ser-
vices; a cost-control mechanism.
a sum of money granted by the government or a public
Subsidy body to assist an industry or business so that the price of
a commodity or service may remain low or competitive.
the function of a health system concerned with the mobi-
lization, accumulation and allocation of money to cover the
Health financing
health needs of the people, individually and collectively, in
the health system
17.4% (3 trillion $)
more than anything else, including defense
Health spending as a % of the GDP
about 15% of GDP in US goes towards healthcare
consists of health and health-related expenditures
a system under which doctors and hospitals receive a
Fee-for-service payment for each service they provide; all healthcare ser-
vices products and prescription medications are unbun-
Study online at https://quizlet.com/_fsusp0
a set of connected things or parts forming a complex
whole.
a set of principles or procedures according to which
something is done; an organized scheme or method.
System
A health system (described by WHO) is the sum total of
all the organizations, institutions, and resources whose
primary purpose is to improve health. The effectiveness
and overall functioning of a healthcare system is measured
by monitoring access, quality, and cost.
-patient safety
-patient outcomes
-patient satisfaction
Quality
*to improve overall health, need to focus upon incentives
that influence personal behaviors
*huge variability
(n) approach or admittance to places, persons, things; an
increase; (v) to get at, obtain
-US has less access to insurance
Access
-US has less access to primary care
-US has much more access to latest expensive tech.
-huge variance in technology use across US
health expenditures
-US spends significantly more per capita
Cost
-significant variability in the cost of care across the US
-high spending does not translate into better outcomes
Universal health coverage is defined as ensuring that all
people have access to needed health services (includ-
Universal coverage
ing prevention, promotion, treatment, rehabilitation and
palliation) of sufficient quality to be effective while also
,HCD 303 midterm study guide
Study online at https://quizlet.com/_fsusp0
ensuring that the use of these services does not expose
the user the financial hardship.
the belief that government is obliged to provide a wide
range of social benefits to all citizens including medical
care, old age pensions, unemployment insurance, disabil-
ity payments, maternity benefits, and other forms of social
Social Solidarity
welfare
this does not mean the government will PROVIDE health-
care
Subsidiarity is an organizing principle that matters ought
to be handled by the smallest, lowest or least centralized
Subsidiarity
competent authority. Political decisions should be taken at
a local level if possible, rather than by a central authority
General reciprocity giving with no expectation of return
Authority and regulation is held at the central level of
Centralized
government
Decentralized Authority and regulation is held at the local/ state level
Federal and state government health programs (e.g.,
Public Health Services/Insurance Medicare, Medicaid, SCHIP, TRICARE) available to eligible
individuals.
Private Health Services/Insurance private companies provide and own
Copayment a fixed fee paid by the patient at the time of an office visit
the sharing of expenses by the policyholder and the insur-
Coinsurance
ance company
Amount you must pay before you begin receiving any
Deductible
benefits from your insurance company
Sickness funds
, HCD 303 midterm study guide
Study online at https://quizlet.com/_fsusp0
German insurance programs offered by nonprofit groups
to serve a given occupation, geographic location, or em-
ployer. Otherwise known as social insurance; a form of
health insurance; sum of money used to cover medical
costs
government programs that protect people experiencing
unfavorable economic conditions.
Safety net children under 18 are exempt from cost sharing; annual
cap=2% household income, 1% if chronically ill; unem-
ployed do not lose health insurance, government steps in.
Provision of a healthcare insurance policy that requires
Cost-sharing policyholders to pay for a portion of their healthcare ser-
vices; a cost-control mechanism.
a sum of money granted by the government or a public
Subsidy body to assist an industry or business so that the price of
a commodity or service may remain low or competitive.
the function of a health system concerned with the mobi-
lization, accumulation and allocation of money to cover the
Health financing
health needs of the people, individually and collectively, in
the health system
17.4% (3 trillion $)
more than anything else, including defense
Health spending as a % of the GDP
about 15% of GDP in US goes towards healthcare
consists of health and health-related expenditures
a system under which doctors and hospitals receive a
Fee-for-service payment for each service they provide; all healthcare ser-
vices products and prescription medications are unbun-
