PM508 Midterm Questions All Solved
Correctly.
What has the healthcare trend been for the past few decades? - Answer Increasing each year
3 phases of healthcare in US history - Answer Phase 1 (colonial-1900): infectious and
communicable disease
Phase 2 (1920-1980): chronic illness
Early phase: 1920-1945 penicillin better surgical techniques from the wars
Late phase: 1945-1980 role of government and health insurance grew. Role of nurses and tech
improved/specialized.
Phase 3 (1980-present: wellness and population health. Focus on increased lifespan and
studying social determinants of health. New challenges: high cost of care and disparities.
Major components oh healthcare system - Answer - ambulatory care
- in patient care
- long term care
- ancillary care
- auxiliary care
- palliative care
Components of public health - Answer - global
- National
- state
- local
ambulatory care - Answer Services that do not require an overnight hospital stay. Ex: out
patient facilities, clinics, community centers
In patient care - Answer services provided to a patient within a hospital. Overnight but short
term stay
Long term care facilities - Answer mainly provide assistance and care for elderly patients or
long term patients. Ex: skilled nursing facility, home care, rehabilitation centers.
Ancillary Care - Answer Specialized health services that facilitate diagnosis and treatment,
including lab work and x-rays, PT, OT, medical devices
, auxiliary care - Answer Supplemental health services: mental health services and dental
services
palliative care - Answer Care designed not to treat an illness but to provide physical and
emotional comfort to the patient and support and guidance to his or her family. Hospice
centers, pain management, multidisciplinary approach
Does healthcare system vary by who it serves? - Answer Yes.
Middle class: some insured and some underinsured. Use private physicians and hospitals w out
of pocket or HMO plans.
Lower class: public hospitals and Medicaid funded physicians. Clinics and health centers.
Military: highly organized and funded. No long term centers only large hospitals
Veterans: VA is federally operated, large, and not well integrated
Rural health: transportation issues, lack of physicians, isolation and mental health
What are the social determinants of health? - Answer the complex, integrated, and
overlapping social structures and economic systems that are responsible for most health
inequities
Triple Aim of Healthcare (berwik) - Answer A. improve experience of healthcare
B. improve population health
C. Lower cost of healthcare
Population Health model vs medical model - Answer Population health: how to change a
larger group of people
Medical model: curative efforts for single patient
What is the challenges of applying a population model to an illness - Answer Illness occurs
and is treated in individuals, so by the time large numbers are detected, it has already
happened
What are roles of state gov in shaping healthcare? - Answer Exec branch: oversees admin,
chooses agenda which translates to a bill, budget, or amendment.
Governor: part of big 5 who approves budget (speaker of the house, president of senate,
minority leaders in each chamber). Sets agenda and approves bills
Federal and state agencies: issue guidance and grant announcements. Department of public
health...
Legislative branch: chooses topics for discussion, big influence on budget establishment
Correctly.
What has the healthcare trend been for the past few decades? - Answer Increasing each year
3 phases of healthcare in US history - Answer Phase 1 (colonial-1900): infectious and
communicable disease
Phase 2 (1920-1980): chronic illness
Early phase: 1920-1945 penicillin better surgical techniques from the wars
Late phase: 1945-1980 role of government and health insurance grew. Role of nurses and tech
improved/specialized.
Phase 3 (1980-present: wellness and population health. Focus on increased lifespan and
studying social determinants of health. New challenges: high cost of care and disparities.
Major components oh healthcare system - Answer - ambulatory care
- in patient care
- long term care
- ancillary care
- auxiliary care
- palliative care
Components of public health - Answer - global
- National
- state
- local
ambulatory care - Answer Services that do not require an overnight hospital stay. Ex: out
patient facilities, clinics, community centers
In patient care - Answer services provided to a patient within a hospital. Overnight but short
term stay
Long term care facilities - Answer mainly provide assistance and care for elderly patients or
long term patients. Ex: skilled nursing facility, home care, rehabilitation centers.
Ancillary Care - Answer Specialized health services that facilitate diagnosis and treatment,
including lab work and x-rays, PT, OT, medical devices
, auxiliary care - Answer Supplemental health services: mental health services and dental
services
palliative care - Answer Care designed not to treat an illness but to provide physical and
emotional comfort to the patient and support and guidance to his or her family. Hospice
centers, pain management, multidisciplinary approach
Does healthcare system vary by who it serves? - Answer Yes.
Middle class: some insured and some underinsured. Use private physicians and hospitals w out
of pocket or HMO plans.
Lower class: public hospitals and Medicaid funded physicians. Clinics and health centers.
Military: highly organized and funded. No long term centers only large hospitals
Veterans: VA is federally operated, large, and not well integrated
Rural health: transportation issues, lack of physicians, isolation and mental health
What are the social determinants of health? - Answer the complex, integrated, and
overlapping social structures and economic systems that are responsible for most health
inequities
Triple Aim of Healthcare (berwik) - Answer A. improve experience of healthcare
B. improve population health
C. Lower cost of healthcare
Population Health model vs medical model - Answer Population health: how to change a
larger group of people
Medical model: curative efforts for single patient
What is the challenges of applying a population model to an illness - Answer Illness occurs
and is treated in individuals, so by the time large numbers are detected, it has already
happened
What are roles of state gov in shaping healthcare? - Answer Exec branch: oversees admin,
chooses agenda which translates to a bill, budget, or amendment.
Governor: part of big 5 who approves budget (speaker of the house, president of senate,
minority leaders in each chamber). Sets agenda and approves bills
Federal and state agencies: issue guidance and grant announcements. Department of public
health...
Legislative branch: chooses topics for discussion, big influence on budget establishment
