QUESTIONS AND PRACTICE SOLUTION
GRADED A+
◉ What is medical technology responsible for?
Answer: -raising expectations and increased demand
-changes organization and financing of health services
-specialization
-increased costs
-complex medical and ethical issues
◉ Medical Technology:
Answer: -has improved the delivery of medical care
-benefitted from developments in other applied sciences (physics
and chemistry, etc.)
-sophisticated machines, pharmaceuticals, biological therapies,
procedures, facilities, information systems and management and
operational systems
◉ Information Technology (IT):
Answer: computer applications that transform massive amount of
data into useful information
,-main categories include: clinical information systems,
administrative information systems, decision support systems,
decision support systems, internet and e-health
◉ What are the four basic components of electronic health records?
Answer: -collection and storage of health information on individual
patients
-access to information by authorized users
-knowledge and decision-support to enhance quality, safety, and
efficiency
-improve the efficiency of health care processes
◉ What is the HITECH Act of 2009?
Answer: -Incentives to providers for adopting meaningful use of
EHR technology
(meaningful use: criteria in quality, safety, efficiency, etc.)
◉ What is HIPAA of 1996?
Answer: -access to and transfer of personal medical information
-legal use of personal medical information: health care delivery,
operation of the health care organization, reimbursement
-patient rights: inspect, obtain copies, request corrections, restrict
use
,◉ What is E-health?
Answer: all forms of electronic health care delivered over the
internet (information, education, products, services)
◉ What other applications has the internet and e-health impacted?
Answer: -register patients
-order pharmaceuticals
-physicians can get a head start on hospital rounds
-virtual visits
◉ What is telemedicne?
Answer: distance medicine
(remote in-home monitoring is proving to be cost-effective)
◉ What are some of the issues with telemedicine?
Answer: -licensure across state lines
-who is legally liable
-lack of reimbursement
-unsubstantiated cost effectiveness
◉ What are the reasons for high rates of diffusion and utilization in
the US?
, Answer: -cultural beliefs and values
-medical training and practice
-insurance coverage
-competition among providers
◉ Cultural Beliefs and Values in regards to high rates of diffusion
and utilization in the US:
Answer: -capitalism and lack of gov't intervention
-high expectations of finding cures through science and technology
-demand advanced technology
-technological imperative: the desire to have state of the art
technology available and to use it despite its cost
◉ medical training and practice in regards to high rates of diffusion
and utilization in the US:
Answer: -specialists use more technology than PCPs
-American medial graduates increasingly choose specialization over
primary care
◉ Insurance coverage in regards to high rates of diffusion and
utilization in the US:
Answer: -ins insulates both patients and providers from the
utilization and cost of health care