EDITION ALREADY GRADED A+
what's an example of a service that was underutilized during covid
mammograms, cancer screenings (much fewer diagnoses)
many high value care services skipped
T/F: Covid hit low income groups significantly harder on both economic and health fronts?
true
more likely to be uninsured, employed in essential work settings (grocery stores, public transport, etc),
crowded housing conditions/mulit-gen households, higher comorbidity rates
Mortality rates across group age 0-4 decreased overtime. Why may this be?
Also, men seem to have worse outcomes than women - why?
big medicaid expansion to children, CHIP
men tend to have riskier behavrious
what are some examples of averted deaths during covid?
fewer car accidents since fewer people leaving their homes / fewer driving during lockdown
which group of people had highest mortality rates?
85+
what are 3 types of medical errors?
1. diagnostic
Ex: failure to employ indicated test, error or delay in diagnosis
2. treatment
Ex: error in performance of operation/procedure/administration of treatment/dosage
3. Preventative:
- failure to provide proactive treatment
- inadequate monitoring/follow-up
*others include failure of communication, equipment failure, other system failure
T/FL: medical error is the 3rd leading cause of death in US in 2016
true
, what is the first requirement for a medical liability case?
negligence
objectives of the medical malpractice system
compensate the victim (via economic - lost wages, med costs, or non-economic - like pain and suffering)
deter future negligence (changing parts of practice/procedure that arise from threat of lawsuit,
defensive medicine*)
T/F: most malpractice cases end up resulting in a claim
false (98% of cases do not result in claims)
what is defensive medicine
Medical practices done not for the patient's benefits but in order to protect physicians from malpractice
suits.
When doctors order tests, procedures, visits, or avoid high-risk patients/procedures bc of concern of
malpractice liability
such that spending now will increase
where do most of the costs of the medical liability system come from? (administrative? damages?
defensive medicine? other costs?)
defensive medicine !
defensive medicine + FFS interrelation
malpractice is only how much % of total spending
2.4%
what percentage of physicians are black?
4%
What is a Health Care System
An organization of people, institutions and resources that deliver healthcare services to meet the health
needs of target populations.
Biomedical Model
Presupposes the existence of illness/disease thereby emphasizing clinical diagnosis and medical
intervention in the treatment of disease.
Health Interventions