Health Systems Exam 1
1. Define univer-
sal coverage, sin-
gle-payer and
multi-payer sys-
tems, and social-
ized medicine.
Apply each con-
cept to the US
health delivery
system.
2. universal cover- Health coverage for everyone. It could take single payer or multiple payer system
age
applies to agee
65 (Medicare)
(Apply each con-
cept to the US
health delivery
system.)
3. single-payer sys- Financed from a central fund. Often administered by the government.
tem
applies to agee
65(Medicare)
(Apply each con-
cept to the US
health delivery
system.)
4. multi-payer sys- Two or more providers administer health insurance. Individuals choose among
tem competing health insurers for their care.
(Apply each con-
cept to the US
, Health Systems Exam 1
health delivery
system.)
5. socialized medi- Government owns health care facilities and employs the health care professionals.
cine
Applies to the Veterans Health Administration (VA)
(Apply each con-
cept to the US
health delivery
system.)
6. Define the follow-
ing in terms of
what they mean,
how patients ac-
cess them, and
the type of med-
ical practitioners
that exist at each
level:
a. Primary care
b. Secondary
care
c. Tertiary care
7. Primary care The first point of consultation for general patients with non-emergent illness.
- Mostly outpatient/office-based visits
- General practice, internal medicine, family practice, pediatrics, OB/GYN for gen-
eral women's health, PA, NP
- Patient access: It serves as the entry to the health care for a majority of patients
in the US.
, Health Systems Exam 1
8. Secondary care Services provided by specialists or hospital care (including emergency depart-
ment)
- Many services are provided in hospital setting
- Some services are provided in outpatient/office setting
- Services provided by specialist, attending physician, hospital-based physician,
and house staff
- Patient access: Often referred by primary care provider. Patients may receive
secondary care without referral, if (1) the patient has PPO coverage and specialist
allows direct appointment by the patient, or (2) patient goes to the emergency
room.
9. Tertiary care The highest level of specialty required care.
- Most services are provided in hospital setting.
- Services provided by a hospital that is capable of conducting higher level of
treatment. Ex, organ transplant, brain surgery
- Patient access: Often referred by secondary care provider.
10. What country United States
spends the most
(% of GDP) on
health care?
11. (State of US 1. Ischemic heart disease
Health JAMA Arti- 2. Tracheal, bronchus, and lung cancer
cle Table 1) 3. Chronic obstructive pulmonary disease
4. Alzheimer disease and other dementias
What are the 5. Colon and rectum Cancer
top 5 diseases/in-
juries with re-
spect to YLL in the
US in 2016?
1. Define univer-
sal coverage, sin-
gle-payer and
multi-payer sys-
tems, and social-
ized medicine.
Apply each con-
cept to the US
health delivery
system.
2. universal cover- Health coverage for everyone. It could take single payer or multiple payer system
age
applies to agee
65 (Medicare)
(Apply each con-
cept to the US
health delivery
system.)
3. single-payer sys- Financed from a central fund. Often administered by the government.
tem
applies to agee
65(Medicare)
(Apply each con-
cept to the US
health delivery
system.)
4. multi-payer sys- Two or more providers administer health insurance. Individuals choose among
tem competing health insurers for their care.
(Apply each con-
cept to the US
, Health Systems Exam 1
health delivery
system.)
5. socialized medi- Government owns health care facilities and employs the health care professionals.
cine
Applies to the Veterans Health Administration (VA)
(Apply each con-
cept to the US
health delivery
system.)
6. Define the follow-
ing in terms of
what they mean,
how patients ac-
cess them, and
the type of med-
ical practitioners
that exist at each
level:
a. Primary care
b. Secondary
care
c. Tertiary care
7. Primary care The first point of consultation for general patients with non-emergent illness.
- Mostly outpatient/office-based visits
- General practice, internal medicine, family practice, pediatrics, OB/GYN for gen-
eral women's health, PA, NP
- Patient access: It serves as the entry to the health care for a majority of patients
in the US.
, Health Systems Exam 1
8. Secondary care Services provided by specialists or hospital care (including emergency depart-
ment)
- Many services are provided in hospital setting
- Some services are provided in outpatient/office setting
- Services provided by specialist, attending physician, hospital-based physician,
and house staff
- Patient access: Often referred by primary care provider. Patients may receive
secondary care without referral, if (1) the patient has PPO coverage and specialist
allows direct appointment by the patient, or (2) patient goes to the emergency
room.
9. Tertiary care The highest level of specialty required care.
- Most services are provided in hospital setting.
- Services provided by a hospital that is capable of conducting higher level of
treatment. Ex, organ transplant, brain surgery
- Patient access: Often referred by secondary care provider.
10. What country United States
spends the most
(% of GDP) on
health care?
11. (State of US 1. Ischemic heart disease
Health JAMA Arti- 2. Tracheal, bronchus, and lung cancer
cle Table 1) 3. Chronic obstructive pulmonary disease
4. Alzheimer disease and other dementias
What are the 5. Colon and rectum Cancer
top 5 diseases/in-
juries with re-
spect to YLL in the
US in 2016?
