Term
|
Definition
| 1980s - noted rate of surgeries proportional to number of surgeons + hospital beds in an area. Sparked National Institute of Health |
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Term
| Agency for Healtcare Research and Quality |
|
Definition
| AHRQ (formerly known as AHCPR) |
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Term
|
Definition
| improve outcomes and quality, adress patient safety, reduce costs, increase research |
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|
Term
| RAND Health Insurance Experiment |
|
Definition
| effects of cost sharing on outcomes / provision of healthcare |
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Term
|
Definition
| 1966 - he divided healthcare into concepts of structure, process, and outcomes |
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Term
|
Definition
| rely on internalized judgements of expert individuals |
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Term
|
Definition
| developed and agreed on in advance |
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Term
|
Definition
| compare data like distributions, averages, "health care report cards" |
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Term
|
Definition
| outcomes research method. Summarizes comparable findings from multiple studies |
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Term
|
Definition
| FDA does not release safety and efficacy after product release because considered "trade secrets" and proprietary info |
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Term
|
Definition
| Four topics: Medical indications, Patient preferences, Quality of Life, Contextual features |
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Term
|
Definition
| Clarify, Assemble, Synthesize, Explain, Support. (ethics) |
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Term
|
Definition
| Organizational Ethics (individual rights trump organizational interests, etc) |
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Term
|
Definition
| established 4 principles: beneficence nonmaleficence, ,autonomy, justice |
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Term
|
Definition
| gave evidence to how where you live may effect your health. Found sewage contaminating underground water source… |
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|
Term
| Adult Changes and Thought Study |
|
Definition
| Group Health study. PPI not linked to alzheimers. Linked to fractures (not hip though) |
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Term
|
Definition
| financial assistance to older americans + disabled |
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Term
|
Definition
| Passage of medicaid and medicare |
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|
Term
| Omnibus Budget Reconciliation Act |
|
Definition
| 1987- new restrictions on use of chemical restraints + physical restraints. Nursing home resident bill of rights |
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Term
|
Definition
| 1997- enable health care financing administration to control costs |
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Term
|
Definition
| health and supportive services to help older adults stay independent in home |
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|
Term
| Continuing Care Retirement and Life Care Communities (CCRC) |
|
Definition
| retirement campus with social services, contracted medical services |
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|
Term
| Naturally Occurring Retirement Communities (NORC) |
|
Definition
| apartment complexes, neighborhoods, where stay in homes as age. Case management, nutrition, referrals for community |
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Term
|
Definition
| More High tech care in home |
|
|
Term
|
Definition
| recommended social insurance program to pay for things not covered by medicare |
|
|
Term
|
Definition
| 1980s - noted rate of surgeries proportional to number of surgeons + hospital beds in an area. Sparked National Institute of Health |
|
|
Term
| Agency for Healtcare Research and Quality |
|
Definition
| AHRQ (formerly known as AHCPR) |
|
|
Term
|
Definition
| improve outcomes and quality, adress patient safety, reduce costs, increase research |
|
|
Term
| RAND Health Insurance Experiment |
|
Definition
| effects of cost sharing on outcomes / provision of healthcare |
|
|
Term
|
Definition
| 1966 - he divided healthcare into concepts of structure, process, and outcomes |
|
|
Term
|
Definition
| rely on internalized judgements of expert individuals |
|
|
Term
|
Definition
| developed and agreed on in advance |
|
|
Term
|
Definition
| compare data like distributions, averages, "health care report cards" |
|
|
Term
|
Definition
| outcomes research method. Summarizes comparable findings from multiple studies |
|
|
Term
|
Definition
| FDA does not release safety and efficacy after product release because considered "trade secrets" and proprietary info |
|
|
Term
|
Definition
| Four topics: Medical indications, Patient preferences, Quality of Life, Contextual features |
|
|
Term
|
Definition
| Clarify, Assemble, Synthesize, Explain, Support. (ethics) |
|
|
Term
|
Definition
| Organizational Ethics (individual rights trump organizational interests, etc) |
|
|
Term
|
Definition
| established 4 principles: beneficence nonmaleficence, ,autonomy, justice |
|
|
Term
|
Definition
| gave evidence to how where you live may effect your health. Found sewage contaminating underground water source… |
|
|
Term
| Adult Changes and Thought Study |
|
Definition
| Group Health study. PPI not linked to alzheimers. Linked to fractures (not hip though) |
|
|
Term
|
Definition
| financial assistance to older americans + disabled |
|
|
Term
|
Definition
| Passage of medicaid and medicare |
|
|
Term
| Omnibus Budget Reconciliation Act |
|
Definition
| 1987- new restrictions on use of chemical restraints + physical restraints. Nursing home resident bill of rights |
|
|
Term
|
Definition
| 1997- enable health care financing administration to control costs |
|
|
Term
|
Definition
| health and supportive services to help older adults stay independent in home |
|
|
Term
| Continuing Care Retirement and Life Care Communities (CCRC) |
|
Definition
| retirement campus with social services, contracted medical services |
|
|
Term
| Continuing Life care community (CCLC ) |
|
Definition
| health care prepaid and guaranteed for life .. Retirement campus that offers independent living to skilled nursing care. Expensive. Insuranced based model |
|
|
Term
| Naturally Occurring Retirement Communities (NORC) |
|
Definition
| apartment complexes, neighborhoods, where stay in homes as age. Case management, nutrition, referrals for community |
|
|
Term
|
Definition
| More High tech care in home |
|
|
Term
|
Definition
| recommended social insurance program to pay for things not covered by medicare |
|
|
Term
| Patient Care Implications: |
|
Definition
| 1. beneficence and maleficence (Issue Analysis) |
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|
Term
|
Definition
| 2. autonomy and fairness (Issue Analysis steps) |
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Term
|
Definition
| 3. Autonomy, loyalty, and fairness. Policies (Issue Analysis) |
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Term
|
Definition
| 4, justice, loyalty, fairness (Issue Analysis) |
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Term
|
Definition
|
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Term
|
Definition
| Patients that have disease |
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|
Term
| Clinical Trials Phase III |
|
Definition
| Placebo/large study. Testing drug against placebo |
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|
Term
|
Definition
| $1.3 Billion.. Takes 10-15 years |
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Term
|
Definition
| Larger trial on public .. Cohort (longitudinal or observational studies) of new drugs. Determine efficacy and safety. Can be messy because very large |
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