Term
| What are the three fundemental principles form the foundation for all health policy? |
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Definition
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Term
| What is the health policy def of Access? |
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Definition
| Acess: Ability to recieve necessary services, ability to get health care when you need it |
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Term
| What is the health policy definition of cost? |
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Definition
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Term
| What is the health policy definition of Quality? |
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Definition
| Interpersonal and technical excellence |
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Term
| The effect of policy can be analyzed based how? |
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Definition
| Effect of health care policy is based on on its effect on each of these principles. Quality, Cost, Access. |
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Term
| What is the foundation for health care marketing? |
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Definition
| The principle of health care access |
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Term
| What are the factors that influence access? |
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Definition
Predisposing Factors
Need Factors
Enabling Factors |
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Term
| what are the presdisposing factors for using more health care? |
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Definition
Very young or Elderly
Female Gender
Higher education level
Higher economic status
Hazardous Occupation |
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Term
| What are the types of need for health care? |
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Definition
Undetectable: disease process has not reached a point where they seek out health care
Detectable:
Felt (patint feels there is a problem)
Clinical: this is something that the clinician decides
Congruence: when both the patient feels there is an issue and the clinician as well feels there is an issue |
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Term
| What are the enabling factors that effect access? |
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Definition
Availability
Accessibility
Accommodation
Acceptability
Affordability |
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Term
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Definition
| The amount and type of servics provided in relation to the populations need |
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Term
| Accessibility definition? |
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Definition
| The location and supply of health care service in relation to the population location and transportation resources |
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Term
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Definition
| The organization and appropriatenss of health care services, as well as the population's ability to use those services |
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Term
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Definition
| The price of health care services in relations to the populations ability to pay |
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Term
| If a patient is under 65 what health cover can they have? |
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Definition
Employer sponsored insurance/Own purchase
Medicaid
Above 65: medicare |
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Term
| By age what is the largest patient population that is uninsured? |
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Definition
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Term
| Are adults or children more likely to be uninsured |
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Definition
| Adults are more likely to be uninsured |
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Term
| Who are the people who are likely to be uninsured? |
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Definition
Adults> Children
Less than a college education
Minority status
Poor and near-poor
Member of a working family |
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Term
| Increasing cost of health care show up by increasing what ? |
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Definition
Higher premium cost (what the worker pays)
Higher deductibles |
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Term
What are the results of the longterm trend of decreasing #s of americans w/ employer sponsored insurance?
What was the action taken by the government to address these concerns? |
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Definition
Rising Costs
Shift from manufacturing to service based economy
Increased reliance on part time jobs
Decrease in Union activity (usually promotes quality health care packages)
More Costs being passed onto employees
Patient Protection and Affortable care Act of 2010 |
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Term
| What actions did the Patient Protection and Affortable care act of 2010 take to combat concerns? |
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Definition
Expansion of medicaid
Creation of state health insurance exchanges
Government subsidies (for those who cannot afford the maindated health care)
Individual mandate to purchase insurance
Limits on insurance companies:
*rescission prevention
*pre-existing condition exclusion limits
*No lifetime limits on benefits
*Children able to stay on parent' policy until age 26 |
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Term
How many states have direct access of some sort to PT?
The states that do not are?
30 states have limits on the direct access, T/F?
What states permint evaluation only?
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Definition
46
Alabama and Indiana
T: TIme limits, Educational qualification or experience qualifications, patient disclosure requirements
Michigan and Oklahoma |
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Term
| was there any difference in utilization or physical therapist malpractice in direct access situations? |
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Definition
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Term
| In the article making Comparison of referred or self-reffered episode of outpatient PT what was found? |
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Definition
self referred group was younger but similar in conditions
Self refered had lower visits and less cost/visit
Groups did not differ in health care utilization after PT |
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Term
What regulation prohibit physicians from refering patients to clinics that they have a finicial intrest in?
Does medicare allow POPS?
What is one exception for this? |
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Definition
Stark II regulations
No medicare is agaist(illegal) POPS
In office ancillary exception? |
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