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HSC 180
Exam 3
190
Health Care
Undergraduate 1
05/03/2009

Additional Health Care Flashcards

 


 

Cards

Term
majority
Definition
those with characteristics that are found in over 50% of a population
Term
minority groups
Definition
subgroups of the population that consist of less than 50% of the population
Term
minority health
Definition
refers to the morbidity and mortality of American Indians/Alaskan natives, Americans of Hispanic origin, Asians and pacific Islanders, and black Americans in the US
Term
operationalize
Definition
(operational definitions) provide working definitions..as with Directive 15
Term
acculturated
Definition
cultural modification of an individual or group by adapting to or borrowing traits from another culture
Term
refugee
Definition
a person who flees one area of country to seek shelter or protection from danger in another
Term
immigrant
Definition
individuals who migrate from one country to another for the purpose of seeking permanent residence
Term
alien
Definition
a person born in and owing allegiance to a country other than the one in which he/she lives
Term
illegal alien
Definition
an individual who entered this country without permission
Term
socioeconomic status
Definition
relating to a combination of social and economic factors
Term
cultural and linguistic competence
Definition
a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations
Term
providers
Definition
health care facilities or health professionals that provide health care services
Term
Hospital Survey and Construction Act of 1946 (Hill-Burton Act)
Definition
federal legislation that provided substantial funds for hospital construction
Term
third-party payment system
Definition
a health insurance term indicating that bills will be paid by the insurer and not the patient or the health care provider
Term
American Health Security Act of 1993
Definition
the comprehensive health care reform introduced by then President Clinton, but never enacted
Term
managed care
Definition
health plans that integrate the financing and delivery of health care services to individuals who are covered by arrangements with selected providers who furnish comprehensive services to members; explicit criteria for the selection of health care providers; significant financial incentives for members to use providers and procedures that are associated with the plan; and formal programs for quality assurance and utilization review
Term
population-based public health practice
Definition
incorporates interventions aimed at disease prevention and health promotion, specific protection, and a good share of case findings.
Term
primary care
Definition
the provision of integrated accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community
Term
secondary medical care
Definition
specialized attention and ongoing management for ommon and less frequently encountered medical conditions, including support services for people with special challenges due to chronic or long-term conditions
Term
tertiary medical care
Definition
specialized and technologically sophisticated medical and surgical care for those with unusual or complex conditions (generally no more than a few percent of the need in any service category.)
Term
restorative care
Definition
care provided after successful treatment or when the progress of an incurable disease has been arrested
Term
long-term care
Definition
different kinds of help that people with chronic illnesses, disabilities, or other conditions that limit them physically or mentally need
Term
end-of-life practice
Definition
health care services provided to individuals shortly before death
Term
hospice care
Definition
a program of palliative and support care services providing physical, psychological, social, and spiritual care for dying persons, their families, and other loved ones by a hospice worker
Term
independent providers
Definition
health care professionals with the education and legal authority to treat any health problem
Term
allopahtic providers
Definition
independent providers whose remedies for illnesses produce effects different from those of the disease
Term
osteopathic providers
Definition
independent health care providers whose remedies emphasize the interrelationships of the body's systems in prevention, diagnosis, and treatment
Term
intern
Definition
a first-year resident
Term
resident
Definition
a physician who is training in a speciality
Term
nonallopathic providers
Definition
independent providers who provide nontraditional forms of health care
Term
chiropractor
Definition
a nonallopathic independent health care provider who treats health problems by adjusting the spinal column
Term
complementary/alternative medicine (CAM)
Definition
a group of diverse medical and health care systems, practices, and products that are not presently considered to be a part of conventional medicine
Term
limited care providers
Definition
health care providers who provide care for a specific part of the body
Term
LPN
Definition
those prepared in one to two year programs to provide nontechnical bedside nursing care under the supervision of physicians or RNs
Term
RN
Definition
an associate or baccalaureate degree prepared nurse who has passed the state licensing exam
Term
professional nurse
Definition
a registered nurse holding a bachelor of science degree in nursing
Term
nonphysician practitioners
Definition
clinical professionals who practice in many of the areas similar to those in which physicians practice, but do not have an MD or DO degree.
Term
allied health care professionals
Definition
health care workers who provide services that assist, facilitate, and complement the work of physicians and other health care specialists.
Term
public health professionals
Definition
a health care worker who works in a public health organization
Term
medically indigent
Definition
those lacking the financial ability to pay for their won medical care
Term
private (proprietary) or investor-owned hospitals
Definition
for-profit hospitals
Term
specialty hospital
Definition
a hospital that provides mainly one type of medicine, is for-profit, and is owned at least in part by the physicians who practice in it
Term
public hospitals
Definition
hospitals that are supported and managed by governmental jurisdictions
Term
voluntary hospitals
Definition
nonprofit hospitals administered by non-for-profit corporations or charitable community organizations
Term
full-service hospitals
Definition
hospitals that offer services in all or most of the levels of care defined by the spectrum of health care delivery
Term
limited-service hospitals
Definition
hospitals that offer only the specific services needed by the population served
Term
ambulatory care facilities
Definition
facilities that provide a wide array of outpatient services; these can range from hospital based facilities to independently owned facilities
Term
rehabilitation center
Definition
a facility in which restorative care is provided following injury, disease, or surgery
Term
home health care
Definition
care that is provided in the patient's residence for the purpose of promoting, maintaining, or restoring health
Term
accreditation
Definition
the process by which an agency or organization evaluates and recognizes an institution as meeting certain predetermined standards
Term
Joint commission
Definition
the predominant organization responsible for accrediting health care facilities
Term
fee-for-service
Definition
a method of paying for health care in which after the service is rendered, a fee is paid
Term
prepaid health care
Definition
a method of paying for covered health care services on a per person premium basis for a specific time period prior to the service being rendered (also referred to as capitation)
Term
State Children's Health Insurance Program (SCHIP)
Definition
a title insurance program under the Social Security Act that provides health insurance to uninsured children
Term
deductible
Definition
the amount of expenses that the beneficiary must incur before the insurance company begins to pay for covered services.
Term
co-insurance
Definition
the portion of the insurance company's approved amounts for covered services that a beneficiary is responsible for paying
Term
co-payment
Definition
a negotiated set amount that a patient pays for certain services
Term
fixed indemnity
Definition
the max amount an insurer will pay for a certain service
Term
exclusion
Definition
a health condition written into the health insurance policy indicating what is not covered by the policy
Term
pre-existing condition
Definition
a medical condition that had been diagnosed or treated usually within the six months before the date a health insurance policy goes into effect
Term
self-insured organization
Definition
one that pays the health care costs of its employees with the premiums collected from the employees and the contributions made by the employer
Term
Medicare
Definition
a national health insurance program for people 65 years and older, certain younger disabled people, and people with permanent kidney failure
Term
prospective pricing system
Definition
one in which providers are paid predetermined amounts of money per procedure for services provided
Term
diagnosis-related groups
Definition
a procedure used to classify the health problems of all Medicare patients when they are admitted to a hospital
Term
Medicaid
Definition
a jointly funded federal-state health insurance program for the poor
Term
Medigap
Definition
private health insurance that supplements Medicare benefits
Term
quality management and utilization review
Definition
the analysis of provided health care for its appropriateness by someone other than the patient provider
Term
preferred provider organization (PPO)
Definition
an organization that buys fixed-rate health services from providers and sells them to consumers
Term
exclusive provider organization
Definition
like a PPO but with fewer providers and stronger financial incentives
Term
health maintenance organizations (HMOs)
Definition
groups that supply prepaid comprehensive health care with an emphasis on prevention
Term
mixed model HMO
Definition
a hybrid form of HMO. make up 40% of HMOs
Term
staff model HMO
Definition
a health maintenance organization that hires its own staff of health professionals
Term
independent practice association model HMO
Definition
community based providers, individual practices, or group practices who contract with an HMO to provide covered services for members according to the practices and procedures of the IPA model HMO
Term
group model HMO
Definition
one that contracts with a multispecialty group practice
Term
network model HMO
Definition
one that contracts with more than one medical group practice
Term
point of service option
Definition
an optino of an HMO plan that enables enrollees to be at least partially reimbursed for selecting a health care provider outside the plan
Term
physician hospital organization (PHO)
Definition
various agreements between physicians and hospitals to form units to negotiate with insurers as MCOs
Term
environment
Definition
all the external conditions, circumstances, and influences surrounding and affecting the growth and development of an organism or community of organisms
Term
natural hazard
Definition
an event of nature that increases the probability of disease, injury or death of humans
Term
residues and wastes
Definition
unwanted by products of human activities
Term
urbanization
Definition
the process by which cities develop and grow as people from the countryside migrate to cities in search of better jobs
Term
solid waste
Definition
solid refuse from households, agriculture, and businesses
Term
municipal solid waste
Definition
waste generated by individual households, businesses, and institutions located within municipalities
Term
solid waste management
Definition
the collection, transportation, and disposal of solid waste
Term
source reduction
Definition
a waste management approach involving the reduction or elimination of the use of materials that produce an accumulation of solid waste
Term
recycling
Definition
the collecting, sorting, and processing of materials that would otherwise be considered waste into raw materials for manufacturing new products, and the subsequent use of those new products.
Term
composting
Definition
the natural, aerobic biodegradation of organic plant and animal matter to compost
Term
sanitary landfills
Definition
waste disposal sites on land suited for this purpose and upon which waste is spread in thin layers, compacted, and covered with a fresh layer of clay or plastic foam each day.
Term
Resource Conservation and Recovery Act of 1976
Definition
the federal law that sets forth guidelines for the proper handling and disposal of hazardous wastes
Term
leachates
Definition
liquids created when water mixes with wastes and removes soluble constituents from them by percolation
Term
combustion (incineration)
Definition
the burning of solid wastes
Term
hazardous waste
Definition
a solid waste or combination of solid wastes that is dangerous to human health or the environment
Term
Environmental Protection Agency
Definition
the federal agency primarily responsible for setting, maintaining, and enforcing environmental standards
Term
Comprehensive Environmental Response, Compensation, and Liability Act
Definition
the federal law (known as the Superfund) created to clean up abandoned hazardous waste sites
Term
brownfields
Definition
property where reuse is complicated by the presence of hazardous substances from prior use
Term
air pollution
Definition
contamination of the air that interferes with the comfort, safety, and health of living organisms
Term
criteria pollutants
Definition
the most pervasive air pollutants in the US
Term
national Ambient Air Quality Standards
Definition
standards created by the EPA for allowable concentration levels of outdoor air pollutants
Term
acid rain
Definition
both wet and dry acidic deposits, which occur both within and downwind of areas that produce emissions containing sulfur dioxide and oxides of nitrogen
Term
Air Quality Index
Definition
an index that indicates the level of pollution in the air and the associated health risk
Term
global warming
Definition
the gradual increase in the earth's surface temperature
Term
greenhouse gases
Definition
atmosphere gases, principally carbon dioxide, CFGs, methane, and nitrous oxide, that are transparent to visible light but absorb infrared radiation
Term
cholorofluorocarbons
Definition
a family of chemical agents used in industry for such items as propellants, refrigeration, solvent cleaning, and insulation
Term
ozone layer
Definition
ozone gas found in the stratosphere
Term
photochemical smog
Definition
a secondary air pollutant created when primary and other secondary pollutants react with oxygen and sunlight
Term
thermal inversion
Definition
a condition that occurs when warm air traps cooler air at the surface of the earth
Term
Clean Air Act
Definition
the federal law that provided the government with authority to address interstate air pollution
Term
indoor air pollution
Definition
the buildup of undesirable gases and particles in the air inside a building
Term
asbestos
Definition
a naturally occurring mineral fiber that has been identified as a Class A carcinogen by the EPA
Term
biogenic pollutants
Definition
airborne biological organisms or their particles or gases or other toxic materials that can produce illness
Term
combustion by products
Definition
gases and particulates generated by burning
Term
radon
Definition
a naturally occurring colorless radioactive gas formed during the radioactive decay of uranium-238
Term
secondhand smoke
Definition
environmental tobacco smoke, tobacco smoke in the environment that can be inhaled by nonsmokers
Term
mainstream smoke
Definition
tobacco smoke inhaled and exhaled by the smoker
Term
sidestream smoke
Definition
tobacco smoke that comes off the end of burning tobacco products
Term
passive smoking
Definition
the inhalation of environmental tobacco smoke by nonsmokers
Term
carcinogens
Definition
agents, usually chemicals, that cause cancer
Term
volatile organic compounds
Definition
compounds that exist as vapors over the normal range of air pressures and temperatures
Term
formaldehyde
Definition
a water soluble gas used in aqueous solutions in hundreds of consumer products
Term
sick building syndrome
Definition
a term to descrbe a situation in which the air quality in a building produces generalized signs and symptoms of ill health in the building's occupants
Term
sanitation
Definition
the promotion of hygiene and prevention of disease by maintenance of clean conditions through hygienic disposal or recycling of waste material, such as human fecal waste
Term
surface water
Definition
precipitation that does not infiltrate the ground or return to the atmosphere by evaporation; the water in streams, rivers, and lakes
Term
ground water
Definition
water located under the surface of the ground
Term
aquifer
Definition
an underground soil formation that is saturated with water and available for human use by pumping
Term
water pollution
Definition
any physical or chemical change in water that can harm living organisms or make it unfit for other uses
Term
point source pollution
Definition
pollution that can be traced to a single identifiable source
Term
nonpoint source pollution
Definition
all pollution that occurs through the runoff, seepage, or falling of pollutants into the water
Term
runoff
Definition
water that flows over land surfaces (including paved surfaces_, typically from precipitation
Term
wastewater
Definition
the aqueous mixture that remains after water has been used or contaminated by humans
Term
sludge
Definition
a semiliquid mixture of soild waste that includes bacteria, viruses, organic matter, toxic metals, synthetic organic chemicals and solid chemicals
Term
septic tanks
Definition
a watertight concrete or fiberglass tank that holds sewage; one of two main parts of a septic system
Term
absorption field
Definition
the element of a septic system in which the liquid portion of waste is distributed
Term
Clean Water Act
Definition
the federal law aimed at ensuring that all rivers are swimmable and fishable and that limit the discharge of pollutants in US waters to zero
Term
watershed
Definition
the area of land from which all the water that is under it or drains from it goes into the same place and drains in one point; for ex, the Mississippi river watershed drains and collects all the water from the land extending from east of the Rocky mountains to the Appalachian mountains and from the upper Midwest all the way south to the Gulf of Mexico
Term
safe drinking water act
Definition
the federal law that regulates the safety of public drinking water
Term
radiation
Definition
energy released when atoms are split or naturally decay from a less stable to a more stable form
Term
cosmic radiation
Definition
radiation that comes from outerspace the sun
Term
terrestrial radiation
Definition
radiation that comes from radioactive minerals within the earth
Term
internal radiation
Definition
radiation in the human body that occurs as a result of ingesting food and inhaling air containing radioactive particles
Term
noise pollution
Definition
excessive sound; unwanted sound
Term
amplitude
Definition
the loudness or intensity of sound, measured in decibels
Term
decibels (dB)
Definition
a measure of sound amplitude
Term
environmental health
Definition
the study and management of environmental conditions that affect the health and well being of humans
Term
environmental hazards
Definition
factors or conditions in the environment that increase the risk of human injury, disease, or death
Term
biological hazards
Definition
living organisms (and viruses) or their products that increase the risk of disease or death in humans
Term
environmental sanitation
Definition
the practice of establishing and maintaining healthy or hygienic conditions in the environment
Term
waterborne disease
Definition
a disease transmitted through contamination of drinking water (for ex, typhoid fever)
Term
foodborne disease
Definition
a disease transmitted through the contamination of food (for ex, salmonella)
Term
vectorborne disease
Definition
a communicable disease transmitted by insects or other arthropods (for ex, st. louis encephalitis)
Term
waterborne disease outbreak
Definition
a disease in which at least 2 people experience a similar illness after the ingestion of drinking water or after exposure to water used for recreational purposes and epidemiological evidence implicates water as the probable source of the illness.
Term
foodborne disease outbreak
Definition
the occurrence of 2 or more cases of a similar illness resulting from the ingestion of food
Term
sanitarians
Definition
environmental workers responsible for the inspection of restaurants, retail food outlets, public housing, and other sites to ensure compliance with public health codes
Term
vector
Definition
a living organism, usually an insect or other arthropod, that can transmit a communicable disease agent to a susceptible host (for ex, mosquito or tick.)
Term
vectorborne disease outbreak
Definition
the occurrence of 2 or more cases of a vectorborne disease
Term
Lyme disease
Definition
a systemic, bacterial, tickborne disease with symptoms that include dermatologic, arthritic, neurologic, and cardiac abnormalities
Term
chemical hazards
Definition
hazards caused by the mismanagement of chemicals
Term
pest
Definition
any organism-a multi celled animal or plant, or a microbe-that has an adverse effect on human interests
Term
pesticides
Definition
synthetic chemicals developed and manufactured for the purpose of killing pests
Term
target organism (target pest)
Definition
the organism for which a pesticide is applied
Term
nontarget organisms
Definition
all other susceptible organisms in the environment, for which a pesticide was not intended
Term
herbicide
Definition
a pesticide that kills plants
Term
insecticide
Definition
a pesticide that kills insects
Term
lead
Definition
a naturally occurring mineral element found throughout the environment and used in large quantities for industrial products
Term
ultraviolet radiation
Definition
radiation energy with wavelengths (0-400nm)
Term
lag phase
Definition
the initial phase of the population growth S-curve when growth is slow
Term
exponential phase
Definition
the middle phase of the population growth S-curve when the birth rate is > the death rate
Term
zero population growth
Definition
when the birth and death rates for a given population are =
Term
equilibrium phase
Definition
the last phase of the population growth S-curve when the birth and death rates are =
Term
carrying capacity
Definition
the max population size that can be supported by available resources
Term
Federal Emergency Management Agency (FEMA)
Definition
the nation's official emergency response agency
Term
injury
Definition
physical damage to the body resulting from mechanical, chemical, thermal, or other environmental energy
Term
unintentional injury
Definition
an injury that occurred without anyone intending that harm be done
Term
intentional injury
Definition
an injury that is purposely inflicted, either by the victim or by another
Term
injury prevention (control)
Definition
an organized effort to prevent injuries or to minimize their severity.
Term
unsafe act
Definition
any behavior that would increase the probability of an injury occurring
Term
unsafe condition
Definition
any environmental factor or set of factors (physical or social) that would increase the probability of an injury occurring
Term
hazard
Definition
an unsafe act or condition
Term
fatal injury
Definition
an injury that results in one or more deaths
Term
disabling injury
Definition
an injury causing any restriction of normal activity beyond the day of the injury's occurrence
Term
model for unintentional injuries
Definition
the public health triangle (host, agent, and environment) modified to indicate energy as the causative agent of injuries
Term
injury prevention education
Definition
the process of changing people's health-directed behavior so as to reduce unintentional injuries
Term
regulation
Definition
the enactment and enforcement of laws to control conduct
Term
automatic (passive) protection
Definition
the modification of a product or environment so as to reduce unintentional injuries
Term
litigation
Definition
the process of seeking justice for injury through courts
Term
family violence
Definition
the use of physical force by one family member against another, with the intent to hurt, injure, or cause death
Term
child maltreatment
Definition
an act or failure to act by a parent, caretaker, or other person as defined under state law that results in physical abuse, neglect, meidcal neglect, sexual abuse, emotional abuse, or an act or failure to act that presents an imminent risk of serious harm to a child
Term
child abuse
Definition
the intentional physical, emotional, verbal, or sexual mistreatment of a minor
Term
child neglect
Definition
the failure of a parent or guardian to care for or otherwise provide the necessary subsistence for a child
Term
intimate partner violence
Definition
rape, physical assault, or stalking perpetrated by current or former dates, spouses, or cohabiting partners
Term
youth gang
Definition
an association of peers bound by mutual interests and identifiable lines of authority, whose acts generally include illegal activity and control over a territory or an enterprise
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