Chapter 7

Why might individual patients experience differences in the delivery of primary care between physicians and facilities?

Depending on the facility, care might be practiced by nurse practitioners, physician assistants, or midwives, Training and education can differ between educational institutions and affects the skill and delivery of care, The medical services, and departments that are considered primary care differ between countries.

In what ways is the United States similar to other countries in the access and reimbursement of primary care.

Doctors are more likely to be in a group practice than sole providers, Insurance providers are individuals use a fee for service model, and primary care is the common entry point intothe health system.

Which of the following received that most visits by patients seeking outpatient services?

General or family practice

Secondary care

Health services are provided by specialists and may include surgery and hospital stay

How does the Institute of Medicine (IOM) believe primary care can help provide better health services to the population as a whole?

Medical personnel and patients are held accountable for the quality, quantity, ethics, and satisfaction of services within their community.

How might the new regulations for primary care within the Affordable Care Act negatively affect its future practice?

There are not enough employees entering the medical field to cover the additional services, training programs, and general expansion of the health care industry under the Affordable Care Act.

Why are community health center better quipped to serve the medically underserved?

They are able to focus their services to better meet the needs of the local population, They are required by law to provide services despite the inability of the patients to provide payment, and They are located in areas that have a greater concentration of people with poor health that do not have access to primary care facilities.

Which is NOT a reason for an individual to seek alternative medicine therapy?

They cannot afford the insurance or out-of-pockets of traditional medical procedures.

Historically, outpatient care has been independent of services provided in health care institutions.

True

The amount of out patient services offered at the hospital in increasing and is now a major part of its yearly revenue causing new department to emerge such as women's health, specialized clinics, and preventative programs.

True

The community-oriented health model is complex because it is difficult to agree on how to define a community and to reconcile community needs with the needs of the individuals.

True

The range and scope of outpatient services are growing through the emergence of home health care, urgent care clinics, and imaging centers.

True

There is little distinction between the terms "outpatient" and "ambulatory"

True

Under the Affordable Care Act, payments made to home health care from Medicaid will decrease and the saved money will be used to help cover the costs of new services and programs.

True

In which country do patients pay the lest our of pocket for primary care services?

United Kingdom

Which country's health care system is founded on the principles of gatekeeping?

United Kingdom

Outpatient care accounts for what percentage of gross patient revenue for all US hospitals?

40%

_____________ provides an option for health service outside the scope of traditional medicine for patients that are unsatisfied with the results of typical care.

Alternative medicine

Primary Care

Ambulatory or outpatient services

Historically, inpatient care developed ___________ outpatient care.

Before

The percentage of medical school graduates choosing careers in primary care is_________

Decreasing

Access to primary care and reimbursement for its services does not vary between different countries.

False

All ambulatory care is primary care.

False

In order for physicians to continue to offer outpatient services, they have formed close ties with hospitals and large medical groups with the infrastructure to support larger communities.

False

Primary care practice in most industrialized countries is public.

False

The goal of primary health care is to maximize the health of the individual and ensure that income differences are reflected in the quality of care.

False

The use of alternative medicine has decreased due to the absence of coordination between conventional medicine and the government's lack of interest in exploring its possibilities for medical care.

False

What is the likely impact of the ACA on primary care?

Increase

Why do patients prefer receiving outpatient services?

Individuals like to recuperate in the comfort of their home and can find inpatient facilities distressing and inconvenient.

Which of the following is NOT considered a part of hospice care?

Insurance claims billing questions

What is the benefit of a health system based on primary care?

It can protect individuals from unnecessary treatment and medical procedures by offering a single point of entry into the health system, It makes health services more accessible to the whole population despite differences in income, geography, or ethnicity, It provides advising services to individuals and helps with the coordination and continuation of services, and It increases general health and satisfaction with the delivery of services and can lower overall expenditures.

Why is coordination such an important part of primary care?

It enables individuals to have a guide to help with the complex health services that are available to make care more accessible and comprehensive.

What is an advantage of mobile medical services to the elderly population

It is more convenient to a population that might consider a visit to a medical facility to be stressful and overwhelmingly

How does the medical home model benefit the individual patient

It provides a partnership that helps makes sure medical care is comprehensive and that the patient's desires and needs are protected.

A patient walks into the local hospital's emergancy room late on a Friday evening complining of the sore throat, fever and general body ache. The ER doctors on call would most likely condider this patient's condition which of the ofllowing?

Nonurgent condition

Health services that do not require an overnight stay in a health care facility such as surgery, rehabilitation services, and mobile health units are referred to as which of the following?

Outpatient services, Ambulatory care, Community medicine (All of these are correct)

What are some reasons why outpatient services are increasing in their scope and frequency?

Patients have a preference for the ease and comfortable recuperation time associated without patient services, Outpatient services are more widely covered by insurance and have a greater reimbursement rate, Advances in technology have made outpatient procedures less invasice and more accessible, and Phyicisans have moved from practicing fewer procedures at large hospitatals to offering many more outpatient services options at private faciliies.

Which of the following is an example of a secondary care service?

Rehabilitation, Surgery, and Consultation

Which of the following is a typical setting for ambulatory care services?

Sport medicine clinics

Hospice services are primarily for people with:

Terminal illnesses

A patient with terminal brain cancer qualifies for a new medical study that includes a new surgical procedure and follow-up protocol that require a long hospital stay and multiple tests and qualifying benchmarks. This is an example of which kind of care?

Tertiary care

How have technological advances changed traditionally inpatient procedures to outpatient services?

The advances have made it less cost effective to offer outpatient services.

What is the benefit to individual physicians who belong to a group practice?

The capital and overhead costs are spread across more individuals, It allows for the ability to take the ability to take time off and still have responsible coverage for patients, by offering an array of services in one place, they remain competitive with the health care industry, and Provides assistance in navigating insurance claims and reimbursement.

How did changes in insurance coverage and reimbursement increase the amount of outpatient services performed?

The coverage for the length of inpatient stays and services became more limited while outpatient services had no limit or cap.

Tertiary Care

Very specialized care given to relatively rare and complex medical conditions.

Which of the following health care services are considered an outpatient service?

Visiting the mobile mammogram clinic for a yearly scan, An appointment at are habilitation clinic to work on mobility after shoulder surgery, A routine colonoscopy, A 20-week pernatal ultrasound.

Which of the following is an example of a freestanding facility that offers outpatient services?

Walk-in clinic, Surgicenter, and Rehabilitation center

A______________ uses a team approach to medical care with doctors and patients working closely together to ensure the quality and continuity of care while protecting the needs and desires of the patient.

medical home model