2-health care delivery systemsrabia
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Health Care Delivery Systems
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Prepared by
Dr/ Doria Hassan Abd Elrahim
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Learning Outcomes
1. Differentiate health care services based on primary, secondary, and tertiary disease prevention categories.
2. Describe the functions and purposes of the health care agencies outlined in this chapter.
3. Identify the roles of various health care professionals.4. Describe the factors that affect health care delivery.5. Compare various systems of payment for health care
services.
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Types of Health Care Services
Primary prevention- Health promotion- Illness prevention
Secondary prevention- Diagnosis- Early detection- Treatment
Tertiary prevention- Rehabilitation- Health restoration- Palliative care
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Health Care Agencies
Government agencies- Public health services
Physicians’ offices- Primary care- Routine health screening- Diagnosis and treatment
Ambulatory care centers- Diagnostic treatment facilities- Minor surgery
Occupational health clinics- Run by companies for employees- Health promotion activities
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Health care setting
Hospitals
- Acute inpatient services
- Outpatient and ambulatory care
- Emergency department
- Hospice care
Sub acute care
- Variation of inpatient care
- Technically complex treatments
Con,
Extended care facilities (formerly called nursing homes)
- Independent living
- Assisted, skilled, extended care facilities
- Rehabilitation
- Custodial care
Retirement and assisted-living centers
- For clients unable to stay at home, but do not require
hospital or nursing home Page 11
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Con,
Rehabilitation centers
- Restore or recuperate health
- Drug and alcohol
Home health care agencies
- Education to clients and families
- Care to acute, chronic, or terminally ill
Rural care hospitals
- Federal funding
- Services for rural residents
Con.
Day-care centers
- Infants or children
- Adults that cannot be left at home
Hospice services
- Care for dying in home or facility
- Improve or maintain quality of life until death
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Con.
Crisis centers
- Emergency services for life crises
- Counseling and support
Mutual support or self-help groups
- Health problems
- Life crises
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Health Care Professionals
Nurses Alternative (complementary)
care providers Case manager Dentists Dietitians Nutritionists Occupational therapists Paramedics/EMTs Pharmacists
Physical therapists Physicians Physician assistants Podiatrists Respiratory therapists Social workers Spiritual support personnel Unlicensed assistive
personnel (UAPs)
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Factors that Affect Health Care Delivery
Increasing number of elderly
Advances in technology
Economics
Women’s health issues
Uneven distribution of services
Access to health insurance
Homeless and the poor
Demographic changes
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