Health Care Systems 3.01 Health Team Relations

Introduction Many different health care systems deliver health care Health care is one of the largest and fastest growing industries in the United States Employs over 10 million workers in over 200 careers Two billion dollar per day business

Hospitals Vary in size and type of service provided Some are small and serve basic needs of a community Some are large, complex centers that offer diagnosis, treatment, education, and research Hospital patients can stay overnight

General hospitals General hospitals treat wide range of conditions and age groups Provide diagnostic, medical, surgical, and emergency services

Speciality Hospitals Care for certain conditions or age group- specialize in one thing Examples: burn, oncology (cancer), pediatric (Duke University Children’s Hospital), psychiatric, orthopedic, rehabilitation hospitals (help get back to normal after an accident)

Government Hospitals Operated by federal, state, and local government agencies-supported by taxes World-wide facilities for government service personnel and their dependents Veteran’s Administration hospitals State psychiatric hospitals State rehabilitation centers

University or College Medical Centers Treat patients, do research and provide education Can be funded by private or government sources Examples:

Long Term Care Facilities (LTC or LTCF) Provide care for elderly, individuals with chronic or long-term illness Individuals receiving care are usually called residents instead of patients (or clients)

Long-term care facilities Nursing homes or geriatric homes Provide basic physical and emotional care Usually for individuals who cannot care for themselves Help individuals with activities or daily living (ADLs), provide a safe and secure environment, and promote opportunities for social interactions

Extended care or skilled care facilities Provide skilled nursing and rehabilitative care to prepare resident for return to home environment or other long-term facility (serves as “bridge” between hospital and home) Some have subacute units: provide rehabilitation services for major illness or surgery, treatment for cancer, or treatments such as dialysis or heart monitoring

Independent or assisted living facilities: Individuals purchase or rent unit and can receive services such as meals, housekeeping, laundry, transportation, social events, and basic medical care

Medical Offices Doctor’s office May be privately owned by one doctor or large complexes with many doctors

Medical Offices Services Diagnosis Treatment Examinations Basic laboratory tests Minor Surgery

Medical Offices Specialties- certain age groups or conditions Examples include: Pediatrics (babies & children), Cardiology (conditions of the heart), and Obstetrics (care of the pregnant female)

Dental Offices Private offices to dental clinics employing several dentists Dental clinics now found in major retail/department stores Can provide general or specialized dental care

Clinics Satellite Clinics or Satellite Centers Found in many types of health care Can be a group of medical/dental doctors who share a facility and other personnel Or can be operated by corporation or private groups and provide special care

Surgical clinics/surgicenters Perform minor surgeries Frequently called “one-day” centers Patients are sent home after surgery

Urgent/Emergency care clinics Provide first aid or emergency care to ill or injured patients

Rehabilitation clinics Rehab or therapy centers Physical, occupational, speech, or other similar therapies

Specialty Clinics Provide care for specific diseases Examples: Diabetes or Oncology (cancer) clinics

Health Department Clinics Offer clinics such as… Pediatric care Sexually transmitted diseases Respiratory diseases Immunizations

Optical Centers Can be individually owned by an ophthalmologist (eye doctor) or optometrist (eye specialist) or be part of a large chain of stores Provide vision examinations for those having trouble reading, blurred vision Prescribe eye glasses or contact lenses Check for the presence of eye diseases

Emergency Care Services Provide special care for accidents or sudden illness Emergency Room (ER) operated by hospitals Emergency care clinics- Example-Urgent Care, Med-Zone

Emergency Care Services Ambulance services: private and governmental, transport patients Rescue squads: frequently operated by fire departments, usually first on the scene Helicopter or airplanes: rapidly transport patients

Laboratories Can be part of other facility or operated as separate health care service Medical laboratories: perform diagnostic tests such as blood & urine tests Dental laboratories: prepare dentures and other devices

Home Health Care Provide care in patient’s home Examples of care… Nursing care Personal care: bathing dressing, and so forth Therapy: physical, occupational, speech, respiratory Homemaking: food preparation, cleaning, washing, and so forth

Hospice Provide care for terminally ill persons with life expectancy of six months or less Care provided in person’s home or hospice facility Their goal is to allow the person to die with dignity and in comfort Provides psychological, social, spiritual, and financial counseling for both patient and family

Mental Health Facilities Deal with mental diseases and disorders Examples… Guidance and counseling centers Psychiatric clinics and hospitals Chemical abuse treatment centers for alcohol/drug abuse Physical abuse treatment centers (child or spouse abuse)

Genetic Counseling Centers Perform prenatal (before birth) screening tests Checking for genetic abnormalities and birth defects Explaining the results of the tests Identifying medical options when a birth defect is present Helping individuals cope with the psychological issues caused by a genetic disorder

Rehabilitation Centers Provide care directed at helping patient with physical or mental disabilities obtain maximum self-care and function Can include hospitals, clinics, and/or private centers Services can include physical, occupational, recreational, speech, and hearing therapies

Health Maintenance Organizations Preventive health care Examinations Basic medical services Health Education Hospitalization Rehabilitation services Prevention!

Industrial Health Care Centers Located in large industries or companies Provide care for employees of the industry-if someone gets hurt while on the job, they go to the industrial health care center for treatment Services: basic exams, teach accident prevention/safety, provide emergency care

School Health Service Found in schools and colleges and provide the following services… Emergency care for accidents and sudden illness Tests to check for health conditions: speech, vision, hearing, and so forth Promote health education Maintain safe and sanitary school environment Counseling