2 Chapter Objectives Define the term health care system. Trace the history of health care delivery in the United states from the mid-nineteenth century to the present.Discuss and explain the concept of the spectrum of health care delivery.List and describe the different levels of medical practice.
3 Chapter ObjectivesDistinguish between the different kinds of health care, including public health practice, medical practice, and long-term practice.List and characterize the various groups of health care providers.Explain the differences among allopathic, osteopathic, and nonallopathic providers.Define complementary and alternative medicine.
4 Chapter ObjectivesExplain why there is a need for health care providers.Prepare a list of the different types of facilities in which health care is delivered.Explain the differences among private, public, and voluntary hospitals.Explain the concept behind ambulatory care facilities.
5 Chapter ObjectivesDefine home health care and explain the reason why this setting is being used more to deliver care.Explain what the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does.
6 Health Care System: Structure American Delivery SystemVariety of ProvidersVariety of SettingsConcernsInformal Cooperation of ProvidersDisease Treatment vs Health CareConglomeration vs System
8 Brief History of U.S. Health Care Timeline18501997
9 Brief History of U.S. Health Care Before Medical Treatment occurred in Home18501997
10 Brief History of U.S. Health Care Treatment moved to Physician’s Office & HospitalHome185019001997
11 Brief History of U.S. Health Care 1st InsuranceHospitalsHome185019111997
12 Brief History of U.S. Health Care 3.9% of GDP spent on Health Care1st InsuranceHospitalsHome1929185019111997
13 Brief History of U.S. Health Care Age of MedicineNIH EstablishedHill-Burton Act1st InsuranceHospitalsHome2.9% GDP18501930195019111997
14 Brief History of U.S. Health Care Medicare & Medicaid1st InsuranceHospitalsAge of MedicineHome2.9% GDP196518501911193019501997
15 Brief History of U.S. Health Care Cost Containment- Health Systems Planning-Health Maintenance Organization Act1st InsuranceHospitalsAge of MedicineHomeMedicare &Medicaid2.9% GDP1970s185019111930195019651997
16 Brief History of U.S. Health Care American HealthSecurity Act of 19931st InsuranceCost ContainmentHospitalsAge of MedicineHomeMedicare &Medicaid2.9% GDP1980s185019111930195019651970s1997
17 Brief History of U.S. Health Care 14% GDP1st InsuranceCost ContainmentAge of MedicineIncreased CostsHomeMedicare &Medicaid2.9% GDP18501911193019501965197019801992
18 Major Concerns in the U.S. 1. Medical Care Cost2. Drug Abuse3. Budget Deficit4. Crime5. Unemployment6. AIDS
19 Health Care Spending (Select countries: 1960 & 1997)
20 Spectrum of Health Care Delivery Public Health Practiceeducation is primary componentMedical PracticeprimarysecondarytertiaryLong-term Practicerestorative carelong-term care
21 Public Health Practice Educationprovides informationempowersmotivatesSettingsGovernmental health agenciesVoluntary health agenciesSocial Services agenciesSchoolsBusiness and industry
22 Spectrum of Health Care Delivery Public Health Practiceeducation is primary componentMedical PracticeprimarysecondarytertiaryLong-term Practicerestorative carelong-term care
23 Primary Medical Care Education Promotion of nutrition Safe water and sanitationMaternal and child health careImmunizationPrevention and control of endemic diseaseTreatmentEssential drugs
24 Secondary Medical Care Specialized careprovided by physicianshospital or outpatientemergency care
25 Tertiary Medical Care Highly specialized For those with unusual or complex conditionsSpecialized hospitalsAcademic health centers
26 Spectrum of Health Care Delivery Public Health Practiceeducation is primary componentMedical PracticeprimarysecondarytertiaryLong-term Practicerestorative carelong-term care
27 Long-term PracticeRestorative careLong-term care
28 Health Care Providers Independent Providers Allopathic specific remedies include drugs or medicationOsteopathicrecognition of reciprocal interrelationship between the structure & function of the bodyNonallopathicchiropractors, acupuncturists, naturopaths, homeopaths
29 Health Care Providers Limited Care Examples have advance training in a health specialty and are licensed to practice itExamplesdentists, optometrists, podiatrists, & psychologists
30 Nurses Licensed Practical Nurses (LPN) & Registered Nurses (RN) 1-2 yrs of training & carry out non-technical dutiesRegistered Nurses (RN)associate or baccalaureate degree & state licenseBachelor of Science in Nursing (BSN)prepared for additional activities involving independent judgmentAdvanced Practice Nurse (APNs)
32 Allied & Professional Health Care Providers Allied Health Care Professionalsprovide services that assist, facilitate, & complement work of physiciansdietitians, physical therapists, medical technologists, EMTs, & speech therapistsPublic Health Professionalswork in public health clinics & voluntary agenciesenvironmental health workers, administrators, epidemiologists, health educators, & biostatisticians
33 Health Care Facilities Practitioner OfficesPrivately owned practicesClinicsHospitalsPrivatePublicVoluntaryAmbulatory Care
34 Health Care Facilities Rehabilitation CentersLong-term care optionsHome health careContinuing Carechronic, respite, hospice, & home careAccreditation