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Health Care Systems 1 Review

Health Care Systems 1 Review - Health Care Systems 1...

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Health Care Systems 1 Tertiary Care : highly specialized, complex and often costly form of care offered in such settings as children’s, psychiatric, and rehabilitation hospitals as well as AHCs o Broad and centers around highly specialized, procedurally intensive inpatient care that may require a prolonged length of stay o Ex: surgical procedures such as coronary artery bypass grafts, MRIs, PET AHC: Academic Health Centers o Comprise an allopathic o osteopathic school of medicine, one or more schools or programs to train allied health professionals and a university or other teaching hospital Quartenary Care: highest level of care provided in AHCs due to highly specialized providers o Ex: burn units, regional trauma centers, transplant services, inpatient AIDS centers, neonatal intensive care units, etc Studies have indicated the importance of volume in maintaining provider proficiency and achieving optimal outcomes in treating special conditions o If do procedures a lot, going to be better at it, get more patients AHC as a Provider of Tertiary Care: only place that can access subsidies o As much as 44% of uncompensated inpatient care is provided by AHCs AHCs may be major providers of uncompensated care for several reasons: o A major training site of physicians and other providers require an ample patient population for teaching purposes o Some AHCs and their teaching hospitals are public facilities. In return for the use of public dollars, such facilities are expected to provide a certain amount of uncompensated care. o AHCs admit and care for an unusually high number of indigent patient Indigent patients: lot of pathology, disenfranchised, don’t have primary care, don’t have resources Eligible for disproportionate share payments from public payers such as Medicare to offset some costs of caring for the indigent Receive subsidies to serve public good o AHCs provide an educational mission o The training of many allied health professionals is centered in AHCs. AHC is the most important trainer of the health work force in the US o AHCs offer an extent and variety of research they conduct Tripartite Mission of Patient care and service, education and research—3 distinguishing characteristics of AHCs which distinguishing them from other specialty care providers Public Good: the care of the indigent and uninsured, health professional training and clinical and basic science research Private good: clinical care, teaching and biomedical research AHCs produce this unique combination of goods and services through a complex maze of cross subsidies
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AHCs have typically been able to charge between 15-35% more for care than others to support the higher costs of care Mental Health Services : lots of $ allocated to this Causes of mental disorders: developmental, biological, psychological, environmental, or combinations thereof. Influenced by philosophical, social and cultural considerations
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