Health Care Systems 1

Health Care Systems 1 - Health Care Systems 1 Incidence...

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Health Care Systems 1 Incidence: number of cases within a time period Prevalence: total number of cases at a point in time in the population at risk Continuum of Health Services: Preventive Care, Primary Care, Specialized Care, Acute Care, Chronic Care, Long- Term Care, Sub acute Care, Rehabilitative Care, End of Life Care. Various participants in the system: the patient of care seeker, the provider, the insurer or third party payer, the public or government unit that manages the system, and the employer who provides health insurance Large public sector programs such as Title 18 and Title 19 programs, a major provider of health services to special populations (military) and a major supporter of the education and training of many types of care providers. o Title 18: represents titles the federal legislation enacted designed as a safety net health insurance; program over the age of 65, over that age entitled to Medicare basically for free o Title 19: for Medicaid- means tested- had to prove you made certain income Organization of the system: ministry of health, other public agencies, voluntary agencies, enterprises (health services provided directly by private businesses) and the private market o DHHS- Department of Health and Human Services In 1945, a committee issues the Emerson Report outlining six public health functions that state and local health departments should perform: o Vital statistics, public health education, environmental sanitation, laboratory services, prevention and control of communicable diseases and maternal and child health services. PHS- Public Health Services o Includes: CDC- Center for Disease Control o FDA- Food and Drug Administration Responsible for safety of food, cosmetic products, safety and efficacy of prescription and over the counter drugs o HRSA- Health Resources and Services Administration Responsible for supporting the development of a strong health services work force; Database of malpractice actions filed against physicians o NIH- National Institute of Health made up of 18 research institutes organized to specific diseases o SAMHSA- Substance Abuse and Mental health Services Administration Provides leadership and policy for mental illness, substance abuse treatment o IHA - Indian Health Service Serves over about a million natives which qualify for these services o AHCPR The analyze functions of US public health systems such as access to care, affordability, quality of care for developmental disabilities,
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mental retardation o HCFA now CMS Single State Agencies: a health department organized as a separate governmental unit Close to 3,000 organized local health departments exist in the U.S. o Those at the city level generally report to the mayor or city manager o Those at the county level report to the county commissioners and other county officials o Local health department funding comes from tax revenues APHA- American Public Health Association Vital Statistics- birth certificates, mortality/morbidity rates
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