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Unformatted text preview: QU IZ 4 REV IEW Pay particular attention to the following issues:- reasons for growth in outpatient services and what outpatient/ambulatory services are- domains of prima ry care and effects of increased primary care (lower hospitalization, decreased morbidity, etc); gatekeeping role of primary care.- what are: hospice care, secondary and tertiary care- reasons for expansion of hospital beds before the 1980s (Hill-Burton Act, health insurance, advances in technology) and decrease in hospital beds after the 1980s (prospective payment--DRGs, managed care cost- containment)- what population groups tend to utilize more hospital services- distinguish between community hospitals (open to the community), public hospitals (owned by different levels of government but not necessarily open to the community--VA hosp), teaching hospitals (have to have M D residency programs)- most hospitals do not restrict services to specific populations, but all have to be licensed. Most choose to be accredited and also seek Medicare/Medicaid certification. Participation in Medicare/Medicaid is voluntary, but most hospitals would not survive without Medicare patients. *C HAPTER 7: Outpatient Services and Primary Care OBJECTIVES OF CHAPTER 7 1. To describe the important roles outpatient services and primary care play in todays health care delivery * In recent years, the process of health care delivery has increasingly shifted away from expensive stays in acute care hospitals, and many intensive procedures are increasingly performed on an outpatient basis WHAT IS OUTPATIENT CARE? 1. Definition: refers to any health care services that do not require an overnight stay in an institution of health care delivery, such as a hospital or long-term care facility 2. Outpatient care includes much more than primary care services SCOPE OF OUTPATIENT SERVICES 1. Several key changes have been instrumental in shifting the balance between inpatient and outpatient services Reimbursement a) both private and public payers have a clear preference for outpatient treatment because it costs less than inpatient care Technological Factors a) development of new diagnostic and treatment procedures and less invasive surgical methods has made it possible to provide services in outpatient settings that previously had required inpatient stays in hospitals Utilization Control Factors Social Factors a) patients generally have a strong preference for receiving health care in home and community-based settings OUTPATIENT CARE SETTINGS AND METHODS OF DELIVERY 1. Private Practice 2. Hospitals 3. Freestanding Facilities 4. Mobile Facilities for Medical, Diagnostic, and Screening Services Telephone Triage Home Health Care Hospice Services 5. Outpatient Long-Term Care Services 6. Public Health Services 7. Community Health Centers and Free Clinics 8. Alternative Medicine Clinics PRIMARY CARE * Primary care plays a central role in a health care delivery system. Secondary and tertiary care * Primary care plays a central role in a health care delivery system....
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This note was uploaded on 01/12/2011 for the course HAP 301 taught by Professor Henderson during the Fall '10 term at George Mason.
- Fall '10