QUIZ%202%20PREP

QUIZ%202%20PREP - THINGS TO FOCUS ON DURING YOUR REVIEW!!!!...

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Unformatted text preview: THINGS TO FOCUS ON DURING YOUR REVIEW!!!! * Brief characteristics of medicine in the:-preindustrial-postindustrial, and-corporate eras This includes the role of health professionals and early institutions. * Understanding of the populations eligible for Medicare and Medicaid and the basic structure of these 2 programs. * Understanding the roles of different groups of health professionals, particularly physicians and nurses, and the effects of physician maldistribution. CHAPTER OUTLINES: *CHAPTER 3: Historical Overview of U.S. Health Care Delivery OBJECTIVES OF CHAPTER 3 1. Explain how health care delivery has evolved in the U.S. since the 1800s. 2. Discuss why U.S. health care has evolved the way it has. 3. Outline current trends. MAJOR FACTORS THAT HAVE SHAPED U.S. HEALTH CARE Cultural beliefs and values Social factors Science and technology Economic forces Political factors Because these factors interact, one cannot always clearly attribute a change to any single factor. BELIEFS AND VALUES HAVE PLAYED A DOMINANT ROLE The health care system has been shielded from a major overhaul because any major government intervention is viewed skeptically by most Americans Fundamental reforms in the financing and delivery of health care will require the American middle-class to develop a mindset based on social justice principles. However, social justice principles by-and-large run counter to the ingrained American beliefs and values. Hence, sweeping reforms are very unlikely in the foreseeable future. THE PREINDUSTRIAL ERA Overview Practice of medicine had a domestic rather than a professional character Medical practice was more a trade than a profession Medical education was not grounded in science Health insurance did not exist Medical Training Based on apprenticeship rather than university education Medical schools were opened by physicians as an economic necessity, to supplement their incomes Low standards prevailed Medical Practice A trade without prestige Medical procedures were primitive Absence of diagnostic instruments Family members and neighbors were equipped almost as well as physicians Anyone could practice medicine, which created intense competition Medical Institutions Only some of the big cities had hospitals Almshouses (or poorhouses), operated by local governments, were the precursors of todays hospitals and nursing homes, and housed the destitute and disruptive elements of society Dispensaries provided free outpatient services to the poor. They were staffed by medical students and physicians who wanted to gain experience.students and physicians who wanted to gain experience....
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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.

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QUIZ%202%20PREP - THINGS TO FOCUS ON DURING YOUR REVIEW!!!!...

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