The right of patients to make decisions about their medical care without their health care provider trying to influence the decision.
What is autonomy in healthcare?
The principle of "first do no harm." In health care, the term also means to avoid unnecessary harm.
What is nonmaleficence?
A set of rules and standards adhered to by a society, class, or individual.
What is code?
Remember there is also Principle (autonomy, beneficence, non-maleficence, justice), Theory, and Law.
Acting in charity and kindness. This principle of ethics applies to patients, staff members, and the community as a whole.
What is beneficence?
A principle of ethics that addresses what is fair of what is deserved
What is justice?
Founded in 1951, this group seeks to continuously improve health care for the public by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The make unannounced site visits every 18-36 months.
What is The Joint Commission (JTC)?
Characteristics of the environment that influence the use of health care and its financing, including:
- Changes in the economy
- Local, state, and national political decisions
- Social and demographic trends
What is "market forces"
(Demand, Supply, Prices)
Any health care delivery system that is organized to directly manage cost, utilization, and quality of care.
What is "managed care"
The goal is to reduce healthcare costs. Most common types are HMOs and PPOs
A federal law passed in 1996 that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.
What is Health Insurance Portability and Accountability Act (HIPPA)?
What is the IU Student Code of Conduct?
Out-of-pocket spending for deductibles, coinsurance, services not covered by insurance.
What is "private spending"?
(fiscal responsibility)
Quality evaluation model focusing on structure, process, and outcomes.
What is the Donabedian model
Observation about the relationship between cost, access, and quality.
What is the iron triangle of healthcare
What are these 7 key components of:
1. Individual mandate
2. Employer mandate
3. Dependent coverage provision
4. Essential benefits
5. Health insurance marketplace exchanges
6. Medicaid expansion
7. No denial of coverage for pre-existing conditions
What is the Affordable Care Act (ACA)?
The degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others
What is health literacy?
What are the below causes of?
•Misdiagnosis
•Unnecessary tests or procedures
•Medication mistakes
•Healthcare-associated infections (HAIs)
What is poor quality in healthcare?
When an authority figure believes s/he should make decisions because of their superior knowledge
What is paternalism?
An ethics principle based on the position that well-being is morally important and people should have the ability to seek it.
Which of these is not one of the 3 patient cultures?
Patient-Partner
Physician-Patient
Compliant-Patient
Noncompliant-Patient
Physician-Patient
Three reasons for this healthcare phenomenon:
1. Rise of insurance
2. The internet
3. Integrated medicine
What is decline of physicians' power
All Americans would automatically be enrolled in a government health insurance plan.
What is "Medicare for All"
This would move the U.S. in the direction of a single-payer system, where the government steps in (rather than insurance companies) as the intermediary between patients and providers in health care transactions.
This form of prevention happens when disease is present in the population. Its intent is to reduce exposure.
What is secondary prevention?
The expectation that the latest technology be used when it becomes available, regardless of knowledge its cost or effectiveness.
What is technology imperative?
This event in history brought us an influx of medical professionals because we had to train them to treat our military forces on the battlefields.
What is WW1? (1917-1918)
It was still very much to the practice to defer to their expertise, though. It was assumed that physicians had more knowledge than their patients and decisions were often made without patient consent.
What is tertiary prevention?