Managed Care/Distribution of Health Care
This is the dominant health care delivery system in the United States.
What is managed care?
This population is defined as persons with health needs but inadequate resources to address them.
What are special populations?
This health care system is ranked as the best national health care system by the WHO.
What is the French health care system?
These factors include the physical, socioeconomic, sociopolitical, and sociocultural dimensions of life.
What are environmental factors?
This consists of the various types of workers directly engaged in the delivery of health care to patients.
What are system human resources?
This is an individual covered under a managed care plan.
What is an enrollee or member?
This health care system provides care for retired veterans who have served in the military, with priority given to those who are disabled.
What is the Veterans Administration (VA) health care system?
In this country, health care is financed by the government through general taxes, but health care itself is delivered by private providers.
What is Canada?
These factors include air pollution, food and water contaminants, radiation, and toxic chemicals.
What are physical environmental factors?
This is the structure of the current health care system, which is explained by historical, cultural, social, and economic factors.
What are system foundations?
These are the four key functions, financing, insurance, delivery, and payment, necessary for health care delivery in a managed care environment.
What is the Quad Function Model?
This is one of the largest sources of public health insurance in the United States, serving the elderly, the disabled, and persons with end-stage renal disease.
What is Medicare?
In this country, healthcare is financed by government-mandated employer and employee contributions, and healthcare is also delivered by private providers.
What is Germany?
These factors include diet, exercise, stress, risky or unhealthy behaviors, and other choices that may contribute to significant health problems.
What are individual lifestyle or behavioral factors?
This is the future outcome of the health services delivery in the context of social, cultural, economic, and other forces.
What is system outlook?
A distributional principle according to which health care is most equitably distributed through the market forces of supply and demand rather than government interventions.
What is market justice?
This is the third largest source of health insurance in the U.S., providing coverage for low-income adults, children, and disabled individuals.
What is Medicaid?
In this country, the infrastructure of healthcare delivery is managed by the government, as is the financing of a tax-supported national health insurance program.
What is the United Kingdom?
This is a key determinant of health because genetic factors predispose individuals to certain diseases.
What is heredity?
These are carried out mainly through the health care delivery infrastructure, which consists of hospitals, clinics, LTC providers, and other settings.
What are system processes?
A distribution principle according to which health care is most equitably distributed by a government-run national health care program.
What is social justice?
This is an insurance program financed by the U.S. Department of Defence, in which beneficiaries receive care from both private and military medical care facilities.
What is TriCare?
In Germany, these are private not-for-profit insurance companies responsible for collecting the contributions and paying physicians and hospitals.
What are sickness funds?
In this status, people with higher incomes often live in areas with less exposure to environmental risks and enjoy better access to care.
What is socioeconomic status?
These refer to critical issues and concerns surrounding what the health services system is able or unable to accomplish with regard to its primary objective, which is to provide cost-effective health services that meet quality standards to a nation.
What are system outcomes?