Prioritization
Finance
Pros and Cons
Referral
100

This approach to prioritization involves a clear and transparent process, following publicly defined criteria.

What is explicit prioritization?

100

Who are the vast majority of GPs employed by?

Who is themselves! (self-employed)

100

In terms of cost, what level of care do GPs strive for?



What is lowest cost level necessary for effective care

100

What is the process a patient must take in order to have an appointment with a specialized physician?


What is meeting with GP and getting a referral

200

What is the term that refers to allocating healthcare resources at the clinical level, such as deciding which patients to treat first?

What is Micro-prioritization

200

What is the breakdown of GP payment with FFS & Capitation?


What is ⅔ Capitation and ⅓ FFS

200

What are some strains that GPs face?


What is shortage, Burnout, Increasing aging population

200

What is the aspect of the U.S healthcare system that allows patients  to bypass their PCP and go straight to a specialized physician?


What is lack of required referral

300

What are the 3 major factors that influence the prioritization decision process for GPs?

What is medical necessity, cost effectiveness, and justice

300

GPs account for what percent of the total expenditure of the Danish healthcare system?


What is approximately 8%

300

What patient limit size do GPs typically have?


What is 1600 patients

300

What is the benefit of requiring referral to secondary care?


What is reduced wait times and reduced unnecessary treatment

400

General Practitioners contribute to healthcare prioritization by balancing patient needs with available resources, often influencing decisions at this level within the healthcare system?

What is meso-level prioritization

400

How do GPs begin working in a practice?


What is buying a retiring GP’s practice or getting county permission to open a new practice.

400

What is the average wait time to see a GP?


What is 1-2 days

400

Name an exception to the rule that a patient must go to their GP before going to specialized care?


What is either Ambulance Transport or ENT appointment

500

What are at least three of the five key reasons why we need to prioritize healthcare?



What is (1) Limited resources, (2) costs for healthcare are increasing, (2) possible interventions and technologies are increasing, (3) demand exceeds supply, and (4) increasing aging population

500

What are the opinions of the public and GPs on instituting out-of-pocket payments? 


What is both are overwhelming in opposition

500

How is quality of care by GPs ensured/monitored?


What is DANPEP (Danish Patients Evaluate Practice)

500

In Denmark, approximately this percent of patient issues are resolved by GPs without requiring referral to a secondary source?


What is 90%?

(give points for anywhere 85-95%)