History of US Healthcare System
The Preindustrial era, post-industrial era, corporate era and current era.
What are the four historical periods of healthcare delivery?
The first broad coverage health insurance designed to make cash payments for lost wages due to work related injury.
What is worker's compensation?
Graduate medical education in the form of paid on-the-job training.
What is Residency?
Name the health professional responsible for the care of mental health issues.
What is a psychologist?
Most (~40%) healthcare professions are employed here.
What are hospitals?
Healthcare was primitive, often not ground in science and most staff was unskilled.
What are the major characteristics of the preindustrial era of healthcare delivery?
The insurance plan covering physician care.
What is the blue shield plan?
Uses medical treatments in attempts to neutralize disease.
What is allopathic medicine?
This profession is the main caregiver for sick and injured patients. It requires graduation from a licensed program and passing the national exam.
What are nurses?
Responsible for the failure of national health insurance by linking it to communism.
What is the AMA campaign against national health insurance?
Medical education reform, improvement of hospitals, specialization and the development of Medicare and Medicaid
What are some major developments that took place during the post-industrial era?
The insurance plan created to cover hospital care
What is the blue cross plan?
This holistic approach to medicine places emphasis on preventative medicine and the environmental factors influencing health. Also concerned with the correction of tissues and joints.
What is Osteopathic medicine?
What is patient centered care?
Responsible for the implementing the requirement of graduating from an AMA accredited school in order to practice medicine.
What is the Flexner Report?
Can provide in-hospital patient care, surgical services, primary care, long term care and specialized rehab services.
What is the Integrated Delivery System?
Wage freezes during WW2, legitimization of employee benefits and amendments to the Internal Revenue code
What are the three main factors responsible for employment based health insurance?
Main function is to promote health through patient education.
What are Nurse Practitioners (NPs)?
What are nonphysician health providers (NPs, PAs, CNM-certified nurse-midwives)?
What is the American Medical Association?
This mandate of the ACA was repealed under the Tax Cut and Jobs Act of 2017.
What is the requirement to have health insurance or receive tax penalties?
The controversial act extended healthcare to low income elderly through federal grants.
What is the Medical Assistance Act (Kerr-Mills Act)?
Optometrists, podiatrists, psychologists and chiropractors are all this level health professionals.
What are other Doctoral-level professionals?
Epidemiology, biostatistics, health admin, health/behavioral education and environmental health.
What are the 5 main disciplines of public health?
Slow wage growth, low job satisfaction and career mobility issues results in outsourcing these healthcare professionals.
What are some factors influencing incoming nurses?