Exam 14: Health And Medicine
___________ believe that illness is dysfunctional because it prevents people from performing expected roles.
D
Which of the following is a concern to offering free or low cost medical care?
D
How is medicine impacted today in the U.S.as the result of the fee-for-service principle?
The fee-for-service (FFS) principle has been a longstanding payment model in the U.S. healthcare system, where providers are paid for each service, test, or procedure they perform. This model has had a significant impact on medicine in the U.S. in several ways:
1. **Volume Over Value**: The FFS model incentivizes a higher volume of services because providers are paid more when they perform more procedures or tests. This can lead to overtreatment, with patients potentially receiving unnecessary care that may not improve their health outcomes.
2. **Increased Healthcare Costs**: As providers are incentivized to offer more services, healthcare costs can rise. The U.S. has some of the highest healthcare costs in the world, and the FFS model is often cited as a contributing factor because it does not inherently encourage cost containment or efficiency.
3. **Fragmentation of Care**: FFS can lead to fragmented care because providers are often siloed and compensated for individual services rather than for coordinating care. This can result in a lack of communication between different providers and can negatively impact the continuity and quality of care for patients.
4. **Impact on Provider Behavior**: Providers may feel pressured to increase the number of services they provide to maintain their income, which can lead to burnout and reduced time per patient. This can affect the quality of the patient-provider relationship and may lead to less personalized care.
5. **Disincentive for Preventive Care**: The FFS model does not always adequately compensate providers for preventive care services or for managing chronic conditions, which can be more time-consuming and less profitable than procedures. As a result, there may be less emphasis on preventive care, which is essential for improving long-term health outcomes.
6. **Innovation and Technology Adoption**: The FFS model can both encourage and discourage innovation. On one hand, it can promote the rapid adoption of new, billable procedures and technologies. On the other hand, it may not incentivize the adoption of cost-saving or process-improving innovations that do not directly generate revenue.
7. **Administrative Burden**: Billing for each individual service can create a significant administrative burden for healthcare providers, requiring extensive documentation and coding. This can divert resources away from patient care and contribute to the high overhead costs of running a medical practice.
In response to these challenges, there has been a push towards value-based care models that aim to align incentives with the quality of care provided and patient outcomes, rather than the quantity of services delivered. These models include accountable care organizations (ACOs), patient-centered medical homes (PCMHs), and bundled payment arrangements, which are designed to promote more coordinated, efficient, and high-quality care. The transition to value-based care is an ongoing process, and the impact of the FFS principle continues to be a subject of debate and policy reform in the U.S. healthcare system.
Americans continue to get fatter; _____ percent of adults and ____ percent of children are obese.
Prior to the nineteenth century,most medical practice was based on folklore rather than scientific knowledge.
Prior to the recent health care reform in the United States,the last major health care legislation was the creation of the Medicare system in 1965.
____________ is a physical or mental impairment that limits a person's ability to perform an important activity.
The biggest threat to public health in the United States is obesity.
Which of the following statements is true about the cost of health care?
How does paying for medical care in the U.S.differ from those in Canada,Great Britain,and China? Are there similarities among any of these countries? Are there major differences?
____________ is an alteration of the normal physical and/or mental structures of the mind.
In what specific ways is the social environment related to health and illness in this country? What changes have taken place in respect to this relationship in the last fifty years?
How have attitudes toward mental illness changed over time? How has this been reflected in both daily life and social policy?
The _____________ is a network of business enterprises that influences medicine and health care.
The health of an individual is highly associated with education level.
The infant mortality rate uses the number of deaths of infants younger than ________ in its calculation.
Recent studies have shown that children's eating habits are firmly established before they reach
Chronically ill people are responsible for almost 50% of all healthcare spending.
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