NUR 205 final exam study guide with
complete solutions
Identify elements of a well-functioning health care delivery system -
Answer️️ -Safe
Effective
Patient Centered
Timely
Equitable
Describe strategies to increase access to affordable, high-quality care. -
Answer️️ -Establish a n...
Compare and contrast these health care delivery systems: physicians and
hospitals - Answer✔️✔️-Until recently, physicians were private/solo and
had fee-for-service practice
Most hospitals were not-for-profit, and physicians held a lot of power over
hospitals because they were not employees
Physicians had a lot of power because hospitals depended on physicians to
admit patients or refer them for treatment
The fee-for-service arrangement caused financial incentive for physicians
doing more care, not necessarily better care
Compare and contrast these health care delivery systems: multispecialty
practice groups - Answer✔️✔️--Late 1800s, Mayo Clinic founded in
Rochester, MN.
-Physicians of different specialties came together and shared income,
expenses, facilities, ect. To provide better, more comprehensive care
Compare and contrast these health care delivery systems: community
health centers - Answer✔️✔️--Regionalized services for vulnerable
communities, emphasis on primary care and education.
-Goal is for everyone to have access to care regardless of ability to pay.
-Mary Breckenridge's clinic in rural KY was the first of its kind.
-Nurses provide primary care.
Compare and contrast these health care delivery systems: prepaid group
practices - Answer✔️✔️--Either no fee or co-payment required.
-Goal of primary care is reducing costs by preventing illness. Popular with
managed care of large employers.
-HMOs (health maintenance organizations) allow subscribers to receive
medical services required through a group of affiliated providers.
-PPOs (preferred provider organizations), allow third party payer
(insurance company) to work with a group of providers to provide cheaper
services in return for prompt payment and guaranteed patient volumes
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