Access Answer: the ability of persons needing health services to obtain appropriate care in a timely
manner
Structure Answer: "The relatively stable characteristics of the provider of care, of the tools and
resources they have at their disposal, and of the physical and organizational settings in which they work"
Health Answer: A state of physical, mental, and social well being
Disease Answer: condition determined by medical professional's evaluation, unlike an illness, which
is based on the patient's assessment
Special Population Answer: Those with health needs but with inadequate resources to address
these needs
Managed Care Answer: A system of health care delivery that (1) seeks to efficiencies by integrating
the four functions of health delivery, (2) employs mechanism to control (manage) utilization of medical
services, and (3) determines how much the providers get paid
Public Health Answer: A wide variety of activities undertaken by state and local government to
ensure conditions that promote optimum health for society as a whole
Medicaid Answer: A joint federal-state program of health insurance for the poor
,Market Justice Answer: A distributional principle according to which health care is most equitably
distributed through the market forces of supply and demand rather than government interventions
Insured Answer: The individual who is covered for risk by insurance
Need Answer: Want for health services (in contrast to demand for health services) is based on
individual judgment of the patient or a health care professional
Medicare Answer: A federal program of health insurance of the elderly, certain disable individuals,
with people with end-stage renal disease
Process Answer: The specific way in which care is provided
Integrated Delivery System (IDS) Answer: A network of organization that provides or arranges to
provide a coordinated continuum of service to a defined population and is willing to be held clinically
and display accountable for the outcomes and health status of the population serviced
Public Health System Answer: a system whose mission to improve and protect community health
Veteran Integrated Service Network Answer: Components of the Veteran Administration system.
There ate 21 geographically distributed networks that are responsible for coordinating the activities of
the hospitals and other facilities located with its jurisdiction
Health Care System Answer: Organizations, personnel, activities associated with promoting,
restoring, and maintaining health
Package Price Answer: Bonding of fees for an entire group of related services
Health Policy Answer: Public policy that pertain to or influences the influences the pursuit of health
, Quantity Answer: The degree to which health services for individuals and population increase the
likelihood of desired health outcomes and are consistent with current profession knowledge
Item Based Pricing Answer: The cost of ancillary service that often accompany major procedures
such as surgery
Health Care Delivery Answer: the provision of medical care or illness
Reimbursement Answer: the amount insurers pay to a provider. the payment may out be a portion
of the actual charge
Outcome Answer: The end result of health care delivery; often viewed as the bottom-line measure
of the effectiveness of the health care delivery system
Census Answer: the number of patients in a hospital on a given day or the number beds occupied
on a given day
Tri Care Answer: an insurance program financed by the US Department of Defense to permit
beneficiaries to receive care from both private and military medical care facilities
Quality of Life Answer: (1) Factors considered important by patients such as environmental comfort,
security, interpersonal relations, personal preferences, and autonomy in making decisions when
institutionalized (2) Overall satisfaction with life during and following a person's encounter with the
health care delivery system
Demand-side rationing Answer: Barriers to obtaining health care faced by individuals who do not
have sufficient income to pay for services or purchase health insurance
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