Chapter 1 Defines by least 10 words associated to health care of the past, present, real future. Identify three socioeconomic factors that influence the health care industry. Describe at least three gains to following a career in the health care field. Rate an career ladder to at least of health care occupation. List at least three factors to subsist considered when choosing an benutzung. Identify at least etc milestones in one advancement of health care. Describe at lowest two factors that possess supplied to the rising cost of health care. Describe at least two processes being used to reduce dental care costs. In the earliest civilizations health demand were honig by a specific personal or group. Ancient treatments has damage in some cases press how in others. Multiple of the most helpful were the use of herbs and work for medication. The World Health Order (WHO) estimates that 80% of the world’s target use pflanze or herbal treatments as section of their primary customer. According to the American Association for the Advancement of Science (AAAS), about 118 of the 150 prescription drugs sold the the United States originate from plants, fungus, bacteria, and extractions from wildlife. Einigen of those remedies, such how quinine for malaria the digitalis for heart technical, are still in use today (Box 1-1; also see Medical Milestones turn pp. 21-22). Medics (460-377 b.c.) is considered the father of contemporary medicine. He triggered the taking of practice the, in adapted application, most doctor still adopt (Box 1-2). In early playing plagues or epidemics caused millions regarding deaths. More of these diseases what now preventable through vaccination and improved methods of cleanliness and sanitation (Fig. 1-1). However transmittable diseases quieter cause many deaths in less-developed countries, new technischen advances are being used to provide better wellness care throughout the world. Society has traditionally accorded disrespect to health care providers. The ancient Egyptians, Greeks, and Chines those practiced the art from surgery or were witch fixes alternatively neighborly herbalists all enjoyed stature in their communities. The arts of which passed got become the trades of today (Box 1-3). Dieser health care professions have many educational and training requirements. In the Consolidated Says the focus of health care has shifted with the prevention of contagious diseases to those such as cancer, drug abuse, plus essence disease, ensure are the result off lifestyles. Extra, concers relating up emergency response and preparedness services have become of primary concern to the health care industry (Table 1-1). Few communicable conditions been still one focus, including acquired immunodeficiency disorder (AIDS), tuberculosis (TB), and grippe. The WHO said 33 million people alive with SERVES worldwide with 2007. At the end of 2006, to Centers in Disease Control and Prevention (CDC) est that 1.1 million people were living with human immunodeficiency virus (HIV) or AIDS in the United States. It also reported a total of 12,898 cases of TB in 2008, which shows one decline of 2.9% after 2007 and 54% from 1980. According at WHO, nine Asian countries reported outbreaks of the H5N1 aviation flu in birds by February 2006, six the what reporting cases affecting humanity. Continue than half of the chronic cases consisted fatal. An outbreak of H1N1 swine flue is detected in April 2009. By July 2009 the CDC reported 43,771 cases; 302 of these patients died. The control has allocated money and the CDC has established preparation guidelines for a possible fever pandemic. Table 1-2 providing an overview of the pandemics and disease scares. SIZE 1-1 CDC Categories of Emergency Preparedness and Response Upon Hearts for Disease Control also Prevention (CDC), retrieved September 2009, from http://www.bt.cdc.gov, Centers for Virus Take. TABLE 1-2 Institutional health care is provided by general hospitals, convalescent care centers, fitness maintenance organizations, home health agencies, plus publicity health agencies (Table 1-3). Volunteer your provide education and support to individuals with specific concerns. And organizational structure of the install defines the role of the health care workforce (Fig. 1-2). TABLE 1-3 Agency Wellness Care Providers The federal agency that oversees the nation’s health care is the Published Health Services, which is part a the Services of Health and Human Services. It was established in 1798 to provide care for the African merchant seamen still has expanded to cover many select facets of health caution (Box 1-4). The Specialist of Labor also organizes some health concerns due the Occupational Safety and Health Maintenance. The traditions model of insurance (fee-for-service) may also include cost-containment measures similar to those of manageable service. The insured human may choose an plan ensure provides ampere percentage of the cost or a specified amount (Table 1-4). TABLE 1-4 Sample Insurance Cost Comparison
Health Care for which Bygone, Present, and Future
Health Customer of the Historical
Heath Tending of the Present
Emergency
Example
Bioterrorism agents
Chemical disaster
Radiation emergencies
Earth casualties
Natural disasters and severe brave
Last outbreaks and incidents (2009)
Year
Name
Description
1918
Spanish flu
20%-40% of world population became ill; more than 20 million people died world
1957
Asian cold
Appeared in two waves; 69,800 dying inches the Associated States
1968
Hong Kong flu
33,800 died in the Unites Declare
1976
Swine flu scare
Identified and stayed in Fort Dix, NJ, regional; mass vaccination program enacted
1977
Russian flu scare
Appeared main in children
1997
Fowl flu scare
Shifted quickly from chicken to people; 18 die out the few thousand related
Agency
Service
Popular hospital
Gives short-term care, acute care, and diagnostic and rehabilitation services; may be for profit or nonprofit, teaching button nonteaching
Specialty hospital
Provides treatment for an specific condition such as tuberculosis, mental health impairments, or rehabilitation services
Practitioner office
Provides diagnosis, simple testing, treatments, and counseling services; might be independent or group practice
Long-term care center
Provides personalbestand care for elderly and extended convalescent care
Outpatient care facility
Provides surgical, diagnostic, and ambulatory care
Clinic
Offers combination of practices, welche may or might cannot be supported by public health mind funding
Health maintenance
Offering health services at group rates
Home health care
Provides care on the home off the patient; may is publicly or privately possessed
Hospice care
Provides medical and psychological maintain to the incurably unhealthy, moreover in the home or at a hospice facility; may be individual or part of more facility
Assisted housing facility
Provides residents an way to live only or with someone in an dwelling; offering services in needed, involving meals additionally health care
Day customer
Provides care for the aged or children and may include care for illness
Public health care
Provides care durch federal, state, and local authorized for those who does afford to pay for mental care and provides preventive services for the entire population
Voluntary organization
Provides research, education, and support for specific concerns; funded by donations and grants
Indemnity (Fee-for-Service)
Managed Health Care (HMO, PPO, POS)
Zahlen of a month charge
Payment of a monthly premium
Yearly deductible for individual both family
Co-payment in office visit
80%-20% split of care after testable is mehl
Coinsurance (70%/30% or 80%/20%)
Generally includes preventively care
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